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oate � <br />�Co�k�llan For <br />PUBLIC WORKS PERMIT <br />P�InI or Type Only <br />Owner <br />AOplk�nl <br />Os�<rIM Pr000seE Work _ <br />Prolxl �tldno pl known) <br />Pl�n CMck No� C �9175 <br />�PpJOb AEd[����30/CA�OT <br />Own�[t NA780N PItIJ� <br />x�n�nt� <br />Prcpo��A U�e� BINOL6 ��YILY <br />D��c. o! Nork� <br />B60ROOM/B11TN ADDN <br />86PA <br />R6EID6NCE <br />.,�.�....�.. <br />aao o.p • <br />.,,e.,�...» � <br />iWN IM <br />Il�n�OqfwP�E� — <br />M4m DM � <br />O�►IC6 86T� JOB 86T _ <br />APPRVD MR PLRMITt D71T8� /_/_ BY_ _ <br />�II�LO IOUr NI COp�a� 0� pbn� lor prOGaeC aork � �nw b�t�la enE nole I�a IOIIowInO �� �OP�Ice01e-. <br />� P�a�MY ���e� • Canledine ol �Ireel <br />• Outline a�tl eimanuo�� ol �n e.isnnp �ne • InElu�e Nar�� <br />propo�eE �Imcluno on Ihe l01 • 9now �ny proOouE aretlinp chars <br />• Eilalinp �nE Orapm�tl ullllllo • 8�ow mauuremanb <br />PERMITCANOITIONS <br />t. �II uA� lor inwec�ion �Mn be m�Ca 7� �n In �dnncs � phona 25POB10. <br />2. All wrod ���II Os pedameE in exaO�Ms WIIh tM� permit �nd cut2nl d�y d Everotl0e�qn �ntl Cm�lruction <br />91.ntl.rA..na 9pklllulbna <br />3. GII Loutbn UnNryround Barvlu �8 �it Eslore you dlp. f011 FIIfE NUM�E111 �OP1i4•6686. <br />PUBLIC WORNS PERM17 <br />NOT REOUIRED <br />By <br />OATE / <br />�pproretl lo� Conslrucllon Dele <br />FIN�I INBPEC710N D�le <br />�pprovaA �� Con�imcl�A <br />VIIBLIC WORN9 UEMRTMEM <br />9700 Cetlu 91m1 <br />Ev�roll W� B870t <br />PhoM�. t6D�BB10 <br />ACNNOWLEDOEMENi OF CONOITION9 <br />T�a unEenl4n�E owner/�ppllunl �eraEy �pre�� lo holE �nA uv� hum� <br />leu Ihe CIIY ol EverNl Irom �nY �ntl �II cl�lm� lor U�m�Jei cotlR <br />e�pan�e�, or c�u�e� ol ¢Iion INI m�Y �tlp Eauuu ol Imbllellon <br />enE mNnlan�nc� ol tha Imprwemanl or ol�er tlOM'al'w�Y ��e �eroto <br />�ppus0 lor �nO futlnu �pno Io ramov� um� upon nollc� irom Iha <br />CIIY �nE 10 reGbta CUEIIt CrWor1Y O�m�psd �Mrl�y. <br />Si9n�lurp al APOlk�nl Dels <br />WORN �UTNORIiED BY iHIS PERMIT MUST BE BTAPTED WI�M'N <br />1B0 D�YS OF D�TE PERM�T IS ISSUEO �ND TNENE�FTER IS TO <br />BE DILIGENTLv PURSUEO TO COMVLETION. THIS VERMIT M�Y ilE <br />GnNGEL LFO BY TNE CITV UPON ANY STOPP�OE OF WORN ON T/�IS <br />PROJE(;T OVER BO DAY$ DURATION. <br />