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,/ <br /> oa�o 10!19!2007 I <br /> PUBLIC 1NORKS �ubhcWo�ksPrnii�N ppn7ln-p19 <br /> - ' PERMIT <br /> OmltlirgPermdM gp71n-nln <br /> f`llilllt.b!�t��IKSOCPAR1MfN1 ' p��pnmgRelerencaM <br /> 3dU0(.nqnr Slrrr� <br /> f<<�mn WA oFl:01 publk Works Fe0 S <br /> i�i�si a����neia 5?n,nn <br /> Ouarenlea S <br /> � �NIHI i�NnrAI �PPI iChNT NAME <br /> _ <br /> � N�I�nlnMlstii:}�',:'IN' I}' : fp}I� � I./' �/+NI1nPDRFSS <br /> ^` ;4 4TIi `.;T t!E STE l�i� <br /> LAKE S7'EVENS WJ� 49258 <br /> IrHONE q:5a53147n aHONe <br /> 'I IAXPARCfLID.M �---���� ---- PRQIF.Ci�DOPESS �� —�— � � <br /> , ---_'euSiQooiq_5oo _iuu_�u��� <br /> nFscnirrioN oF <br /> �i rrvoroseowor+K rAP.P��PT Fnp r�ptp�.^,p 11RFA <br /> i ' <br /> PFRMIT CONDITIONS <br /> 1 All calls lor inspection shall be made 24 hours in advance. <br /> 7 All work shall be pehormed in accordanco wilh ihis permit anA current Cily ol Everell Design anJ ConslrucUon <br /> Slanderds and Specilica6ons. <br /> 3 Cell loca�ion Undargiound Service A8 hrs. belore you dig TOLL FREE NUMBER 1•800�424•5556 � <br /> ,. � .�t.:�h [�a�in in the carp.,i! vs�h a�Fa masr b� -oi.nectect to the ean�tary �ewc an�+ � <br /> ,�i:,. _.;i�'.3�n _i g �.� rta�, �,�r Cit}� Sr:.�ndar�i� . � <br /> - ' . . �� � � -.� , • � . . . .' ! . . , . �. , i_ � ' � ��ri.) W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNUWLEDGEMENT OF COND1110N5 <br /> ,�(�� �he unAersi9netl oWnerappl�canl herptry ayree5 lu hn�r�:intl <br /> �/ �` /J /� /�/��� i SAVC hHn01A55�h0 G�}'OI EV@fBV IfOT fl��HOd flll Clei�e;Irn <br /> � / � �� ~�?' � � damages.rnsls.evpenses,o�causes ol pdion Ihqt may i�nse <br /> A�n etl lui Cone�mcuon D; �� i l�ecausn ot in51911ation nnd mainlenence r I Ihe improveman�or <br /> � olhe�ngh4ol�way use herelo epplied br qnd lutlher agrees to <br /> . ��. �/�� .. —, , ". � remove snme upon notice Irom Ihe Clry nntl to�aplece public <br /> . nNAI INSPECr1oN I p�u demegeA reby <br /> " A{piwetl na ConelmChrtl Da1� � <br /> :Y - , <br /> .� �� ������ �� � <br /> S nlure ol Appl¢anl D e <br /> :�4�pnUI�1:�P1'l1�Pti1Hl,`�PIIR�i1 �1u�IPEtIAR1FPWIf111NinnDAVSOP�aTEPfR 7151SSUED�NDTHF.REAfTER15TnBE(11U�ENTLYPVRSUF� <br /> i �. .nq;l n�n� nu� I'll�q�.11.�ai I�I i n��illlll�l�� I;q ��Ilv nPnN�NYS101'PAI,! t1�WOf1kONTMISPROJEf70VFR�w�U�YSUUPAIION <br /> .� .. .. n+��fun nu <br />