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o�,e_`�—�''—`lQ TO POSTING ,,,�,�,vo,,.P�,m, ��_��-�
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<br /> Applic�tion Foi �'�n Ocn� • �1
<br /> P' '�3�.IC WORKS P�RMIT ��°°��:,°°��fPeB — �
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<br /> �„ n Describe Proposed Work ---.
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<br /> � �� Piol�ct Adtlress I�I knownl �Z- Z' ^ �' ST — — — - �
<br /> Z y p] A��ach Iour141 copie5 of plan5lot pro0osed worv� Draw to sr,�l.• nrtl no1�•:rn;touuwing�s a;;r��,�e. • �
<br /> y O N • PropCtlY LineS • G,nleNme ol ;;o...i '^
<br /> • Outline anA tlimens�ons ol ali e.�.=t.n�� ni��7 • I�tl�r ato North V�
<br /> prCPoSf(151ructtrtos an Ihi� I. . • Srr:nny P�oD�.v,l r,i.i::�i�� rq:vel...
<br /> • Fristinn unA tuoPoseC utdmr� • $^,r.: n��,���un,�,�.t^',�s �
<br /> L�J N(ll 6V1717C E3°L0�7 iH15 LIP1E �
<br /> PERMIT CONDITIINJS
<br /> �n. � 1.AlICBII510rif15pCCI�onSh:�IIl:iim;it1C24hr5 in.�1lcdnrC-pl0n!'2�J9�$$�0 �
<br /> �� L?.All vrork shall hr_p�`itoim�.�in:icco�danr��wdh�nc,pcinut:;nd iau i��it C�:-'c' E,,•���;�Des��]n antl Cons�rur.hcn
<br /> SlandarUs and Specd�cations
<br /> 3 Call LceaUan Undmgrauntl Surn�.����Y�-��..P•4en• ;�,u-*n TOLL FftEE NU'.1[3BR 1•800•424•5$55. �
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<br /> �� � 4.ANY CHANGE IN THE DRIVE➢7AS t'U'P 1-fU.;'1' i�i�, ^�EItOVED �
<br /> SY THIi PUBLIC WORKS INSYECTOR. �
<br /> 5.CONNGCT ilOW17SPUUTS TO PUBLIC DR�IINAGE SYSTEh1.
<br /> �� � 6.KEEP CI':Y STREETS CLEAN AT ALL TIMES. �
<br /> 7.ANY PAMAGE TO THG CUR� AND SIDHF7ALK WILL :�E PLPAll;Lll
<br /> 'PU TNE SATISFACTION OF THG PUC�LIC WORKS D!?P'i. �
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<br /> ' ACF:t OVJLEDGEh1GNT O!'CUNUI110Nti
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<br /> ��. lhe undersi9netl o. ner/npplicant hr,reby aqrces to holU ana s�n��hann-
<br /> — — � '� •;s Ihc Gty ol Ev��relt Irom any and nll clalms tor damagr.c. c.;a:-
<br /> ��nses, or cause ol ,lction Ihat may �rise hecause ol mslallation
<br /> . — ,Y��� p ,�q ��Q� / _ IO�cv,\ . maiNenance ol Ihe impruvement or other nghi�o4way usc hcrclo
<br /> � X._��l LD -�U , .ed lor and li.rt.iri ay�ces lo iemove same upon nohce Irom ihe
<br /> Approved lor Construction.! ���� , antl to replace,�uhhc p�operty dama�eA thereby.
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<br /> FINAL INSPECTION �;��� � I� � �' � ��—
<br /> �PVrovod ;�s G:�nSlrucietl �81�ry1 ute of ApPhcanl Dale
<br /> PUBLICWORKSDEPARTMENT �URH AUTHORIZED BY THIS PERMIT MUST BE STAR7'ED WRHIN
<br /> �'�'�'��'�� 100 D4YS OF DAT[ PERAIIT IS ISSUGD AND THF.R[AFTLR IS TO
<br /> � 32o0CedarSlreee BE D�LIGGNTLY PURSUED 10 CO��PI !'TION THIS P[r,p,tlT AtAY PG
<br /> Evciclt.WH98201 CANCELL@U�Y THE CITY UaON AN1� 5101'P�AG!.- OF\YORP:l�IJ 1�115
<br /> Phanc 259��810 I'RU.IfCT OVf H�.? DA1'S DURATIOPI
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