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otion
anI.'Ye^ b�rt;,, 9•i'rra,,,y„�cfxr,•�;rrACITY�Q1,4f FtLA4UINTA.f
permit-:'
-PLICATION' FORFPRMIT A ' +
eq
P.U�L1� WORKS. CONS UCTIO7Nf'; (ITNCRO�AgyCp �r ENl')
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For th® oonstruttion of publicsorbprivate curbs,' driveways,,pavements;' sidewalks,irparkingslots, sewers; wateramamsr
' and other like public works Improvements ' c ' cgt'iorrj�%tt".�`'wi3OMINO '!'[My.PROVEMENTS and)ApPROVED_ SUBDIVISIONS'
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- ri � .. •� � 1 .Y !' <"' ` rrx'a0 Ay- �•,eRf' ...t ...,...+•rid-...w•ys.-M'- t •i� 7t«.�_,p�`w+^°'a^*_.••r•*.+.+.. w.. ,rr-i,Rti W:�—.!;-t•.+ .. w.. «x. � `��.....,,..,_.•...
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IT
r r Spbdivisl n Improvement Permit Class II I:,irc k y"` ~ -�
a
DATE:' Selatemeer �.•']�987 •�' FJ5'4`F9krt"4'i0*# C,t "�`r �:M'nory 'p' ym
�C3. fIm rovem�ntPer itClass:IV:� XX
Tu x
` r LOCATION OF CONSTRUCTION.; 8al,le,4Tamp'ico }(North s -i -dei E/O�Desert�-Club -
:1 � !tet ° T .� , ^ , Y`.,, .••�,,.-. ,
uul���:sl(Pvlaza�TampicoProJect):".__r ��'?+'�fia�l�P:w!'I..:zta��`tr,;
I
(Street address or�Description of){
... :. - , ,5+�-.r.n+•, �,�, 4 }�rC ty » '•..w'EJ'•.,r..,h
Tel phone facilities fo_ ^.Y
PURPOSE OF CONSTRUCTION— Ny,KSketch•(attach construction plans`if appropriate) • .•
P Laza jamp i CoeK; {Sy# 4 r
DESCRIPTION OF CONST RU CT ION plat- manhole and conduit See' -`attached sketch.,`
* "� a,-
Jan -- �""P' .w•, -t_..,— •�.,...r.�•n...r.,.�n,.t.en.�. ;.•n, r
„. per ..� .. wp ! a a 1 C 1 w.,.nw..•+:rwi+.r_•.r ' !
# }�' � F ;C?vATi'�lL. i�':��r}�:� •��- The -attached general- and" special
DIMENSION OF INSTALLATION F r RM$V� "�Y" " "y ', Provis-ion$ {are.••incl=uded
;:. c a p't of this permit.
i:.3at 6 i'4ri2_
Svhr C Cur"T1 kkxT4(-, ii c _ : ...; . . U1� jj Am,�u i rr No
'SIZE -OF fXCAVATION,,.IF NEE4Fnuci,rljsn>i!ua;:r1�,'wr�}c;ilu,#g;. y
' � ,' r ,. N;:�h� rn rrri •tlftf �...,y.w.---'e:._,.....„..-...i.....M.—.,........... +
K ;'APPROXIMATE TIME WHEN,WOf�K,Al4=I='.el=Gl-�Iy�•r-,:',f'1 4 ,
... ,. ,
. 1 rr .-. •, , . ,•, ygiti' ^141y1F.tlfi l�tIWAA},yY16SiYd4, ifftAx ,'irf t'k•'' iwk t f N•4, 4'I t / LM! fit '
:APP'ROXIMATE TIME •OF COMPLETION :}Al2 '31 87*':''s = s �' 'nr eA* t a� i /� � / s as 5"-p15,0 �t :/r!lL-ff'fi'� �? v`Y xCOY
rix rwta=ur�rr.>rrlar.�'�gz•s+ � Gru,'a,,��•u.sr� ;
ESTIMATED CONSTRUCTION COST $
.f.tritl7 roetiN'+•.+ w -. sex�r:,a \ ,.+d,y'twtitftY^+4t+Y.'•i'ritf y-�W+ s a Mr!!.^. ui kAe vp N+ , -mys'R v.wA:"Y ti 17C rvyYYk�
(Including removal of.all obstruction matgrials and debris backfillhing cpm �µ Y .O t �� w� a ;•F �. a ,,.�,,, . t4-ri r ;' ,� ;.,
• WJ' rM P • 1.J .h,.. , / I:t,!/
'paction. and, placing permanent. resurfacing' and/or replacingaimprovements) r
In consideration of the, granting of',this"permit; the applicant.hereby'agrees to: ';`�t"'�"�i 1°
Indemnify,•defend and save.the City, its authorized -agents, officers,' representatives and employees; harmless �frorr ano against any and all; M~M . �i
•�penatties, liabilities or loss. resultinggtrrorrl�claimsigrjgo4qfaction and ariong out of:;any gcc�de�rttilos;mor damage�tito perspns or property y
' happening or oxurring as a pror{irratgffrre£ylt ofiany u�rQrkunder`t`aken: under the�permitpri�ntd,ursuant fo this application.
., - . - • . j
- Notify -the Administrative Authority' at' least twenty-four (24). hours in advance of. the'time when' -work will :be started '+ 1 . j
Comply with all applicable City" Oidinances;?the terrris�'and 'conditions of the perrrrit.af4all'8ppliceble rules and regulations of the"City=oft%.
