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/ <br />,/i�'�J � <br />Dat�"; ..�_-. <br />Apph��al�On 1 or <br />Pl3�LIC WORKS PERMIT <br />Print nr TypP Only <br />/�l e f« C <br />—C?wr,er <br />' 70 / fl /.4` <br />Addresa <br />i /f (/� NE 5��n <br />GIy <br />-5 4 frr � --- - ---- --- <br />—�� APFllcan� MeilinU AdA�ess Clly <br />De�seribe Proposed Work _� � ' ---- -- - -- —� <br />, �+ <br />Prolnc� Addreas dl knownl �O — JL2�___ ._ �L. �L-� <br />v�,ne. W��,w. n.,m�i . � _ , <br />9�M� Oanl � ..���-s �' �_ . <br />r�„plkWVMlf�e i � <br />TM�If1e -. _— <br />�..���C01 fs�P4� �—" _"___ -_ ..__ _ <br />�'i <br />Oair¢e0ue f_�_�_ _ -. ___ <br />E !�'/SS '—� � 3 � i s'/(� <br />Phane <br />Auach loi.r 141 r,oPlas of Plans lor pmposeA worV. - Drew to scele anA netn Ihe iolbwlnp er, ePPGcnbb� <br />� prppgtty LIne3 • f,rn•erlinr o� slrePt <br />• Uuhino e�d dimr!nsions ol xu eusln�q and • P�i��.��te Ilnrir <br />prOP^sed struclwe.s nn thc lot • Shpw an� nrc pn5ed qi„d�n i��hnn�p�" <br />• Exishnq �nd proposeA ulil��ies • Sr r.v; mc�isu� ement� <br />F ff( ! <br />Phonn <br />PERMIT CUNDITIONS <br />1 All calls lor inepaction shell be nedo 24 hra. in ad�mice � phone 259•881 5 <br />2 Ail work shall be parlormad In neeprAence wlth thin parmit ond curren� _,a, ui 1 v��� rit Ur-,�.u„ .,nd Consi�, ��h��n <br />Standerds end Specll�:alions <br />3 CTII LoceUon Undxrg.ound S��rvir.r. 48 h�s. 6elore you d�9 TOLL FREE NUMBER 1•800•424•5555. <br />4 <br />5. <br />G <br />F.xisting s±dewallcs nre unbroken and in new conJit on, the �pplic.int <br />is required to �eplace any sidewelk dumaged during const:ucti�n. <br />Itoof down spouts nre to be tight-lines to existiug rurh drnin,. <br />nny gracii:�F�. ��f thr lot is to bc dunc so ns not fo impnct thc surro�mding <br />Intti kith r.iii,-w:itc•r run-of: <br />_— ___ /� ,� � .�../i, —`�� <br />' J'- f �----- <br />Aoproved lor Gonst u� tirn� .. �I^ <br />� � <br />� - � �� <br />---- -- --- <br />FINAL INSPF.GTION ��''�" <br />qpproved ns Gons�rurted \ <br />�.�r����� PUBLI�� WORKS DEPARTMENT <br />� 3200Ceda-S�reet <br />fv�a�l Nnan^��i <br />��„ , <br />'�i Y.il� ri'Jl I f'.t�f L�! GI il( �'�)Nfliilf]Nti <br />I�.. .��I,. .up�.r�t nwnr•r.,�Pp�u anl h�'veL�. .qJ•p�,g ln huld �uiJ s:rvC hdim <br />��.�,•. Ihr. GIY ol Everell hom any and all r,la�ms Inr damnye5, �.��::tr. <br />rv�-iCn9@S. Of C9U985 O� at110f1 (h0� RIPy 61150 bBf.Pll9f 0� It141A11;1�u�n <br />=.nd nainlonqnce ol Ihr, improvemenl or othar righPol�wey use h[!mto <br />nppl.nd tor end furlher anrees �o remove flert�e upon nolice Irnm R�� <br />Ciry nnd to replpce publlc properry demegetl Ihereby <br />i <br />i <br />� ��%% `�- ---��, <br />SlgnaWre of Applicent D e <br />WONK AUTHOFIZED BV TH13 PERMIT MUST BE STARTE� WI71nN <br />�80 DAVS OF �ATE PEaMIT IS !SSUED AND THFREAfTER 11; i�` <br />PF DILIGENTLV PUR;Uff7 TO COMPI ETION THIS P[PMIT MAV Hf. <br />� n1tt �I I t f� qV I�f CI �1 I lf'�)N �NV SfOPPO(:P �)�'N017K �)N TVI�S <br />i i,.,J1 �,..i n. , t,y.',I�ilHnii�iri . <br />