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i <br /> Date— _ � �� � - <br /> � ����i�� <br /> ��'-'JC�-:� � %���ulicahnnF.x Hn� o�w � ,<��� / /!I_ <br /> ,�xx PUBLIC 1N0��CS P�:A,MET Vuh1i�,��,"�_�--- - _- <br /> ay c~n (/� /� ,r ,�,����� s_ — — <br /> C S Il/ �Ilrlp�l4�'� � � � . ..neife.�.�,e $ _"___'_ <br /> H z H Print or Type Only � � _ �_,._�_ _s.��__ _ _ <br /> K C) —_ .__—____ <br /> �3� <br /> o xo � � <br /> '� �� �.rr�Y1 ,��-yi� ����'� ,�=r��, -�� . ����- �� ��-"� �� � =., �� �r < < , -, _ , <br /> � O� . Owner Maihng Atldress Cit -i `��/y �'�'~'�- Phone , ��) .-.' / <br /> Y Zi� � � . <br /> i <br /> o �e -_�'(�� - L��i�Y�� a�l�� �n l �G�`�Y� r' .�„ Y� , ,�- ' � �: ,_ - � <br /> <.�..,7 , � <br /> ,SpnlicaM Mailing Atldress C�t, i � /._��'�'_� � ,��'�����y <br /> � h O / ZiP Phcne <br /> 4]� (� <br /> H <br /> Z H � <br /> � <br /> D^ticnl:� PrpPO4�d lNolk ��� <br /> � y z _"_ .___"___"'_' -__, <br /> Hy — <br /> �J N H — ---------- — --- <br /> � <br /> C7 C7� � ._ �.� <br /> � �[rT7 -- � i�i <br /> H O V� �«�iea Address lif knownl ���ryl - T• //r�iv,e /�,�� ._____.______ `� � <br /> Ati�ch foi�.i ..q �opies of plans br proposetl work� Dmw to�cnle antl nolr�he following as aCi����,,b�., <br /> � <br /> O �'roperl4 LmeS i Centetlinr cl s�te•�t � �. <br /> • Outl�nc antl dimensions ol ali e��sn.,,i ,: , • Indicnte Narth <br /> plapo5e0 Slruciure5 on thp lol O ShoY: any pr,�poso�.1 q'aCmq chpny��5 <br /> • Exi�bnq antl propOsrh iitd0�p; • Sho'.� r'�,.,i� unm��i <br /> t;s <br /> �.JHITE E3�LOW iH1S LINE �� �� � <br /> O� � <br /> „m I PERMITCJNDITIOIJS <br /> 1.All calls lor inspection shall be made 2a hrs.in advance�nnone 259•8810. <br /> � 2.All work shall be pedormetl in attorAanre wtlh ihis peimil an��current Ctly y Everelt�esiqn artl Cons!mction � <br /> � i��- „� Standartis anC Snecilication,. <br /> � 3.Call LOCation Underqrpun�Scrricc 4F h��, I,��Icrc yo�Cin 7 � I_e�eF yUMBER�•$��J•QQ({•$$$rj. <br /> ■�r <br /> �., <br /> I�`�� � <br /> ��'::, R � � <br /> � <br /> , � <br /> � <br /> �, �, <br /> >�! <br /> 1 AChNI�I I F.! � 1 ! fd pf )NDITIUNti <br /> _ ���� � _ ___' ThC untl�ryi�m�d o .-:��pl;l i nl h. �bl' 7 5�o hald�i id -ivc h� rm� <br /> � lass IhF City ol L� r .11 hom my md ill c n.ns lor d�n�qes �nst�. <br /> , y (� nxpens�s. or�au es o� an�o ih m� ari i becausa of in51��l3pnn <br /> ��-C�- ��� ���"'�- ./ ' � .�f� and imiin��n�,ncv cl Ihc unprovEnient a��L��r n�h,-,�����ay u:e hr:ret�� <br /> App�oveA Ic•Consiruction Date �PP��eC lo� anA f�rther a�r?es lo remove s��n•.� uuon nohre Lom Ihc <br /> ,�!C �`,�y '-�=� ,�,.µ.,� �._ � CdY nn�� to repiace Public properl dama r� <br /> � -j�ti Y 9.; :�...rnby <br /> / ' <br /> - ( 1�7L (.3 �.+ �_ � i <br /> FINAL INSF'Fi;TlO�: 7 - � /_ �� ���. <br /> Dnte �,�� <br /> 4pnrove�'.v.s�onstrc�;�� Si( „ urc ol qpplicanl -- <br /> �� �/ D��c <br /> .rct� I PVPL�CY,'L'qKyDEPARiMENi q�fJRK AUTHORIZED �}Y TFIIS PERMIT MUST BE 57A:iT[D W!iHIP! <br /> i �' ?"'JuCetlarStreet 1l30 DAYS OF DATE PERMIT IS ISSUED AND THEP.EAFTER fS TO <br /> I Fve' t.1VA 992��i BE DILIGENiLV PUFSUED 70 COMPL[TIQN. THIS PERMI7 MF�Y R� <br /> �J Ph ��.;59-8910 �ANCCLLEU�'Y 1H� GITY UPON�NY STOPPACi[OF WORK(1N iHI.S <br /> P!lO.lrrl ;)`✓� '790 (�AVS DIIR�TIGN <br /> _- __". S�°`.Y. . <br /> y:�•.1�... <br /> :�`.�' <br />