HomeMy WebLinkAbout1983-071 Installation PermitJAUm~VN COUNTY DEPARTMENT OF PUBLIC WORKS
200 Antelope Road
White City, Oregon 97503
UTILITY INSTALLATION PERMIT '
NAME
ADDRESS
CITY OF ASHLAND
(Contracting Agency or Owner)
City Hall Ashland, OR 97520
DATE Augu'st 31, 1983
PHONE 482-3211
This permit is granted to you subject to-the General Conditions stated below and the
Special Conditions attached. Violation of any of said conditions will constitute sufficient
cause for permit cancellation. ANY WORK ON ANY PORTION OF THE INSTALLATION DESCRIBED BELOW
WITHOUT A VALID PERMIT CONSTITUTES A VIOLATION OF 0.R.S. 374.205.
Description of installation Emergency water rePair on south shoulder of. road (see
sketch). Work done at night.
LOcation'of ~nstallation DEAD INDIAN ROAD (outside curve 300' east of Highway 66)
GENERAL CONDITIONS:
1. This permit is granted for use only on roads under the jurisdiction of the Jackson
County Board of Commissioners and is not valid upon any federal highway~ state highway,
city or town street, or any road not on the county road system of Jackson County.
2. The Jackson County Department of Public Works is to be notified a minimum of 24 hours
prior to starting work within a County road right-of-way (776-7268 or 826-3122).
3. As provided in O.R.S. 758.010 thePublic Works Department,'acting on behalf of the
County Board of Commissioners, ma~ designate where utilities may be located within a
County road right-of-way and may prder the location of such facility changed if deemed
expedient.
4. Permittee shall be responsible f~r all damages caused by any operations associated
with the utility installation. Ell damaged areas shall be restored to an "as good as,
or better than" condition as existed prior to the utility installation.
5. Fermittee agrees to hold the County of Oackson harmless and blameless from any dmms_ges
that may be caused by the installation, maintenance, or operation of the above-described
utility.
6. Permittee shall be responsible for restoration and maintenance of all areas adversely .
affected by the utility installation for a period of two (2) years~after completion
of the project.
By acceptance of this permit, permittee agrees to be responsible for all permit conditions,
including the attached Special Conditions, and said responsibility shall survive the
termination of this permit.
ACCEPTED: . ~ '~, ' ~ , 19
-- (AuthoriZ6d RepreSentative)
' (Title)-
EXPIRATION DATE: August 31, 1983 sdw
COMPLETION DATE:
APPROVED: September 7 , 1983
O/J (A'ut~i~ e~ resent at ire)'
For:
(Title)
Robert J. Carstensen
Director of Public Works
Revised 12-04-81 WJG/sdw