HomeMy WebLinkAbout692 and 696 (4)CITY OF SAN LUIS OBISPO
PERMIT for CONSTRUCTION of
N11
DRIVEWAY, SIDEWALK, CURB AND GUTTER
L ATION OF WORK:
9A
StreetAddress _----_------------ -------------- ----------_-- - - - - ---------
(�. S. E. W. Side of ------------ --_-____i__/_------ —_ --------- St. between
-- St. and
Lot Ld--p--147-block --_ �--_ Subdivision
DESCRIPTION OF WORK:
Construct Concrete Driveway - - - - Width--------- Length -----
Construct Concrete Sidewalk - - - - Width--------- Length -----
------ Construct Coneret Curb and Gutter - - - - - - - - - - Length--_--_--_
--X__To Repair -- -- =�f_----
'P'7MARKS: ----- - - - ---------- - -- ---- - ---- -- -
Owner
Address 1_ =
Contractor
Phone---------=s --- �-
Final Survey by __
Cut Sheet by ----------- -.-_--__
Owner Notified by _-___-.
Form Inspection by _
Final Inspection by -
AGREEMENT: All work performed under this permit shall be in accordance with the Standard Plans and Specifications for I
Concrete Driveway, Sidewalk, Curb and Gutter in the City of San Luis Obispo and the General Provisions on the reverse side
NO CONCRETE IS TO P TIL FORM INSPECTION IS MADE AND P VED
DEPARTMENT OF PUBLIC WORKS, by___�'L ____ L4 ______-- PEP.A�ITTEE -___ - y