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1027 RUCKER AVE 2016-01-01 MF Import
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1027 RUCKER AVE 2016-01-01 MF Import
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Last modified
3/8/2017 5:17:18 PM
Creation date
3/8/2017 5:17:06 PM
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Address Document
Street Name
RUCKER AVE
Street Number
1027
Imported From Microfiche
Yes
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_._ _------ __ - - <br /> .Fn..--�,._,_�. . . .,..�T'—}�=--_—..;.._..-�:..�.�.:.—r�... .. .. . . . . .. , . _.. <br /> D9fB1�L g� � " n�n�cwen�n.,mn. 9 �� <br /> � e,a o.o�• <br /> AOY��ca�lon For .p <br /> PUBLIC WORKS PE�IT °°°.Kw°�.�� <br /> .a.��.. s— <br /> �....00���P.,e s <br /> Print or Type Only � $ `�4$ $ a.�.^=.o�. t �O� <br /> �; �M g� Y o02-32z -Yo-oao- // -B3/ <br /> N <br /> l�ai�p��tEau,c io�, ,� -� - 9e7-o � v q �s <br /> Owner Mailing AEcress �� ���. S ZiP POone <br /> [.�. MGo�2i I,3i� GRA�vD � ���� 90Lu 1 388• F�7n 3 <br /> Applicanl MeilinBAaaress City 2ip P�one <br /> DeacnDeProposeEWork �OWN£12.$ P2oPE�2Tv ���' Y �2� AJ3a�ENT TU _ <br /> n�i�i � 1��2u��ie� oFF All��� :A�L1c��lca sr�acE wNi��� i5 <br /> -� o lo� n �, - i nr ia�Lt � <br /> = � ' W <br /> Proleti AOEress�il knownl � ��1 �V�'�L�� � <br /> Attac�lovr(4)topies ol Olans lor pmposetl work�Draw to scale antl nole I�e lollowing as ap0licable: � <br /> •Propehy Llnea •Cenletline o�slreel 'A <br /> •Outline and dimensions ol ell eaisting antl •InCicete North v� <br /> pro0osed slmciures on Ihe Ioi ,x{ •Show any OmposeE grading changes <br /> •ERisling en0 PrOposeC uiili�i25�l� r�+� •Show measwemenis Y <br /> W <br /> , � DO NOT WRITE BEl-OW TMIS LINE O <br /> ._-.. y.s.'_-._.:. <br /> PERMITCONDITION6 � � ' <br /> 1.All wlle�or InEyadion shell be mede S�n.ineCvance�phone 259�8870. � <br /> -. 2.qllwork��all�pedormetl�naxol ancewithl�igpermitentlwnenlCityolEveretlDesignanCLonslmclion <br /> Stender7le an Specilica�ionn� <br /> ' 3.CalllocUidn ntlerB�cune5ervice Bhrs.beloreyoutlipTOLLFREENUMBERI•800d24•5555. � <br /> 1 � • <br /> , � � ` . . . - �,ij,'�)�L ,;/'%il' , . . O <br /> Y <br /> � „ � ��. i�' '' <br /> . �117�i�� .. ' � <br /> ` � � <br /> O/� <br /> r fl` <br /> � � '�i <br /> , /� ..' \ <br /> �� ,'s��-,` �AOI�NOWI OGE ENTOFCOND'l+G1b1 y` <br /> f� �1 <br /> \'�. ThoundersignetlowMr �her byegree�o�o antlsaveharm� <br /> less Ihe G�ry. Y antl an cie/Sls��or tlamages. cosls. <br /> ex0enses.or wu �: ,i0� al,may Wfse Oecause ol installalion <br /> ` antl malnien3nc ��e i�prov ment or�ol�er�iBh!�oi�way use here�o <br /> I _�'�h'/ - n0 �I er agrees o rerKbve same uDo� �otica Imm ine <br /> ApProvaC br Can5lruc�ion Da� C�yI[10�.repla biic bwp ly Eamepe0 Ihereby. <br /> �"� � �nV -j- ... <br /> FINALINSPELTION Ore <br /> , ^ � ` � X1' 'U^�`� - �/- <br /> ApprovaU as Conelraclad �� ��� Iure cl Appli t : � :i�La� <br /> PUBLIC WORNSOEP�RTMENi � � W�RK AUTHORIZED Y THIS EFAtI ST.BF Ai�RTED WITHIN <br /> 9200Ce0u51reet 180 OAYS OF S I55 D AN6,IHEREAFTEH IS TO <br /> Everott WAABt01 BE IYLIGENTL TO COAIPLETION.TMIS PERMIT MAV BE <br /> Pl�one:259�8810 CANCELLEO BY TNE CITY 11GON qNV STOPPAGE OF WORK ON THIS <br /> PPOJE'T.'(7VER 90 DAyS 0y RI1rION�F'� <br /> � +b�,S._h7_""'_...A <br />
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