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��� � �� ' <br /> '�y F3 N � nueim wmka Per �• �- <br /> ��� oe�e�ll� TO POSTING._��_Z � �„a �sp, . ����.�-- <br /> n Anplication For <br /> ��� pUBLIC WORKS PERMIT "°°"�",""'"° s _ <br /> r�,.���� <br /> y lrfs FpO�fee Pe�E s <br /> Onlrncn Uue s���? <br /> �pi <br /> � H G Pnnt or Type Only — — <br /> o"g <br /> ��� L�ta v� ��l l /�Zf- r � S ' � "�i� �1� I� Yt�� ��9� 3g�—��� <br /> C�Y U � o <br /> y y Owner Moiling AdAress ` <br /> f� <br /> ���yyy y y --- -- <br /> P Ci�Y �,P Phone <br /> ('�y App�icanl Mailing Address <br /> JaC.-�d?�--F}2 / n T,� 5'L1�:1L�---- - <br /> y 0� Descdbe PmposeA Work — ___ <br /> W <br /> Proled ndtlress lil known) ���'� — C9'�C9�� ��' �---- — � <br /> �� <br /> qtlnch lour(41 cop�es ol plans lor proposed work- D�aw�o sc.Je nnd note tha lallowinp as xpP������le. � <br /> • Prepe�ty Lines • Centerlina ol street <br /> • Indicalr. Norih <br /> •Outline Bnd dimensions ol all erisliny ond � Sh.rnv any propose�l 9�aAiny r.han9es <br /> proVosed alrucWres on the Iot e Shaw menswamm�ls M <br /> • EzislinB anA proposed utilities W <br /> DU NOT WPITE BELOW THIS I.INf: � <br /> PERMIT CONDITIONS � <br /> ��� 1. All cxlls�or ins0ec��on sheU be made 24 hrs.in ndvance-p��one Z$9•8R1$. <br /> i j 2, All woi�e shell be perormed in arcordance wilh Ihis permi�and current Cdy o� Lvmetl Design and Consuuctlnn <br /> 1 1 Stnndords and Spec��cxtions 1' <br /> �' 9. Call Loeolion Unden�wunJ Service 40 hrs belore yo�i di9 TOLL FREE NUMBER �•BOO•4�4•5555. � <br /> '--' O <br /> I �-` � <br /> -' t� <br /> � <br /> __ o. <br /> � __, <br /> �;IiIiUC.LEUG[�dENT OF CONDITIONS <br /> Iih�•�indrr�n�nrd r.rr�edapphcanl her�hy agrens to hald an7 save h:um� <br /> �,_1`C —.__.__. ._ __ ------ Ioss tl„ C�!y ol fe�:retl lwm nny and all daims to� tlemages, cos!s. <br /> � e.penses ur c:�u>e='� ��� action ihat may arise because o' ip�tallntio❑ <br /> � � a���� nnd riaintenance P�����o �inprovemenl or othei nght�cl-way us�r hme�o <br /> � ' app�i�d lor and hli ier n�]�ees lo removo same upon nodcr Irom Ihe <br /> rinp�oved 10�Cbnslruc i _ a10 Ci�y ntl.�o repl:tF puUlic properly damayed Ihereby. <br /> � i '� <br /> / �j/• I� � '�_._'.e'_ "—.�— 1 <br /> i. s�,i" � ---=: �.L�.----___1��--5�'� <br /> � . , �r.-�. < <�a�e - <br /> FINAL INSPEC7IJN r����� <br /> Siqnat �ol .pplicanl <br /> App�o�od as Co�structetl yyOR t�U1HORIZ[D BY THIS PERMIi MUST PE 5TAR�EU WRHIN <br /> Oi,���p�� PUBLIC W�)RHS DCPANTM�,JT �gp qH5 OF DAT[ PERMIT IS ISSUED AND THGREAFTF.P IS TO <br /> 3200 CeAnr Streel �E DI IGF.NTLV PlIPS11ED TO COMPILTION. THIS P[NMIT MAV EG <br /> ���erctl,WA 9d?01 CANC[LLC.[7 BV TH[CITV UPON ANV STOPPAGG Of WORK ON THIS <br /> (�� ne� 25B-BF315 PROJCCI OVCH��0 I���S DURATION <br />