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1688NOTE: WA proper'validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 Subdivision Improvement Permit — Class III DATE: 3/12/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION _Move Ea uipmen (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move indPr 10' wide 84.000 lbs DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, d debris, backfilli om- paction and placing permanent resurfacing an or replacing i ovements) In consideration of the granting of this per , the app • nt hereby a Sketch (attach construction plans if appropriate) Route: WASHINGTON FROM CITY LIMITS TO TAMPICO Date: 3/12/93 Indemnify, -defend and save the City, its a horized ents, officers, r ntatives and penalties, liabilities or loss resulting from laims court action a rising out of any happening or occurring as a proximate r It any work under en under the permit Notify the Administrative Authority at a twenty-four (24) urs in advance of the t Comply with all applicable City Ordinan es, the terms and c ditions of the permit and La Quinta and to pay for any additional replacement neces ry as the result of this 4 Ie yees, harmless from and against any and all ent, loss or damage to persons or property d pursuant to this application. hen work will be started. I applicable rules and regulations of the City of Ti R A ature of App • nt or Agent GRANITE CONSTUCT N POB 9011 PALM DESERT 775— 2 Name of Applicant (please print Business ress Telephone No. Name of Contractor an Job ForemaX k BusiOrAj Address Telephone No. Contractor's License No. X X X % City Busines4ticense No. Applicant's Insurance Company FEES: Subdivision Improvement PerTX Class II Public improvements: 3% of esti ted cons ction co Private improvements: 3% of estimated constru ion cos Minor Improvement Permit — Class IV: See attached schedule 1688 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ to Receipt No. Received by Date PERMIT VALI . ON PERMI N0. D DATE PpV ED (a" EXPIRATION DATE 3� L Ct3 DATE ISSUED -"'> 112 —1 G 3 By �Q'►nn' 5tt_ . t Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 t' - NOTE: Witt pFoper`kalidation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 DATE: 3/12/93 LOCATION OF CONSTRUCTION - Move Equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Grinder 10' wider 84.000 lbs DESCRIPTION OF CONSTRUCTION Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) Route: WESHINGTON FROM CITY LIMITS TO TAMPICO DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93 r r SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 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 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. +r, GRANITE CONSTUCTION Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ON FILE ON FILE Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit = Class 1II- Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 16,88 t-\ G R ACEY Signature of Applicant or Agent Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. to $ ID Received by Date Recorded by PERMIT VALIDATION PERMIT NO DATE APPROVED 3 1 - (� 3 EXPIRATION DATE DATE ISSUED (� 2l 3 By Pa.VV, 5t,_.Ld Administrative Authority TELEPHONE: (619) 564-2246 f.. r NOTE: WifPoo.perlialidation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 DATE: 3/12/93 LOCATION OF CONSTRUCTION Move Equignent (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Grinder 109 wider 84.000 lbs DESCRIPTION OF CONSTRUCTION Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) Route: WESHINGTON FROM CITY LIMITS TO TAMPICO DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and%or replacing improvements) 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 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. A Signature of Applicant or Agent GRANITE CONSTUCTION PO BOX 9011 PALM DESERT 775-8302 .Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman • ON FILE Contractor's License No. S Business Address Telephone No. ON FILE City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 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 Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by to $ (o Date 1688 PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED Z By j�ZWn Administrative Authority TELEPHONE: (619) 564-2246 NOTE: Wit ?ol3er°lralidation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 DATE: 3/12/93 LOCATION OF CONSTRUCTION Move Fauiumetnt (Street address or Description of Location) Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Move Grinder 10' wide Sketch (attach construction plans if appropriate) 84.000 lbs DESCRIPTION OF CONSTRUCTION. Route: WESHINGTON FROM CITY LIMITS TO TAMPICO DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WI LL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the app'icant 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 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 Applicant or Agent GRANITE CONSTUCTION PO BOX 9011 PALM DESERT 775-8302 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman ON FILE Contractor's License No. Business Address Telephone No. ON FILE City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 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 Fee to Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by $ In Date s>wtr PERMIT VALIDATION PERMIT NO. J ir' 2�' DATE APPROVED EXPIRATION DATE DATE ISSUED G f l By Administrative Authority Recorded by II TELEPHONE: (619) 564-2246 NOTE: Wifh irooer validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 DATE: 3/12/93 LOCATION OF CONSTRUCTION Move Eguiyment Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Grinder 10' wide Sketch (attach construction plans if appropriate) 84.000 abs DESCRIPTION OF CONSTRUCTION Route: WESHINGTON FROM CITY LIMITS TO TAMPICO DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93 I SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 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 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 Quint a and to pay for any additional replacement necessary as the result of this work. 1 t 1., `'- C H, ! ► Signature of Applicant or Agent GRANITE CONSTUCTION PO BOX 9011 PALM DESERT 775-8302 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ON FILE ON FILE Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class II I 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 Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. F. DATE APPROVED EXPIRATION DATE DATE ISSUED Y Administrative Authority TELEPHONE: (619) 564-2246