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<br />DATE:
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<br />c....Y Olr ZEPIIYlUlJl.I.s. IUIIUJING UErAlt'I'MEN'I'
<br />IUGI1'1'.Olr. WAY USE ..ERMI'I'
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<br />PERMI'I'N DOZ 7
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<br />No ~on"rudlon ander a-d .r .ho,', Rroantl or .n,. rlldllty .h.11 be IIttompll.hed on IIny City Rlahl. or W.y wllho" written a"roY.1 rn.. 'ho
<br />Clly Dulldlna D~p..rtment. AnYllppllewtlon ror IIpprov.l.r ~""'ruc'lon .per,,'Iem. on IIny CI.y owned Rapt. .r WII'.... ftlml.h .. ...W....w... ....w...
<br />Ihe comple'e '"pe or 'he propond work In 'rlpllC!.'e '0 lhe ofl1ee or lhe Oalld"'ll orne/Ill ror IIpproYlI1 prior '0 .he -meneemenl or.1I)' worle. A ftPlor..... .
<br />peril'll' I. '0 be kcp. relld'ly .vllllllble a' .he .Ite or the ",ork lit 1111 lime..
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<br />PAR<:F.L 1.1). "
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<br />CITY ROAt) 1\.1 RfbR:r
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<br />RD
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<br />DATE l;?llt B /~
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<br />LOCATI~(""~~ . '" . _ 4v' Feo~ INTLRSE{'; 7 ~ ~{,!!. 4/1'<:"
<br />:bt=l~jj}i ~~ 5/QE OF7UPo~ W' tBJ~7rff2,:r7f~
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<br />Perml..lon I. herehy aflln'ed .0J?oNI ~ AJ ~ or ,/ ~J 2-....2}.N
<br />ror.hecon,'rudlonllndmllln'_MUr ~ WD~ ~ J'IL.I r-/J!....~ OAf A I KfJlJK.T.E.n ,
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<br />.ubJeet to the rollowlna condl.Ion.1
<br />I. The C!on.lrad'on Ilnd m.In'_ft or .lICh utility '''1111 no' 'n'errere ",llh .he proper', and rI..... or. prior _pan'.
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<br />2. All ",ork .h~11 he .- In keeplna willa .he .llIn.llr... or'he C'ly Street. Depllrll'lent IInd under .he .a,er,,"1on or'he City BuDd'" 01.11I1. who
<br />",,'II he nollned .t lellll _ dllY prior .. eOlWmeheemen' or COlll'rue'lon.
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<br />J. All nallt.rI.l. .... equlpmen' .....11 h. ..bJecl '0 In.pedlon h,lhe CI', Dulldlnl OnlelaL
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<br />......
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<br />.t. Datln~ na.......... .n ..re., re.....Ion. or'he Deparlmen' or'l'rlln.porlllllon .hllll.. ob"ned .... lhe CI.'....11 bo rell.... .,.11
<br />re.pon.lblll'y rrom dllmllRe or .n, nllCUre .rlllnR rrom .hl. permit. SabJee. 10 the ...me 'erm. and ~_Itlon.. the penalt hoNer ...,Ia" .... ..r.., .eaa....,
<br />IneladlnR plllclnR IInd dl.pl..,.r ftallen '''1. .. II m., deem DeftI.a..,1n ~dllC' or eollI'rudlon .... ..alnten... work hereunder. It h the .........lbOl., .r
<br />the permltlee '0 pl..ft. m.In..In. .nd .apenl.. .lllnnle ~'nlllnd devlC!e..
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<br />S. All prlva'e IIn. .11 CIt, properl,...... be re.tore" toltl orlllnlll condl'lon "' rllr.. p...~'lealln lhe .........r.he Clf)' Bulldln. OOIdal
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<br />G. All underaround crn.... ....IIIII1.Ion. .hilll he 1111. III .uda deplh III mllY be 'I.eelne. by .... Clf)' Bull.... omelaL
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<br />7. . The .ketch co\'er"'R'he detlll" .r Ihl. "',,"I"'11on .hllll be mllde II pllrt or Ih'. permit. Thl. peril'll' lI,ran'e. wllh the ...donlandln, Cha. ....
