0241 (2)Nt
NOTE:-
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'With proper validation (- 21
this form constitutes an _
' encroachment permit CITY OF. - LAQUINTA �
APPLICATION FOR PERMIT _
:PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the 'construction of. public or private curbs; driveways pavements, sidewalks, parking' lots, sewers, water�r6ains
"and"other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
;. ,Subdivision Improvement Permit.— Class III -
DATE: Dejoesbar lf1 7986 Minor Improvement Permit Class IV
Within the paved and earth sections of various La Saints
LOCATION OF CONSTRUCTION - - `
roads within the bova>daries of GTE operatiriq urea
,•
(Street address or Description of Location) , • -
PURPOSE OF CONSTRUCTION�T"PE'fiNffT.� � ' - : • : • : :� .:•. .,-. --' - _.`.^r-;;�•,�•
--- _ Sketch (attach construction plans if appropriate)'"*'
-DESCRIQTIQN OF CONSTRUCTIONMaintenarce Mid This 'authorization does notit iu& :.•
'of existing under pmen ion. _
excavations of FAS roads (major roads).
-DIMENSION OF INSTALLATION OR REMOVAL Not mDre..than 80
lin. feet' excavated under blanket Hermit. Pe=dtee shall •notify City hall,,A
minizman of 24 hours prior to_start of
K
SIZE OF EXCAVATION, -IF NEEDED 1X 4- bell holes an construction. 23 z.
installation of new services.S
_. $QpdratP peMif-s are re>a lii+9C1 ,for
APPROXIMATE TIME WHEN WORK -WILL BEGIN fY C FA$g,
24 hours iri' advance of anv work.'. ' �•:{�
" APPROXIMATE TIME OF COMPLETION Permit exp s 12-,T31—$'I
ESTIMATED CONSTRUCTION COST$
(Including removal'of all obstruction, materials, and debris, backfilling, com•"
: • :.
paction and placing permanent resurfacing andyc* replacing .irnpro.aments)
Inconsideration of the granting, of this permit, the applicant h r y` _ r *'<^ -
e eb agrees to
...Indemnify,.. defend and save the City, its •au'. thoriz.etid agents,
officers,
fficers representatives an,.d
. employees, harmless
>.f.r,o. m
a, a'.n. d..agai,ns-t in ''d ,Xd• . ,,fir„ r R.
all
„ ,.penalties, liabilities or loss resulting from claims -or court action and arising out of any accident,. loss or damage to persons or property'
happening or occurring as a 'proximate result of any: work undertaken under the permit granted pursuant to. this application.,. -
Notify the* Administrative Authority at least twenty-four f24).ho6rs in advance of.the time whenfwork'will be started. �r �!r ,.
Comply With all applicable City, Ordinances, the terms and' conditions of the permit and allapplicablerules and regulations of the City of
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La Quints and to pay for any additional replacement a necessary "as the result 'of this work.
i.. > ate'- � .'� •t � , ' �M �iqt.. + ,
Signature of Applicant or Agent
G.T.E. - 83-793 Avenue 47: Indio;.' CA 92201
Name of Applicant (please print)' Business Address Telephone No.�.. ' '•r .`•°r "`c.'
Name of Contractor and Job Foreman Business Address Telephone No.''.
Y s
Contractor's License No. City -Business License No.
^ _ -
,Applicant's !nsurance'Company _ z '' -Policy Number
_ � - .. .- .tii ; •, _; ,T4s � i' +! r.- .,�, �, :'. - r - sr ' .:'�•
FEES: Subdivision Improvement Permit -Class fll
r 4
"Public improvements: 39'0 of estirnated'construction costs
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Private improvements: of estimated construction costs Q�{-
- Minor Improvement Permit'— ClassyIV: See attached schedule " +'► ""`1
Inspection Fee _ $' x PERMIT VALIDATION
Permit Fee = = '241
-PERMIT NO.
Penalty 12=10-86
Cash Deposit -Surety Bond DATE APPROVED. `
if required EXPIRATION DATE; 12, -31~871,
TOTAL: $ n/a 12-10-86
DATE ISSUED
Receipt No. j_�
Received by Date Administrative Authority
Recorded by . 11 • TELEPHONE: (619) 564-2246
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�vk: lu General Telephone Company,
of California
OEC cJ 1987 _ 83-793 Dr. Carreon Boulevard
CITY OF LA QUINTA
Indio, 4 - California 92201 -7099
PLANNING & DEVELOPMENT DEPT
1
er To
December 10, 1987 13660GRefC17 A1,6��� "
E3.1B O 62
City of La Quinta
P. O r Box 1504 ..
La Quinta, CA. 92253
Gentlemen.
Reference. ANNUAL: PERMIT - renewal of#166
We are applying for a. annual blanket permit, ours expires on January
3, 1988.
C .. 4GE Z
Senior Engineer
CLG:id
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A part of GATE Corporation
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