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C�� <br />TYPE OR PRINT ONIV <br />PUBLIC WORKS <br />� <br />PERiNIT <br />PUBUC WORKS D�NfiTMB�Ii .. <br />tveMl W�9B201 �59� L 4 p� <br />t0 POSTING <br />/ae��1 �o�s�-,�. <br />� <br />a,. �l�'����1�, / <br />AibNc Nbrta Pw�nh r _��t�i ., <br />9uASl1p PamM • � <br />A,ew��.F..t_�O- <br />3s'a � <br />"ar�'^e M.�rw �da.a cnr nv � <br />I�'?�I..: � �....:.-. ... �. <br />PROJECT ADDRES3 (H knovm) / � `'[� !o1(Q_ /' I t /� f�,�� � <br />Atlach lour (4) copba o1 Plu�s tor Propoied wak - Drnv ro acaN end rate tM idlorMp M�ppMcabN: <br />'Property Lkbs 'OuNhx end dqnansiona of YI Wstinp rW popoe�d efiwluns an 1M bt �EM�tkip �ntl popoMd u1111N� <br />'CentMine of st�eet `HMic�t� North l9faw enY P�Po� P�q drqM '8how n'ww�rn�nb <br />PERMIT CONDITIONS: <br />1. All calls for Inspection aha11 be mr ie 24 houro in advance - php�e 25g.gg10. <br />2. All work shaN be perfortned in acc,xdance wkh thb pertnft and cument Cky of Everott Dssipn and <br />Conahucdon Standa►da and Spechlcatbns. <br />3. Cell LocaHon Underground Service 48 hra. befa�e yau dfy. TOLL FREE Iil1MCER 1-l00-421-0�6. <br />q'. Ro��t wv� o-F� �i�o +'tit^� – c,�-b dro, i n– Cw 1 l 1, r�c,�, <br />� ;,�. Sp« f ; oH C� 33ti –7403 —.�s ,�zv ,c�r.l+�d <br />SK��-u. �6 sfd �l�•� � 3(a <br />ov-.u-9e z:iiPn <br />n ve2az <br />OTHEF z0.00 <br />TOTP.L �O.CO <br />CHEh' <br />A OM8168 <br />�0.00 <br />AC1v�01N�EDtiE�AEA1i OF CONOR1oN6 <br />71N undxdpnw ormer�+va���t 1�ebr aqs�s ro Iwa ra �M hnNNs <br />�ns cny a�en nom �,y ana a� arm. ar d.nw••. �.�.n.... « <br />ca�maa ol.ctwm m� m.y arfx, oeaues a Mrarnon .w m�YNwwio. a <br />�M k�xovan�+t a Whs rqM-d-wryuss heieto�ppM�d iorand hrtl�sq� <br />to rsirwve aame upon notice hdn ths CMy �nd b repYc� W�b1e P�PMY <br />�Y• <br />�.�'�.+�Ot�� L �/��I <br />�e a nppYcam p,�. <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STAHIED WRHIN 180 DAYS OF DATE PERMfT �$ ISSUEp qryp 7ryEpE�F7Ep �g �p gE p�1p�Ly pllR$IJEp Tp <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY 7iiE GN UPON ANY STOPPAOE OF Wqi( pN 7►{� pqp,�T pyEp gp pr�yg WMT�p,y, • . <br />