Apply for Parking Permit
METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT
Select start date |
2023-08-29
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Select end date |
2023-09-01
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Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} |
8/29 , 8/30, 8/31, 9/1
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Total number of parking day(s) requesting: |
4 days
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Indicate Parking Hours (between 8am - 5pm, Monday - Friday) |
CIP 2104 Project Working Hours - 9am to 4pm
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Describe work perform and any additional details about this parking request: |
Sandblasting sidewalk to provide a decorative finish on the south side of Melrose between La Cienega and Croft
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Are you use the parking space(s) to place spotlight? |
No
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Are you applying as part of a Special Event application? |
No
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PARKING METER SPACE(S)
How many parking meter space(s) would you like to apply for? |
3
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List the parking meter number ( meter number starts with two letters follow by numbers located in front of the parking meter) |
8/29 : 8426 & 8424______ 8/30: 8422, 8420, 8418 ____8/31: 8416 , 8414, 8412 _____9/1: 8410, 8408, 8406
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APPLICANT INFORMATION ( Responsible party for permit application).
Company Name / Permittee |
Sully Miller
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Address |
135 S State College Blvd, Brea CA 92821-5808
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Contact Name |
Austin Graham
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Phone Number |
+16577674125
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Email |
[email protected]
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PROJECT SITE ADDRESS ( One application is required per job site location).
Project Site Address ( Nearest address number) |
8475 Melrose Ave, West Hollywood CA 90069-5305
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Cross Street (Distance and direction from project site) |
South side of Melrose , East of La Cienega & West of Croft
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AFFIDAVIT - APPLICATION STEP
I certify that everything included in this application thus far is true/ correct. |
Yes I agree.
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Permit Standard Requirements Agreement
Applicant affidavit
APPLICANT’S DECLARATION I hereby apply for a permit to encroach/work in the public right of way at the described location(s) subject to the provisions required by the Municipal Code, the attachments hereon specified, and the provisions above. It is agreed by the Applicant that the City of West Hollywood and any of its officers or employees thereof shall be saved harmless by the Applicant from any liability or responsibility for any accident, loss or damage to persons or property, happening or occurring as the proximate result of any of the work undertaken under the terms of this application and that all of said liability is hereby assumed by the Applicant. I understand that noncompliance with these or other permit conditions may be cause for permit revocation |
I agree.
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Permit number, Fee assignment and Restrictions / Conditions
FEE ASSIGNMENT - PARKING METER (SPOTLIGHT)
Number of meter space(s) for spotlight |
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Number of day(s) for spotlight |
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