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HomeMy WebLinkAbout0850-72_Tamarind Avenue Sewer Lift Station_18.7.1a Z it 0 d' r—I CO 0 m m 4 ilr eir • i • 1 •1 4 4 0 z a z TURE OF FEES z 4 /_-: J a z r 0 4 •' • 4 cc 0 z 0 V 0 .no lent i15 A-P-P-L-I-C-A-T-I-O-N f-O-R E-X-C-A-V-A-T-I-O-N 4-/4-/ 4 Date of Application 2/-93 /tax. START WORK DATE mission to excavate, and/or otherwise encroach on County llowing work and agrees to do the work in accordance with to the inspection and approval of the San Bernardino gfr/tW/ZiitXD AVM. so u7,V at- . / r'Z 4VE5/?'it -774 N•� vr74 4 r'4 w 04 l ,4Q&13. ) S`tree Na e (If re than one street, attach listing) r APA- • Eolsrac .7vaoP,4 Ave. C S/ 111 - Pk etc.)? etween what int•ersectinz s oet5 A.P.N. etc.) /AIG TV ;e, etc.) CAL Q SEWER Er WATER Q CATV Q. OTHER Q EET CUT CONDUIT MATERIAL CONDUIT SIZE UTILITY DRAWING NO. V.C. R ($ii V Person in Charge of Field Work i�Av �20wN '� Phone No.( ) 397-6 6% Work Guaranteed by: Resolution Franchise 0 Bond C3 Cash Deposit Amount In enusi•leratinn of the granting of this application, Permittee agrees to indemnify County, its officers. agents. and employees against and hold them free and harmless of and from nil claims and liabilities of any kind arising out of, in connection with nr tr%nirinr, from negligence on part of Permittee, its officers, agents. contractors. and employees in connection with work undertaken under this permit, and defend County and its officers, commissions. agents and employees from any suits nr .trttons at law or in equity for damages, and pay all court costs and counsel fees. It is further agreed by Permittee to remov- and'or relocate any or all of the road improvements constructed under this permit from road right-of-way within a reasonable period n► time and upon written request from the County Road Department should it be determined that such encroachment interferes with the public's use of the road right-of-way or conflicts with future County road improvement projects. 10-12-86 of F' oiti ,tj - `JAME OF PERMITTEE (PLEASE PRIN ) A IA- 24%1-t/N (9°9)350 - 6641 Authorized Signature of Applican; - Telephone No. 8353 siE22A ANd . (?. D. 130' 5/8) Mailing Address FON7??N4 , G11216r- 2N14 City and State 92335 Zip Code ram° ----- ,,ty of San Bernardino ''nsportation Department )iRoad Permit Section 825 E. Third Street San Bernardino; Ca. 92415 (714)387-2888 A-P-P-L-I-C-A-T-I-O-N F-O-R. E-X-C-A-V-A-T-I-O-N P-E-R-M-I-T 4 - /4- 93 Date of Application - 2/- 3 ,4 ox. START WORK DATE The undersigned hereby applies for permission to excavate, and/or otherwise encroach on County Road right of way by performing the following work and agrees to do the work in accordance with the rules and regulations and subject to the inspection and approval of the San Bernardino County Transportation Department. TAH4/2,iV-D AVE. SOCJ7h O 4VE�,�'�T)4 AtNaI� AVE ,�tir74,vi4 LOCATION OF WORK: �� 2 Z TA/'�A2 N!� , A,Q Address (If available) Street Name (If more than one street, attach listing) - /2 L.F. Pe- oF TALit- d /LrX.7b Ave" Nv eE• M4,�NrzE 0.1 57A. A • EAsrac err / viw PAve. c s,4 &J! -• 4u4 AVE What ;ide of street (north, south, etc.)? Between what inrerRr.it_+.ng stITet,s, A.P.N. LEGAL DESC.: N/A" • (Lot and Tract Number, etc.) ,toNf Nf+ g /AL pi' Area (City, Village,. etc.) UTILITY: GAS El TELEPHONE El ELECTRICAL Q SEWER WATER CATV OTHER Q TOTAL LENGTH EXCAVATION' WIDTH EXCAVATION LINEAL FEET PAVEMENT CUT CONDUIT MATERIAL CONDUIT SIZE UTILITY DRAWING NO. _12 L.1.—a. - 15L.F.KISLC 12 L.P. (MAPNOLE) 12 L.f• Y c. P. 1811 REMARKS: wAYN� Ij2owN c rrr ). 397-- 6 6 -% Person in Charge of Field Work ' 6 / 1 of ° Phone No.