Laserfiche WebLink
? . <br /> .,p <br /> �.,, �, <br /> ;{ <br /> � <br /> �, --� :. <br /> , <br /> � �.������ � r_. /. �� (��_'� <br /> � DB�B_aJ_IJ.- � —� , . . . <� r„ee,.w�,.�v.,m�i <br /> - ` C� ❑�,eu O.n� . .��4.,� ar�_ <br /> �n ApP���atian for .. _ c <br /> ,Q ' _—__._—— <br /> PU�LIC WORKS PERMIT — '°`�'� �°„"`°— s _ <br /> ,o,.�... <br /> �.x�nM f ee na�n S <br /> ��H -_. .J.J'J�� j <br /> �� p Ba�a��xDun S <br /> Print or Type Onl� � ❑ <br /> � w [��." - `/�' -��0��- /�-�J %� <br /> A a <br /> r �� (' ����� ���,�� <br /> y �' � �� r�W = ��}ip dtlres• �Ci1Y 2if Ph�ine <br /> opCO N �?� r �' o § Ci� ----- — <br /> � ;s `$' <br /> � y� '�'—' " Maihn�AAdress f.n�, lip Phcr�e <br /> � ppplh.ant <br /> '�5{�� <br /> 0 �`� Describe Propased Work _ � `�T �r�AC�� ��_��� - --------- <br /> � �g — -- - --------- -- -- <br /> �Y Q _ <br /> � y� ---- W <br /> � H i��_�-, - .r<�1���== — �- <br /> t7 U� Praiecl Address Id Anownl <br /> H <br /> ��y Attach low(41 copies ol plans for p�oposed work� �raw�o scnle anA note Ihn lollowing as �pv�icTble � <br /> � • ProPer�Y Unns • Cenlerline ol s�reet ♦A <br /> • Outline and dimensions ol all exisling and • Ind¢ate'�crth V� <br /> �y prOpOSed atruGtures o�the lol • Show any pwposrd qratlii�g changes <br /> . • Eaisti�ig antl propo5ed uliGlies • Show measurem^nls � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells for Inspectlon shell be mede 24 hrs.in advence•phone 259•881 Q � <br /> 2.All work ahall be podormed in eccordance with this permit and current Cdy o'`_verett Desipn end Conslruction <br /> �. � Slendarda end Speciflcetlons. <br /> ��� 3.Cell Lotation Underground Servite 40 hrs.bePore you dig.TOLL FREE NUMBEH 1•800�424•5555. � <br /> ' y, �J ,�- .. � -�,U_;� �,� _��,�, ,. .�r.� y,,�� �� ���,, i = O <br /> __ ,,,� �.. �„ _� _, <.=,. . <br /> I ' �' <��'�. 7„�, f �.�� -c Pr . : . : y r ,� , >� ,� a .. f <br /> ' � <br /> I ��� <br /> � <br /> � O <br /> �� ' a <br /> � _� <br /> 'w a <br /> � ! <br /> ACkNOWLF.DGEMENT OF CONDITIONS <br /> � ntlersiu��.d e+vner/appiic�nl hereby aprees lo hold and save harm� <br /> ' '�' --- less Ihe Cdy ul [veretl Irom any and all daims lor damaBes. cos�s. <br /> e+penses, or causes o� aclion that ma� anse because ot installahon <br /> .r��7 / / n and mamtenance ol Ihe imp'ovement o: othor nghDol�way uso h�reto <br /> .,�_ -� r-� p'-.=— G apphed lor and �urther agreas la �emove same upo� nc��ce Irom Ihe <br /> � ApProved lor Con Iruclion � �e City and to replace pub/lic p� 'Perty dama7ad Il�ereby <br /> ��"_� // <br /> J_ % �� ,G�'��1e � // l Gt i -�� 21� i 99L <br /> FINAL IN 10 � Dale <br /> App d as Cbnslructad S�ynalwe ol Applir.a <br /> WORK AUTNOf712F� BV THIS PERMIT h1UST �E STARTED WITHIN <br /> cveret� PUBLICWOFKSDEPAR7MFNT 1B0 DAVS OF DA�E PERIdIT IS ISSUED AND THEREAFTER I`.i 10 <br /> � 9200 Codar��•ent B[ DILIGENTLY PURSUED TO COMPLETION. TNIS PERAIIT MAY BE <br /> Fvma11.YI49h20� CANCELLED BV THE CRY UPON ANY STOPPAGE OF WORK ON TNIS <br /> Phane:259�BF10 PROJEC�nVEF 90 DAVS OURA'ION <br />