|
� - � - �x-/�e�
<br /> � - c� � ' � �a � a`/3 .�
<br /> Datcll-�t,�(j ,,� u��:� . . � �i
<br /> '.��.�Y.i d1�C.�1 aJ
<br /> rnWCWo„�ree f
<br /> �� �H PUBLIC WORKS PERMIT ta.��K
<br /> � �� , lrN�001[ee�a��t s -
<br /> TH : o.�,_ .-> yn o.�,.,...o,,. S �"d - ---_ .__.
<br /> O `a'x � ) ` � _: . -. .
<br /> Prm� or TyPe Only,. �r :-'o r t -' r ' � rn
<br /> � yN ; � � � � 339—[5��
<br /> x � � r
<br /> K � �; �, o , a u 3 3-� � �
<br /> � � . � c a -.�cs r�r 1t uu'w l
<br /> H �1 _j��j,+,� � � ., Q y�! C�ty l�� Phone
<br /> ,.�q�..�� � Owne� � � '�'j� ��v' � r � � � " �d 7�
<br /> ::, r. � `*�, ..
<br /> yZ � �' —
<br /> $ Lnv La �'"
<br /> [�7 y � ��,n���nt Ma���ng AAEress
<br /> O �
<br /> � � g mo,,� -
<br /> n- o r: �.,��,be v�onosed work _ , , �
<br /> � N� - _ W
<br /> N
<br /> N �
<br /> o v�n 1�{OZ I�At.H1 M✓E — —
<br /> � � � ,,�c�+�ae�r.ssuiw,w.m �
<br /> l �-? !n _ �.� �^n�e�01 O���s�or MOP��work-Draw to scaie an0 note tbe 1oilow�n9 es ap�hc�ble �
<br /> � O � �. .. � . .,� � �cntcr��ne of streel
<br /> • Cn tY L n�i • �nA ralc 4ofth
<br /> ..._�e � �n�f�r�+.nn On5 Ot TII Cu51mq an0 � .. ��, r . . ...q qr.i�..q r�.�r�. �.
<br /> '�� � . . . . . r. . � � . . i � . M
<br /> � f , W
<br /> UO GGT :J�+itF 9EL01Y 7!��'-, ' ',. O
<br /> ��, � � � , �:ar t�cnn2$3'8810
<br /> _ . . rai�5lr� .,CR:C'.pn �,.91i t:C n,d0 24 Y . . ��- .� .�p.... . ...... . . .. . .� ��.� ��i .,. ,�rt]GCr•/o�. �.. ..
<br /> ; f.'�i work shall be Pertorme0 in accor0anc. +• ' • ' ., .
<br /> s+��daresmasoec�t�ca�ro^+ ToupAEEr:ur.�aen1•800-424•5555. �
<br /> ; �a'.'�loc.2prn UnOnr�rCunA$rrv�Cn 4q hr, � . . . . .
<br /> � _
<br /> �' O
<br /> 1—-- �'
<br /> ��� �
<br /> ���� a
<br /> �(—� , . �.�,.._ _.. .i •. . . , � r:ouo�,,�, •.
<br /> � . . :;, .._ .v..��., �,:c .. �.:,•..� �., ,a7•eas,o :.,. , .. .. ,,.
<br /> � — Ie3i iM1e GAY O' Lvciefl I�om any in0 all CI��m51or C:ima4r ��. '
<br /> ' Q�fl{!t. Of Qu[Cf O� 0C1�Df1 Ihf� m0Y 7t�K ��UfO OI �Of18112hc'
<br /> �� nAL� � /'?J/G� enA mamlenance N�he �mprwement or otAer nqhPo��way u�e ber�•+�
<br /> ��� eppl�ed Iw anC lu�mc� a7�cea lo remwe same upon nobce Irom i'.
<br /> ?::vwveE ta Comtroct /�,
<br /> Dats Cny anA�o repiacr uab��r.p�operty damaqeA thcrebY�
<br /> � .. ��!-� G '/��y— �H AITI 17 A����✓ ����
<br /> � �vaL INSPECil09 �°1° Oatc
<br /> S�pnaw�e of Appt¢ant
<br /> .,.-rf as f,onslrodeC WOPK AUTHORIZED BV iH15 PERtdll MUSt 0E STARTED WITHP:
<br /> ��• ruBLICWORKSDEPMTAIENT tB0 DAvS OF DATE PERIArt IS �SSUED AND T� F��`:+��TE��� �` ' �
<br /> � .��C��yqr itccl BE OILIGENiLV PUQSUED TO CAIdPLET10N T
<br /> I � � �/I:�CII(DAY1NcrITVUP0�1P4VSTOPPlr �
<br /> � ,
<br /> �'�I!.!:i �i'.C�. , f.f � L..i .L�,N
<br /> __J
<br />
|