(6 Work Guaranteed by: Resolution Franchise u Bond C Cash Deposit Amount In ennsidcratinn of the granting of this application, Permittee agrees to indemnify County, its officers, agents. and employees against and hold them free and harmless of and from all claims and liabilities of any kind arising out of, in connection with nr re.nitinR from negligence on part of Permittee, its officers, agents, contractors, and employees in connection with work undertaken under this permit, and defend County and its officers, commissions, agents and employees from any suit. or actions .at 1aa•.• or in equtty for damages. and pay nll court costs and counsel fees. It is further agreed by Permittee to removand'or rc•lny:Ice any or all of the road improvements constructed under this permit from road right-of-way within a reasonable period nt time and upon written request from the County Road Department should it be determined that such encroachment interferes with the public's use of the road right-of-way or conflicts with future County road improvement protects. • 10-12-86 c,7 7 of F©ITAM14 - !DAME OF PERMITTEE (PL ASE PRINT) �t,'�+-e/� (909) 350 - 6641 Authorized Signature of Applican - Telephone No. 8353 SiE,PJLA �.vt . (?.o. rjo). 518)`• Mailing Address • 'ONif4NA• , c4 Z'PF 2N"4 City and State 92335-` Zip Code County of San Bernardino Transportation Department Road Permit Section A-P-P-L-I-C-A-T-I-O-N 825 E. Third Street F-O-R San Bernardino, Ca. 92415 E-X-C-A-V-A-T-I-O-N P-E-R-M-I-T (714)387-2888 4 - /4- 93 Date of Application START WORK DATE The undersigned hereby applies for permission to excavate, and/or otherwise encroach on County Road right of way by performing the following work and agrees to do the work in accordance with the rules and regulations and subject to the inspection and approval of the San Bernardino County Transportation Department. fri4/2./ji -D • SOCY7i/ O /l 2 Z 2 T14/tj/3/Z / N,�t b ,411E S, -�v7x� r4?- ,4JE �'c'n4,vA LOCATION OF WORK: 2 A'Q Address (If available) Street Name (If more than one street, attach listing) /2 L•f •• ©N ��ST si r7E OF j Mi2'> h Ave- i4,Af aye- Ma J-//C E a ✓ - 7A. APA- • r/fv,op4 Ave. S,•1VTZ- AN-4 AV What side of street (north, south, etc.)? etween what j.ntersect'ng st;getg LEGAL DESC.: /V/A• A.P.N. (Lot and Tract Number, etc.) Fa r/a /2 i`'IL %J Area (City, Village, etc.) UTILITY: GAS TELEPHONE Q ELECTRICAL Q SEWER WATER CATV OTHER Q TOTAL.LENGTH EXCAVATION WIDTH EXCAVATION LINEAL FEET PAVEMENT CUT CONDUIT MATERIAL CONDUIT SIZE UTILITY DRAWING NO. — IZ L..:'. ---v .- 15 t..F . x ►5.1..c, 12 t- . • (Fa AFi Hol.E) 12 L.F. v. c . P.18 It REMARKS: Person in Charge of Field Work Work Guaranteed by: Phone No.(9).-6 6 Resolution Franchise 0 Bond 0 Cash Deposit Amount In rnn.idcratinn of the granting of this application, Permittee agrees to indemnify County, its officers, agents, and employees against and hold them free and harmless of and from all claims and liabilities of any kind arising out of, in connection with nr re,u ltinr from negligence on part of Permittee, its officers, agents, contractors, and employees in connection with work undert.ikcn under this permit, and defend County and its officers, commissions, agents and employees from any suits or actions ,it lap, or in equity for damages, and pay all court costs and counsel fees. It is further agreed by Permittee to remov. and/or relocate any or all of the road improvements constructed under this permit from road right-of-way within a reasonable period of time ,aid upon written request from the County Road Department should it be determined that such encroachment interferes with the public's use of the road right-of-way or conflicts with future County road improvement projects. 10-12-86 ciry Of F civnebv - !JAME OF PERMITTEF. (PL Authorized Signature of 8353 slEa.2A Mailing Address roArT AV A• , G 4. 2.fr 2 1 4 City and State ASE PRINT) `mow\ (909)350-6641 Applican - Telephone No. 4vc . (?6. oX 5/8) 92335 Zip Code