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ENCROACHMENT PERMIT
Right of Way
ENCR-0892-2025
COASTAL CONSTRUCTION & ENGINEERING INC.
Carey Sarre
81,1:-440-9412
_ =rDr ge improvements Complete.'Upgraded
_ Curb Ramp ComaFvte/Upgraded
_ Sus Route _ Sewer Wye
USA #: N/A
Other permits required:
Bldg Dept
Description of Work:
Remove and replace a panel(s) of sidewalk to install a rectangular channel
type sidewalk underdrain per City Standard 3415. All work to be done per the
approved building plans, BLDG-1658-2023, and City Standard Specifications &
Engineering Standards. Traffic and pedestrian controls must be per City
Appendix G & MUTCD Standards. Call the Public Works inspection hotline at
805-781-7554 two working days prior to the start of work and one working day
prior to each subsequent inspection. Permittee is responsible for calling for
final inspection so the permit can be closed.
All worlr. performed within the right-of-way shall conform to the City of San Luis Obispo Engineering Standard Details
and Standard Specifications.
You are responsible for liability for personal injury and / or property damage caused by this work or your failure to do what you are
vbiigatad to do. If a claim of such liability is made against the City or any of its departments, officers, or employees, you shall, and
; t eby agree to, defend and indemnify the City and hold the City harmless from any claims, including costs of defense and attorney
f-s.
All wort, shall be completed and the right-of-way restored by: August 01, 2025
AGREEMENT: I have read this permit and acknowledge receipt of the City of San Luis Obispo Encroachment Permit
General Provisions and f_ _ pages of attached special conditions which I have read, agree to, and acknowledge as a
part of this permit.
Signature
Print Name
DEPT. of PUBL C WORKS
Issued By
Final Inspection By
,-/,/I/ ) a--�s
Date
4/11 /2025
Date
Date
The City of San Luis Obispo is committed to Include the disabled In all of Its services, programs and activllios. 41111011
Telecommunications Device for the Deaf (805) 781-7410.