HomeMy WebLinkAbout1985-060 Storm Sewer ServiceHighway District Engineer
2692 N. Pacific Highway
Medford, OR 97501
~J(HIBIT A
Gentlemen:
Under terms and conditions in Blanket Permit No. Z 2t-/~, the City of
Ashland hereby applies for permission to install a service connection or service
connections in accordance with the following conditions:
Water Service
Pipe Size and Kind:
Highway:
Mile Post:
Station:
Service Address: . / %
Sewer Service
21+77,1d_
/ / Pipe shall be driven or bored under the surfaced portion of the
highway.
Pipe shall not cross the surfaced portion of the highway.
Open cutting of ~ is required.
The work area shall be protected by traffic control devices conforming to and
placed in accordance with the latest provisions of the Manual on UnifOrm Traffic
Control Dev{ces for Streets and Highways, U.S. Department of Transportation,
Federal Highway Administration.
Approved:
Date /D ~-'~_. ~ , 19 ~>5
City of Ashland
By ~_~ ~
Date /~)-P-- ~
NOTE: ~en available attachment of a sketch map showing installation details is
desirable.
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