,(
W,9919" and to pay for any additional replacement necessary as the result of this work t
, V•{+A4+!7• ••,.M*F.t .N.•+`q.. Te'�+ ,yy..n a.�,sxq-:vw. ♦ 1 t •t •:. '^�+"•Nl• ._ .. 3.'lw .,y._. ..-.+. ,
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• � ` �, ., • • _ Signature of Ap�llcant orAgent • � ' I
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GENERAL ,TELEPHONE" COMP���f,`,,$r„793t��arron 4Bl.vd., Itldio, CA” 92201' 619-342-0535
` ame of Applicant (please print) t' ;; - »'+ i7i�a.ea,<:J' "tu-ausiness Addressxtt,�%o ; ' glephone-No.
• �- :t .r1. ,tr!l4 jtka. i:;�iuy...!'w.;,,• +�lui {+arw,41 r,L+AtCtiAn f.Wl3t • �
Name of Contractor and Job Foreman d Busmess Address Telephone No.
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Contractor's License No City Business License No
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t'
Applicant's Insurance Company•.. J.Policy'IVumbera"+ r;� ---
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Y FEES:. •Subdivision. Improvement �PiAiti— Class 111
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s rpywxr _=,tt .. r,— a •a l.. fiiK!nuuit/a;t .srlt=! uti
. ' Public improvements •3% of estimated construction costs
f �,o .w,,,w.,„�....r•...•....- if i.! 1° rtF :4Li8) f
Private,improvements 396 of estimated`construction'costs lf�C
+nM,wtlM«i-'A-rim,P°.•va.nYv+!MMW?!�Ff..�.'M1a1;FMnan!!'N.TN+'1a•.14.W11caM�tiY'•:�.dM'y�9yli+l«if�.Y.�,��4T r � .•!
. Minor Improvement Permit '..�Class IV:.$ee at schedule r,
Inspection Fee $ NSA `i 3 w T' �'' PERMIT VALIDATION
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Permit Fee u21, rt+ t i •,,nu ` : �E +t}F?itrr k r,.y j �7 f !k trr r,(•:i.? i> Cj s = 9,1i .i 2'7 # ..�4fs*i r.
•@ � Y�,�?ii} MII �i^° tf L r,ti?r f -x i ;act► ERMIT� 0.
Penalty `�'' i
!'I ^ t .,t „t ;JT�' A. . .,,.,a -.c.,;.., tfRirt,:�lanleltt : ' '.:.+�>. IlvorPe�`TFi�►PI1.R054'4E�',Ce'f'4e,-�R_aF�l�..
Cash'Deposit Surety Bond I �"—
♦ If f@ Ire i{ kF3R.�i.C1:1IVW aIla `4Fti 1rw whii1titer"Ot.str{�y yt1�/k.k51`Y a�r� "V Ttifi t i thrR� tt't� fji#r rnt E0/!t'i�
d.� ° EXPIRATJON DATt L_
k " ^� OTA ri f4.t �;htt$x;'�N�g4tttf �1ti.ir001„,S ei t'iU�.;+�;s� �;� ;;+;Irt � s�;tecry:xT s�tsl br r���+:ra� .:rg r-.� sus' _• � ! �
R 13. of "T6 h t1 ldk 1" 7Xi 't ? tr. i t1y li r is 1ryi.11r��AT ISSU D
e. .. r ilr. Aa,l+'. <' ylt..• $ntr 4't-ic• +.CN' i k t' r.,x#fit x?d-7 yf ri•3;- p'AS V'r4Y•t •r
Receipt No rnb,ttiQ„"�r'tytsr J ot
Y
t4 i . ;�.yr}2'�t{►'{,(?1 0, j 't� .; r t, 1 „ y �• .4 fr ! i fihfiii 'J t3 1, x l iii'�IEL} tf to i?Administrative" uthorit
Received by Date Y
iLt �V ,, 5, 6Irr`• tetra , r. aZ'I�1i 1t� I ( i r 7T " {C r ; �!t"11 +' t
. t ii hitt •.r a:7i,pjs ftp iti ioflfH. iii>E.kdsit tfhaohat',r}4tf+ti..tt'fre., , .F�x.:i tuG
Recorded by r rr, . ,... ;, ,r a •'afe,,t :"itr� cTELIPHON:t(.619);;5fi9 2246Ytxt .
�h
r .I -vi;- ' a)til�Etf .t St«i .t�,lis'#r jt} 'kri,7VtftiGil Of. ?Zt i;Sf,.'1iJ Q1 tLr. (! y"',un, i3;1 $tibtyvNi{ Pliw�l.i rr i+lf,l vt'tt.Cti•:rust CRi i�rEs
�, , Ntlrlrsr N`Ah til t r. �rtS i x 0 5?zi`ly iintlti•
when :,�vc }u� ,i :�h� !i t34 : "��►.t ti@d pill �U # tai I ' r
r t oA r V ., hil3 ay.4o'fo4di Vars;t ,rr.o;;tiy,'
53fQ.jr4 a tri!+f T�Y1�PCt,C7INI'1Y F;isi1;L.S1kt tRa`.3 ai°r
.ea.
�"'•'.-.t'n... ..v.-. �_,i...� �-�. 3 ,r'tifi'"b-'�_. ._�_....it.(:rw..r w.vl livwaantlwifiy Gid
ties to these monuments shalf,be fur�9ished to the City Engineer prior to the removal of any monuments. This office shall
be notified upon completioh.tot-:replacpment of all survey monuments for proper project clearance.
RD -31