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( o �OS��M / <br /> Date 6 26 90 I _ <br /> � � ruo��cwaasve�mn. �l ��C� <br /> �U/�(D��l/ oiav oect �QQ���}9.12 —_ _. <br /> npni�cauo�rar � <br /> PUf3LIC WORKS PERMIT PuoTnlafeefre 4 - -- - <br /> S�� �ess�oa� vee n-..a 5 —_—__ <br /> ��y Print cr Type Only e=�.,���o�� 5 2O _ <br /> m�� <br /> (�" H <br /> r x�' <br /> y z H RE-DEL-CO ConsS. St �O w�.-hnnx Fvnrorr 4a�na 348-9860 __ <br /> K n Owner MalhngAdtl,ess Cip• Zip �hone <br /> H x1 <br /> � H� Owner <br /> Cn H — <br /> yx t+ ApFiicant Mailing AdAress Ctly Z�p Phone <br /> C-1 O LT1 <br /> O H� Describe Proposed Work NeW SFR _ _ <br /> H �8 <br /> �V �] � <br /> zay� <br /> t" �-+H � <br /> u' Co�Z.� -7�Ni_� �i-�_:i��. � <br /> H Piolect Address lil knn�vnl �tS.O=Bi.dr,:°a��d-7'rr�arn <br /> C'] C7[� — <br /> C C r t.ttaU�lour(4)�op�es ol plans lo�p�oposetl wmk� [�r •. �c, �,� ,r�.tl ncte Ihe lollowing as applicaUle � <br /> � �l�[� • Property Lines • Centerlme ol st«���t '^ <br /> '� H� • Oulline antl dim� smns ol ai��r.nti��.i.�i : • Ind�cats Noi�h �� <br /> � U� proPosed simclures on iho Ir.i • Snrr:�m-.i nrr:. ,-.•,.f�i�od�i,, cha���n��s <br /> • 6x61ing 2ntl P��P�SCA Uidd�rs • Sl;p:: ni�:,�;iir,•i�i��q�t � <br /> DO �JOi Y✓HRE �LL0�7 iHlti LIF;[ � <br /> PERMIT CONDITIOWS <br /> 1.All e611s 10�irspeelion shall 6e maAe p4 hr5 m advance�Phon�'2$J•$$�Q � <br /> 2.All wofk Shall be pedormetl in aCCotdance wiih IhiS permit and cvrieni Cuy o� Ben�tt D���,�un anJ Conslrucl�,n <br /> � .r Stantlards antl Specilications. <br /> �� 3.Call Lowtion Untlerqround Semce 48 hrs.belore you�L9 TOLL FREE NUMBER 1-800-424•5555. � <br /> �-.. � 4.ANY CHANGE TN THH DRiVEWAY CUT MU57' RG 1PPi.; �ED O <br /> RY TNE PUAI.IC WORKS INSPF.CI'OR. <br /> 5.CON9GCT DOWNSPOOTS TO POALIC URAINAGfi SYSTF.M. � <br /> ("� `� 6. KEEP CITY STRF.F.TS Ci�EAN A'I ALL� TIMF.S. � <br /> �""� 7_ANY DAMAGE TO THR Ct1RA AIJD SiDF.WALK WILL, Pi{ RI�:P;,IRI�:D <br /> TO 'PHR ;ATI:;F'AC'fTON ��P THI? F�IRLii7 4JORKS Df?�.'�. O <br /> (��"'" <br /> �.. � /� <br /> li� <br /> \ .��FN01'N.f Ucd L1EWi U(°CONUIilONS <br /> ��. �, ��` � _ Thcunde�s�qneduwnoVaPVhcanih-icUya�pCeslohold.ndsaveharnr <br /> ��� less Ih�� C�ty ot Eveielt Imm any and ail Gaims lo� dama9es. costs. <br /> � e�penses, or causes ol action Ihat mav arisr. because ol inslalla�ion <br /> j-�`��.� j���� �_2.�._yU dntl maintenance ol Ihe imowvement o: other ngh4obway usc hereto <br /> applied lor anA lu�lher agrees �o removC :nme upon nohcc h�m Ih�� <br /> . Approvetl for ConsWction - Dale City,nd�o rcp�ace publ�c prapeity d;�mageA ihereby. <br /> �/ /^/ <br /> ____��' '�//" !-/f�- si L/Y��� � I, ,, � ry,i('nl � <br /> FINAL INSPECTION Date __!L.f.f{/:�,�4:.4,.�L��(' � (.GL.. <br /> ApproveA as Conslructed �� ia�yGri of Applicnnt / D,���• <br /> cvrnqt PUBLIC WORKSDEPARTMENi � K AU7NORIZED 6Y THIS PERMIT MUST BE EITARTED WI7hIIN <br /> � 3700Ced.rtSVcc1 '�AYS OF DATE PEFM1IIT IS ISSUED AN� THEFEAFTER IS TO <br /> [vr�ett WA79?01 LIGGNTIV PURSULD (O COMPLETION. THIS PERAfIT AfAY H[ <br /> Phnm'25`rfl310 ��LLEJ �1'TIIL GIiY UPON �NV STOPPAGE Of-AVORK ON ll�{IS <br /> i � )JL�IOV[HP01`4YSDU1�'.�ION <br /> ti <br />