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1608r.. ; t With proper validation this form constitutes an CITY OF LA QUINTA T encroachment permit APPLICATION FOR PERMIT $ PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�� �wSww `SOF TR$ For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots- sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS II Subdivision Improvement Permit„ Class III '—Noveiebar lR 1992 DATE: • Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ' (Street address or Description of Location) • ' PURPOSE OF CONSTRUCTION MOV4 14"00ent Sketch (attach construction. plans if appropriate) y DESCRIPTION OF,CONSTRUCTION PaVerg 1116" Wide, 84,000 pounds,- all also degas mul Routes t washington Street from f> Fred Voiring to H1 ill DIMENSION OF INSTALLATION OR REMOVAL Uvx Date: 11/18/92" s.' SIZE OF EXCAVATION, IF'NEEDED r `w APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 3 ESTIMATED CONSTRUCTION COST $ 1 ' (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) i In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property r ` 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 (24) hours in advance of the time when work will be started. Comply with all applicable -City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the=City of ' La Quinta and to pay for.any additional replacement necessary as the result of this work. Signature of Appbicant or Ag`en. 44`1 Granite Con>ati•uction P.04' Box 9011 PiU Desert, V,• 92255 7754302 Name of Applicant (please print) Business Address Telephone No. f ,Name of Contractor and Job Foreman TBusiness Address Telephone No. , ©n p31e . . On 7110 Contractor's License No. City Business License No. 0n P11e On File Applicant's Insurance Company` - Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule" ' ..Inspection Fee $ PERMIT VALIDATION Permit Fee If 10'00 X60$ PERMIT NO. Penalty ll/18/92 Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE 11/19/92 TOTAL! $ ' a DAT ISSUED 11/18/92 Receipt No. Received by Date —� Administrative Authority Recorded by TELEPHONE: (619) 564-2246 HE N V•,r a s-9 W aD 2 3: 03 t oar o M. PIf rm prow 0 on te+rr• eznWWM er, or•w q CITY OF LA OWNTA APPLICATION: POR PERMIT PUBLIC WORKS CONST=RUCTION IENCROA AMENT) Fer the mnrvu�Lo+1 of p,DiK of orrrrrte Curti. dr),rfwtat. O++.rr+r.ct. airtle.re,ki, 1»+krrq bU, eno otrier alto lewi+e wake iln are}tytip th Cannrman Mr1ti NlNOR IMPROVEMENT'S and APPpOVt $Ug:1 SIM . DATE; -� S�drrtiranlmt>''oWn.nrPe"R—Cwtll minor Intdrorw"wn pvm t elm IV bOGATIOW OF CONMUCT70N Uvv" sowwo at brv.+oon en (.evnM,i PURPOSE OFCONMUCTION Sl,ltd, (etraei ��t+csion tilerr A epp�yl 0 17ION OF C ttSTAUP7 J DIMENSION OF IN ALL•4710N,p[7,i0VAl Fred �ctrj'n SIZE OF EX"AVATIOM, IF NEEDED APPROKIw,kTt TIME W►.IE11 WORK VALLBEGIN ..— _ APPROKIWATE TIME Oi COMP4MON (ESTIMATED CONST'AUc!-.oN COST S 4lnauo,nS ronAOri; OI NI DWI 1- Nwwne n, ,t, enc detr^ri, a�chll, / ancon eno ordna O•nwwnt ronaro n4.wl + l ar+4 �rtd�Of �Okang intprow„•,er.fal a1C«�--?— /Gf 1n dDnt,tlenfLan 01 d'l.VIA11 s Of pia Imemit. the Soprrtant htrttry Jrp" tat irk ••n,rr, tM4•� s•s Wn�+ #tin pl�flr M so. ware atwp^y tiRrplyd &Wern6wHha, t4•wnr a trwn Ont, -0.bow Ma em bwrnyq fND.!rtiyt r � ^w e. eea�.rq w e tt axrr.sr rren of On► rrorl �,.e.we„ &Iernr aa+n, 00e e. �►..•,r r Irvorb iv Kean Wrrt,r♦ �+ AlYwry mo low 9%.mv Ovft'am ft W,e t1i6Re{v+i. �►•orrrr w frsi tr+.nvdwr t711 D,ays n r*w•o M W4 a e.t rit to eeb•rre, ' L& CjP, er.0-P, ert eea w C,,, W4 &%on old--nw who wvft MG eahre�tb•e er tt,o eo~ . t� G+•^O ew b My lar r,.v q�o+a ^ti►aor+•r tie ww'a�wv er t*e N1eri of 7:ws epo�w.eie tiM ri7 }Ma�rrp,y M Ps C7h N 1101cow of C,Ottlfscur Onol Jitio Forerun CpnfrOcto+ 1 t: Gtnu fu0 Ap0.,�9t t he -rears UC, +o�.o nl Of AOP,raint or Awn 641,414#1 Aeerett SWUfteu Adortflt Telep+w* No, Udti ✓ 601-f*u l,e=re. hie. Po,rly N.4mptf =ECS. S +ee . i,pn ir�p,q ,,rv^n Prti.,n – C40 t11 pub4c: o"orgKrkw U • 3% of 1r Prr.lteiinLtiD'R tUte4tJt`Ntry4mr0r+COI't3 re9'+y of bvunvtoo ffionArwCs,On am. a. o IV' S,re Otyrt7�e01G',rouU � A tntta{t,an Perm's Fr/ I PCAMIY VALIDATION rinegv CaN O.oea.1 5ufery bone if Mou-ree TOYAt 0160,01 110 Ate•+Oo p. o: cmill °r0 DATT APPNOVEp EXPIRATION DAT= DATT #MID T1 ULPWDN 1. to it 184,t.:2&