<br />",pltC!lIn' h". no'lned 1111 olher atlll', a.en In .he IIftll eovered by 'he permit IInd '"ke. rail re.pon.lb'll'y ror an,._.. lneurred .y prior ............ .. .
<br />re.all or hi. operllllon. In order ..... 'hey mllY .d. ,,"rd 'helr In'ere....
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<br />8. III. ellprelll, .lIpulll'ed .hll' Ih.. permlll. . lleenee ror perml.elve a.e onl,)' Ilnd .hll' .he plllcln. or raellltle. .,on pu.11C! propor', ..n...., .. ...
<br />permit ..../1 no' oper..te '0 cftllle or 10 n.t ..., ,"pert, rlAht In ..Id holder.
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<br />9. Whenever ,,,. CIf, dHkfa .. fbrfher ea,IoIt lhe CI.y RIRht. or WIIY, .ny or till.ald pole.. wi...., pi,... ft......r .'her r.eW'''' ....
<br />IIpparfenllne.. lIu'horb.e. hereund.r, ....II.e Immedlll'ely remond rrom ..Id RIAhII or W.Y. er re.e' or reloo... thereon.. re........ ., the CIf; ........
<br />OffiC!I..I.t .he ex,en.e or'he hold.r .r th.. p.nnll.
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<br />. IU. The holder .hllll..vo .... keep .Ile Clt,"'rml... rrom "n,"nd 1111 dllin..el, ~1.lm., or htJarln .hal..y_r It, ft._ of"" CGIlI'I1ICtIon.
<br />mlllnlenllRC!e, 11II" opeh"on or ..Id r.clll'y,
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<br />II. The holder .hllll_plete 'he ft._.led work ",lthln dllY' or .hle perml' .h.U Iteft... ........ YoId. I.. the event .... work n.....,..
<br />I. no' comple'ed apon IIle npl........ d.'e or Ihl. p.rmlt. the CIt, ....11 ....v. tll. rllht to C!8mple', ..h work ..... Co _.... the holder or the permit fer 11I1_1.
<br />lnearred In ~mple'InR ..Id "'lirk.
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<br />12. Th. hol"er .hall PO" · ~1I.h or .ure., bond wl'h the CII, M.hIlRer In the .um or S dollan .. pilla'" perf'orllUlDCe .r.... .....t.....
<br />lIereln.llnd 10 p"r"n'e. mlllnt_nel.r'he rIAhI-or-w., duulhe. herein r..r.. perl.... or tNle (I) ,e.r rollowln. ce...........r.he ..................... .....
<br />nen' · IUrely bnnd I. polled. .he .are', bond ....11 .. m..e paYllhle '0 the CltYllnd .hllllohnl..t. the ..nt, '0 hold .... CI', harmle.. .. the ....I .he hoNor.r
<br />thl. perm" .....a..1 rill! '0 naee' IIny or I.. 8bIIRII'Ion. hereunder, The hond .hllllllllo Indemnlry the CI.y ror .11 ftart ~... ...d rea.onable ."omey'. rtel In the
<br />ennllelll'lIdlon I. required '0 ",1ft. on ,"ld Itond. . I
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<br />13. The permltlee Ihllllll.ve.. 24 h....r .merl.nC!y ftnlllct nllme and nanaher I,...d Itelow.
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<br />. SUDMI'I"I'ED DVI
<br />......"..., v'E~_
<br />SlplureA'I'l.1e ~... . ~ &_~
<br />A...... jdo - --~ ..P-. 1.LJ!k,.J~ r,-- 33tJt>I
<br />Plaone Y li> :3 __ LP II ';)...- ?/I.;}-
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<br />APPROVED DYI
<br />CITY UP ZEPI;j:f._ ' .
<br />
<br />BuIWInI Ofl1ellll . (t,t..{....-(
<br />Da'el . ~-.)
<br />
<br />Uflllflu Sarenl...r
<br />Dlllel
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<br />P..'1e Work.
<br />Da'el
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<br />
<br />City ManllRtf
<br />Dlllel
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<br />S/j0~;~ if? ,~
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