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� � -' - �, r lr;� . n, ,_�`.y, e� ' - <br /> �, . .� . . � . . "�.�:.... . <br /> , ;� ...� • � . . • <br /> PUBLIC W�KS PERMIT °i1 <br /> � ��.� ��.r.�.. <br /> � ���� <br /> �«.a.�►.�, �....,o �„r,o�. <br /> TYPE OR PRINT ONLY p�yyaq�_ <br /> �� �P►plapilo�at�.a0ati� O�a063/96 BtPA � <br /> -Job Adds�ut Z6�5 kOC1�R 111R <br /> own.r� ro�Ru�t oMs <br /> T�naeit <br /> AppbrK Pn.��Nd tlNt /INfiLZ )11MILY ASBIDtMCi p� <br /> D��c. o! Nork� <br /> ADD �'OtlND11TIOlf (8008�) 1111D 11DDITION (�08!) <br /> ��P���_ _ W <br /> on:ce srr sos asx � <br /> APPIlOViD TOR PiRNITt D)1Ti_/_/_ !7 <br /> �� <br /> � <br /> PROJECT ADDRESS(H known) � <br /> AhaM four(4)�oPIN of plrr for qopad work-Dnw lo reW�nd rqM IM Io1wYp N�ppYc�bM: <br /> 'RoPwty LM�s �OWMw rM�rmmlont M M aNtkp�nd pq�A etrueRn�an Ih�lol �slWnp nW popaW u1Min O. <br /> �w„c«w�.a.e..i �xwkm r�orm �+ow.nr woao•w a•�w u�•a•� 's�+��•••� ' <br /> w Nor wR�s�ow rHis uNe <br /> PERMIT CONDfiIONS: � <br /> 1.All calls for Inspection shall bs made 24 hours in edvancs-phorb 259-8810. O <br /> 2.All wak ahall bs performed i�accordence with thh permit and curtsnt City of Ever�lt D�slpn�nd <br /> Construction St�ndards and Specificatbns. <br /> 3. Call Location Underpround Service 48 h�a.before you dig. TOLL FREE NUMBER 1-OQO-�24-6666. H <br /> � <br /> •:1QLIC WORkS �ERMII O <br /> . . - NUT�JIRER � <br /> IV� ''7 <br /> �AT E.��,.=1 j�(/�i-_� <br /> � <br /> ACKNOWLED6EDAENT OF CONOfilON3 <br /> I � rne unaersqnW ovn,eNqx���Wy yn�ro noW�ra a.vr nriNy� <br /> tM qty ot EvNetl from my v+d d eWnr for drnpr�oons.�rnas,or <br /> Approvetl Por Consiructlon Date """'01"tl0"t^'�'"'�"'�'°°�"p a��0^�^�^�a <br /> a»imp�ow��«anv rqma-w.y�..ns.w.ppllw ror.na ti.tl�.r.p.n <br /> ro�en,ove san,.upon nouc.fi«n n»cny ana w replKv puble propMr <br /> dnnped thsrsby. <br /> FINAL INSPEC710N Date <br /> Approved as Constructed <br /> SIQMM!OI AppNcant D�N <br /> WORK AUTHORIZED BY THIS YERMIT MUST BE STARTED WITHIN 1B0 DAYS OF MTE PEAMR IS ISSUW AND 7HERfAF►ER IS TO BE Dtl.KiEHTLY PURSUED TO <br /> COMPLEf1pN.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA(iE OF WORK ON TTIIS PROJECT OVER yp pAYS pUpATIpN, <br />