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��� <br /> a � - <br /> � y" � �8-37v <br /> � � r„o�,.w��wnr�� i <br /> � o,�c L�- �3'�g`'6 TO POSTING_ � y zi 4 '8��.,��1`-� <br /> ^'�+a Ueni • <br /> �y:� Anplicalion For _ _ _ _� - <br /> '+0 <br /> PUSUC WORKS PERMIT "°""""°,",`.. s_ <br /> � iolel fne <br /> � � Leef AoO�fee P�N s 7/'�� -- <br /> O 9e�anre Oue f_�'�--- <br /> f� <br /> O�f H �y Print or Type Only <br /> Ml�*1Q <br /> Q" n QCc�' <br /> y � (1�fi�1�`�r� I��� �-� 1 ; 1L�,-�-11'--s.afpa--�rZ-�� ,un_�, <br /> y MaJing Adtlress City 7.ip Phonc <br /> G" H y Owncr <br /> y <br /> g�N 5�11'�_----- -- ------oho�P 7� --- <br /> � qpphcant MaihnB Address Gly ZiP <br /> �"y Descrioe ProPosed Work _y11_��—��—"-`��—��----�-�— <br /> —. -- -- MY17 <br /> Prolec�Adtlress(�1 kno�.�d —��'¢r;2rta k�y ----------�----- � <br /> 1� <br /> ptt2ch lou�14)cop�es ol plans lor proposed work� Draw lo scale and nole Ihe lollowing as apP��r.able � <br /> • Pioperty Lmes • C��terline ol sVeet <br /> • ONhne and dimensions�.I au cu�i�n4 nntl • Ind�cale North <br /> proposeA sruciwes on the In' • Show nny p�oposen 9raAin� cnane�rs <br /> • Enctin{7 and prop�seJ�iwLes • Show measu�emeNs M <br /> W <br /> � i'JO fJOT WRITE BELOW 7HIS t INE O <br /> /��, <br /> I <br /> � PERMIT CONDITIONd � <br /> 1.All calls lor inspecLon ehal!be matle 24 hrs.�n otivance�phone P59•881 O <br /> � � 2.All wnrk shall be peAonned in accordence wtlh this parmi�.nd curreM Cdy of�v^rei�De,q7r��nd Co�5lrucuon <br /> Slanderds and�pecilications. � <br /> � ._� 3.Call Loca�ion l�ntlarground Service 49 hrs.be�ore you A�c TOLI FHEE NUMBER 1•800•424•5555. <br /> � ^ <br /> �� �/ i�', � � <br /> �(i.�1i l.fJ�2� .�/l["�i //C'Z/3G �a' �(./l':,•,,. �Iz�a�-Z!li,�� <br /> ` !" <br /> p 0 <br /> � ��� � Q!'tt�O, /��l��1� � <br /> � /w <br /> _/ <br /> '�' a <br /> � s�_� <br /> � ncnuOWl Lf�[.E L�` Nt ui CON�i��pNS <br /> ��� ' '"� _ _�'___ Inr m•.drisy�nd nu�nri;aVp6r.en�h��nhv ayi�e>lo holtl anrf sev��hr i- <br /> - Iross Ihe City ol Eveiell liom �ny and all Gain�s loi tlamayes, co�. <br /> y//� Y expe��;es. or causes ot action �hat maY anse because ol msl�l�adnn <br /> 3 � /y��� o/ OS and mni�tenanr,e ol Ihe imprnvemenl a olher n9t'.Fc4way ��se herrto <br /> / /f� " npphen �nr anA Iwther a9rees �o remove same uP�n notice IroR� Ih�• <br /> l v Dale <br /> '7l proved lo�,(',onstruct on Ciiy ard to�e pu ; ropei�dnma9ed I�eieh� <br /> � � . : � : �. <br /> � !� ��%j� i '.` . / i� ' <br /> ♦ � � S y,/' /��,'� P b � _ <br /> FINMI INSN�CTION Dale �_���� — � � pT�„ <br /> AOproved as Conslrucle0 S�gnature ol AnPI�aN �' <br /> � WOP.✓. AUT�10RiZCD B� TNIS PERAtii �lUST�B[ SIARTED WIiNIN <br /> ;.��.��.p PUBLICWORH`.DEPARTMENT 1B0 DAVS C° OA7E PERMIT IS �SSU6C AND THF�EAFTER I S 1�-� <br /> � 9?OOCeda�St�cat BE DILIGENTU' PURSUED 70 COMPLETION LHIS PCf7MIT MAV BE <br /> Ev�rcl�.Vfn n�l;(it CANC(LLF_f PV THL C17Y UP(ttJ ANY tiTOPr A�.;l. '��VJO�K ON THIj <br /> Iirn_ '99tl�lti� � PR(�lE'.1 �P;fHt� f ,t�.Sl�'�'t�.�iu1tJ <br /> `— <br />