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<br /> 1� PUBLIC WORKS PERMIT ^°°r�w�.�'�° �
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<br /> Owner Madiny AtlUress Cny Lp Phone
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<br /> Describe ProPcsed Woik .G `^"�`�'�� �. ' ,1��•1 f�� Ll��� �''�L�-�l�/ �tl,_ C�k.�-�'-�t
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<br /> Prolect Atldress lii knownl — ----------- �
<br /> �J� �„ q��ath lour 14)copies ol plans lor propo5ed wo�k- Draw to scxle and note Iho�ollowing ns nppbrnblr �
<br /> 4ki�ra . . • ProPerty Lines • Cenletl�ne ol street /A
<br /> �� � � • OuUme antl dimensions o�all eRislin9 anA • Indicele N�:rth V�
<br /> +��'t � . • Shownn �ro � ] I 1
<br /> ,1 � � proposed slruClweS on Ihe lol y� p,snA i rndin� rhanc rti
<br /> r � �. ' • Show mea5urrmPnip
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<br /> PERMIT CONDITIONS
<br /> 1.All cells Ic r inspection shell be mede 24 hrs.in ativnnce�phone 259•8810 �
<br /> // 2.All work shell be pedormed in ncco�dFlnce with Ihis permit onA current Ctly ol Everetl Dr.siqn and ConsVuclion
<br /> I ��� Standertls end Specilications.
<br /> � , 3.Call Location Underground Service 4B hrs.6elore you dig TOLL FREE NUMBER 1•800�424•5555. �
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<br /> ���� The�mdeivgned nwnri.aPPp�:;�N�n.iel�y a�pces to holA nnJ save hn�m�
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<br /> less Ihe Cily o� [vo�el� Irnm a��y �fnA all cl.ums loi Aama9es. cosis.
<br /> � / � e.penses. o� causrs o� ar.�inn Ihal mny nnse because ol inStallaUon
<br /> �1� � /� -{} /�.� .'��(t� �' ,��1 '� �/� and m�mlenance ol Ihr improvement or nthpr nqh�'o4waY usr hrreln
<br /> UC� (. �l p�pb� 10� and lurlhe� ayre.es lo removr e.9m�� opon nnhcc irnm Ihe
<br /> pProvetl lor Qbn IruClion Dale CiIY (�d to rrplar,c P��hlir, pro ertY danmy��d tlyn��hy
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<br /> FINALINSPECTION Dnfe-�— - _JLLl$_�L-/-_—��3.-�""-.-��y._- .__._..-_. ._._—-_"- --
<br /> ApProved xs Construcled i Siynniwe ol Apphcant ��'�"
<br /> WORK AUTHOf71ZCD BV THIS PFRMIT MUST Bf STnqfEC) WITHIN �
<br /> rv����•11 PUBLICWORNSDEPARTMENT �[�p pAVS OF DATL P[RMIi IS ISSUED AND THFR[AF1Cf7 IS 7O
<br /> � 3POOCeAnrSVee� p[ p��IGCNTLV PURSU[D TO COMPIETION 7HIS PF.I7MIT MAV HF
<br /> F.verc0,WA f1B201 CANCI I l ED Ll'! iH( CIIV UPOI� ANV STOPPAGE Of W0I7K ON Tlllti
<br /> Phon� 759-flB10 I PH�t.11 t.l �1V( R vU UAA';i f1UHG11tlN
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