|
-��
<br /> . ,�-F . . -;
<br /> �-<�y_ �, r�
<br /> , , � �- " - r��
<br /> Date-�.1"�'., `�_ � �..�,� n.,.,,.�... •`.�����1.](�J
<br /> n�,i,i��st��,� rm ti
<br /> PUBLIC WORKS PERM � , �°" w�",,;'° � -- —
<br /> y ,,n..�r..,. S
<br /> � � i.,,,eoc� n.�.v.,..i S
<br /> A �y Y Y TO POSTI��f, 3-.��- y3 -= � � sg � s �.,,.,s.s,s � :_7--�— _—
<br /> x P,int or T pe ��nl _ y�
<br /> � `� :G � .� �i � � 4 ��i �
<br /> �yy � .� .. «: r� �
<br /> ' / I�- � � M��,(
<br /> H � � t�� '11'Irl—� 1��.1- d--1�1 � �l� �'� - i ' - `d`'F�) [���,'�..�'.l�f1�'"' ����� ��
<br /> � y � Owne� M:�iling Arltlri•ss � �y � � Sc yt ��j g �+j �h�ne
<br /> �yH � � �"� mSs� � � � � � LS : � •
<br /> —-- _ _ --- -
<br /> , ��5�_-��;/
<br /> ��� Zp � APPhcanl Madin9 Aatlress GrlV. �P ._ - �1'nunc �
<br /> � HC7 �
<br /> O M r��!7
<br /> '�� � Descnbe Proposed Wmk � �—I!� �
<br /> �Y �]
<br /> zy � — -
<br /> �yy _ - - W
<br /> g ri Z-'Z-.9 - 1.1 o-rH P'- -4_ -- _ - � I
<br /> � ty N Prole;.t Atldrnss Id knownl — - . . -- .. . .. .
<br /> �C � Alta��h lour�4)copies o�plans lor proposed wo�k� Draw lo s�alc;�nA notr Ihr lullowiny ns apphc;�bi.� � �
<br /> y � fA • Prnperty Lmea • Crnl�,rlinn o�shrrl /^ I
<br /> y • Outhnp qnd dimensions ol nll e+ishny;md • InAic;�ir Nni�h V� l
<br /> � PrcPosed slruchiros on Ihe lut • Shov. anv nirPn:�.d q�a�i.ni � i a��,p��,
<br /> • E�sling anA ProPosrA�dJih�•q • ;I:ow n�rasur.•ni�n�., /�
<br /> e�
<br /> i �w� UO NOI WRI�E Hk l OW INIS I.WE. O
<br /> i
<br /> PEqMIT CONDITIONS
<br /> C� 1 All C9115 for�nspeCUon shall be mnde 2d hrs in advnnce phone'2$9•88�� �
<br /> 2.All work shall be Gedormed m nccordnnce with Ihis penn�t cnA curtent Cdy ol E�e�rtl Des�iin nnd Constru�.In�n
<br /> Standeitls end Specilicplions.
<br /> 3 Cell LocaUon Underground Service 4B hre.belore you diy TOLL FREE NUMBEP 1•800•4243555. �
<br /> `}'. L�,� -�('�_1c_n-i�ri '..IiA�_�.. I �.I •_, ti\� i__ '1 :_'' ��E � . ���a�2 ,. ��.r�,
<br /> ��. �� �.�: I�1C_ZC:fE , . . . c-J.'.i� , i 1 � �i , -� � •��_r, ,r � ��-( r.�l � . �i �� D" �
<br /> � . � . � :i=: .. , - (, �
<br /> ��' �
<br /> 1� O
<br /> -- a
<br /> ��_ ��������,..� , ,,�,, .,� ��„�, < <,.,�,�,��,N.,
<br /> ' 1/ l le•undr����qn�•d rn�mv dUPLi dnl hrroby dqn, •��In huld antl sd:e�I���,rn
<br /> �/. �. —�----'—' Ie55 Ihe CdY ol F.veie0 Irom mry and all r,launs lor Anm.�4rs. ��.oe;le.
<br /> P.�PCIISPS. Of CBUSPS nl aclinn Ihat 1110Y HI19P. bPC80SC OI IfI5ldlllbon
<br /> l and m�inlnnance o� Ih� �mprovemP.n� or othei nghPol-wny use hemlo
<br /> � l.I�A�C-_ ry���� r��-� �-Z"��J�� TPpbed lo� And lurlhei ay.'e5 IJ remove SNme uPon nolif.0 IrOm Ihr•
<br /> APProvntllPrl�on51ruC1)on Dale CitY������rpPlar,r puhhr p aperty damn9eA �heieby
<br /> � l'� �,��,�__` � �.�
<br /> _._f�� � <-�=E.s-�-r,�---�-'� � '�� oaiP q� t'� . .� � .u,%�� c'. N/��l�y
<br /> FWAL7 SP_CTION " � Dnle
<br /> ApprovcA n5 Con9lruCted � Siy^alure ol Appliwnt
<br /> WORN AUTHORIZED flV THIS PERMIT I�UST BE STAR7ED Wl7hurJ
<br /> �.��.��.�� PUAI.ICWORKSDLPARTMENT 1B0 DAYS OP DA7E PERMiT IS ISSUED AND THEAE�F7ER IS T(1
<br /> � :1;0o Cntla�Sirenl AE UILIGFMLV PUFSUFD TCl COMPI ETION THIS PEFIMI� MAV FJ[
<br /> [v,•�„11 WA 9Fl70i , r AN�:I I I E I'Rv illr (;IIV IlnrlM nNV'tif�1PPn��f 1)(WORw I1N IIP',
<br /> Piu.n�. ;S��n�tlp Ill, illi 1 ��:'IH �� . fiin�:.-'��l1
<br />
|