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1771NOTE: With proper valuation this form constitute:; an encroachment permit ,11 CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the com-truction 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 Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Mo'p'e Equipment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Grinder, 101 'hides. 84.000 lbs., all else lexal 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, 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: ROUTE: Tampico b Washington to 50th i out of City Emits. One Trip Oaf 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. `Ti I\I A Gr-� E -1 Signature of Applicant or Agent Granite Construction P.O. Hoag 9011 Pala Desert. CA 92201 775-8302 Name of Applicant (please print) Business Address Telephone No. SAME Name of Contractor and Job Foreman Business Address Telephone No. On File Contractor's License No. On File City Business License No. On File On File Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by PERMIT NO 1', Ti 1 PERMIT VALIDATION 1771 1 DATE APPROVED 6/21/93 09 EXPIRATION DATE 6/22/93 DATE.ISSUED 6/21/93 Administrative Authority TELEPHONE: (619) 564-2246 �_ a JUN -2 1 —93 MON 1 0 :210 t aar mac P _ 0 1 GRRn ransmucon compAnu ki-clnai TO: -DATE COMPANY NAME: w FAX NO; FROM: e FAXED BY: y l PACE 1 OF 1 IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-75040 PLEASE CONTACT SENDER AT (619) 775-8302.' Palm Springs Branch P.O. Box 9011 Palm Desert, CA 9MS•9011 Phone 619/3604500 FAX 619/3604570 'f 01t'YSSd 1.lVa Y1v0 N011ryr4x7 CIAOV wv U.'a Q': d.f►�0 iq NO11ti0d1rIA �fWl1?4 180-14% 4ju04 I ^4 01rbp� w fa sr.� tvtQg os„�o� d4 ones us.�S t„doo(T'A7 4O1 bw,,s4 144 4o113844d1 11no+w1 a�gl1 "5 , AllIlAdglll 011 GACU %0 61 iAwQL rW dq � , q� pwwr 111a,,, ,4111rcall O4! rly�1 / O �i �+OrOyrr �,;QfC� "'A ll'.111a4w1 yo•��. aq�S •s»A Ott MV87 11 4044141YO3 • O wr MMUO wwlr °•ae.pwl e�.,eu,yYp w +r �� al o.A �..•� p'! ,r*1116111mYW/+ ft R4r1Ot.4 ?A Yrs wO M4 49 ;. 09 4roggig tobe d„r .er1 4 � ww�+rnawyv 04 100119 'aa "IeA1111,,Ay`A.o v to uarr r...." • N %-..m .o ►.., „„ goM. w4 'L"�xM1 M sno df�.1 04i wfy,1 unA wM w..,rOy'wyta�! PAP .+Way µ"►1.e eyy. i-^A%o qw "i -ft si w .�� :� 1.....e. wru+v 1uq��ea+ ha •�,��e e�� + ly,lwn� , 11�r.«,,wanwf One oat �e 0.18 �►w 'p to wone,412.11.0 ul Y4vrw wN nuer0 8ucrq 040 woWnAM0✓© uOnjAri" 119 d0 iWgy,u S4,0Rpui1 S 1.503 NOc.Jr,VLSN03 ULrWt1SS NOclagTdwpy dA IA14 IIIAIXOI44V S.� �`�/ �� J� Mt9�U 1•Ivel 1Ilft3M N31WI 71111 j1Vr+1tX0114 dv yJ� 0313134 JUN011rAWXI !A ]ZIS 40 NOuwnrls 10 NQlSNIMO ( 41110 04"d W1yl9} Wive itiO�iSNC�� io 3S0e11nd —ASI Nau.:)0v1t1Y0a !o NotirJol Al "a it" 1.u.fw,o+awl �1N r III • uuue� 1++eU+e°o.dwl ua�.fpa,.S � ' I'M wg111A1Q,� Q�nQyd�v 011 S1N3w)n011dw1 adNlw way,. uoao,uv/1� ua ar.sw.a�ur ,+,.,�, p,a,� .ya1 +1v10 Or:1 •NrW �rtpnr Lo" 'not OHIVW "1"04011 1L.&u4A10 'v,+.-U,ao •rant 114014 .0 )174^4 do wr=nyn,w sue ,ai ��Id3N11�D0!!]N�1 N0117f1H.L.t1�10] S?Ik10PJ1 71"lflfT� 11Nil3d !!O� �;01177i1ae� �. � .~ Irmno vi is 1813 z7d—ZI.,53 M 0 d �totnr an � T? 0 i NOW �6— T Z—Nt1I