HomeMy WebLinkAbout1985-053 Drinking FountainHIGHWAY DIVISION
APPLICATION AND PERMIT TO OC(~UPY OR
PERFORM OPERATIONS UPON A STATE HIGHWAY
See Oregon Administrative Rule 7_34-55
GENERAL LOCATION
HIGHWAY NAME
Rogue l~alley Highway
HIGHWAY NUMBER COUNTY
63 Jackson
BE19/VEEN OR N~ LANDMARKS
At Tolman Creek Rd. AND []
HW'Y. REFERENCE MAP NUMBER '1 DESIGNATED FREEWAY t IN U.S. FOREST
5B-23-24 I[~ YES [] NO I [~YES [] NO []
APPLICANT NAME AND ADDRESS
City of Ashland
City Hall
Ashland, OR 97520
POLE
[] LINE
BURIED
[] CABLE
PERMIT NUMBER
, , 2G0,_,9
PURPOSE OF APPLICATION
(TO CONSTRUCT/OPERATE/MAINTAIN)
TYPE
TYPE
i TYPE
PIPE
LINE 3/4" Copper
NON-COMMERCIAL SIGN
MISCELLANEOUS OPERATIONS AND/OR
[] FACILITIES AS DESCRIBED BELOW.
BOND REQUIRED REFERENCE: 1 AMOUNT OF E3OND
o~ 73~55- I
[] YES [] NO m2(2)I $
INSUP~E REQUIRED REFEFIENCE: I SPECIFIED CXDMP. DAll~
~¢)~ 9,[T86 ...
[] YES [] NO
DETAIL LOCATION OF FACILITY
(For more space use 13ack of application or attach additional sheets)
MILE MILE ENGINEERS ENGINEERS $;D,2 HIG;~WAY [ DISTANCE. FROM .DURI~D CADL~ mR ,pc
I
I
v, P,.- * SPAN
OR ':)PEN
POINT TO POINT STATION 10 STATION ANGLE OF CROSSING ';,ENTER LINE RAN LINE DEPTH SIZE AND KIND CUT LENGTH
..87.235: --- 'Ci+10 -'1 --- 90° 49'..,c i'N 30" 3/4" coppe:- x
21.
DE. SCRtF~TION AND LOCATION OF NON-COMMERCIAL SIGNS OR MISCELLANEOUS OPERATION~/FACILITIES
Install and maintain drinking fountain for existing bikepath.
SPECIAL PROVISIONS [For more space use back of application or attach additional sheets)
*l--OPEN CUTTING OF PAVED OR SURFACED AREAS ALLOWED?
[] YES [OAR 73,4-55-O40 (10)] [] NO [OAR 734-55-040 (9)]
2--TRAFFIC CONTROL REQUIRED?
YES [OAR 734-5,5-025 (6)] [] NO
See reverse for further special provisions.
This A,oplication, when approved by the Department. is subject to the terms of OAR 734-55 and the
provision~ contained and attached and the applicant accepts and approv~t these terms, and
X Y~4~4 , 18-27-85
Engr. Tech. II
PUC. AT'ION RECEIVED*
9-25-85
~:~pR/O~AL DATE