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� � � <br /> a <br /> � Hy <br /> H�� „� , v,,,.�.��,�,�. _- <br /> K � Date F-�3-40 90/24924 . . . <br /> rieo Mn� . <br /> qppLcation For <br /> �y� IC WORKS PERMIT '"°"°w°,—"°`"° s -- �_ _ <br /> PU B L '°'""'" <br /> �'Zp' l�aa nnn� r..t+a�,i S__ .—— <br /> HC n,� ,.n,�� S_ ----- <br /> O HC - <br /> �/��p Print or Type Only <br /> y�Y � <br /> � M sn�-s9o9 <br /> y y vvn tf on�n'+ Phonr <br /> t" H y Georqe Baraer 12 Maipng nao es Ciry Ln <br /> �y Owner <br /> ��� OWIICI ._—__-.— --- <br /> ��l r Madinp Atldress <br /> CiIY ZiP Phonc <br /> Lt7 AODlican� <br /> ON <br /> De9tnbe PropOsed Work <br /> New Cara�v!=i � <br /> _------ W <br /> 1215 Caecade Dr. --- r <br /> Pioiecl Address lil known� � <br /> pltach low�4)copies ol plens la proposed work�Draw�o scale antl�ote�C�^�1ewino ol SVeel i1 Ir � <br /> • Proparty Lines • Indicatc Norih <br /> • Outline e�d dimensions ol ell e�isling and � Shaw nny proposed 9�ad:np chan9es <br /> proposed slruclures on iho lol � Show measw�ments � <br /> • E.isting a�d proposed ulililies <br /> �\ DO NO7 WRITE BELOW THIS LINE O <br /> ���i pERMIT CONDITIONS � <br /> � 1 � 1.All calls�or inspection shall be mede 24 hrs.in advro�[e�phone 25J•BBI O. <br /> � 2.All work shall be pedormed in eccordente with�Ms permit end current Cily ol Evere��Oesign and Co�s�ruc�ion <br /> i ��� SlandardsantlSDecilications. � <br /> 3.Call Locetlon Undorground Service 48 hrs.bolore you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> �� � , �� � <br /> � �� ��(r�E��G �CIC��z /1��. „:� � l ''C /L�ys '�t �' ' <br /> ' � / U <br /> � � .//,�i , .��: � <br /> 7) <br /> �� O <br /> a <br /> � iL'�"i <br /> � ACKNOWLEOG[MENT OF CONDITIONS <br /> ��1_, --__ 7he unAe�siqncA ownCVOPplicant hcreby a9rees to holtl nnJ save harm� <br /> � less the Gly ul flverett Irom �ny and ell cla�ms �o� dania�7es cosls. <br /> g�pt?n5C5. Of CFWSCS O� OC�iOn Ih:fl R�ly lfISE bP.CTUSC OI installaUon <br /> nnA mamtenance n� �he improvement or nlhei �ighl�ol�waY use hc�eto <br /> TppheA ta and lurthrr a9rees to �emove same upon nohce ��om Ihr <br /> Approved br ConsirucUon <br /> Dale �ily���d�o�ep�ace Publm property Aamaqetl Ihoreby <br /> FINAL INSPECTION ���� — Dale <br /> Si9nalwe ol Applicant <br /> qppwveAasConst�uctad ydORK AUTHORIZ[D BY THIS PERMIT MUS1 BE STARTED WITHIN <br /> n�.����.�i PUBLICWORKS�EPARIMENT 100 DAVS OF DATE PFRMIT IS ISSU[D PND THEREAFTGR IS TO <br /> 3200 Cedai Slreol OE DIUGENTLV PURSU[D TO COMPLFTION THIS PERMIT MAV B[ <br /> I v I Everell.WN 98201 CANCELL[D��THE GTY UPON ANV S70PPAGE Of WORK ON THIS <br /> �� Phonc�259�8810 PROJFC7 OV[R 90 DAVS DURATION <br />