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01-0452 (2)
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01-0452 (2)
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Last modified
3/6/2009 2:42:04 PM
Creation date
3/8/2007 10:16:06 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
01-0452
Building Department - Name
CITY OF Z-HILLS
Address
SEE ATTCHED
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<br />11. The holder shall complete the requested work within days or this permit shall become null and void. In the event <br />the work requested is not completed upon the expiration date of this permit, the City shall have the right to complete such work <br />and to charge the holder of the permit for all costs incurred in completing said work. <br /> <br />12. The holder shall post a cash or surety bond with the City Manager in the sum of $ dollars to guarantee performance <br />of the obligations herein. and to guarantee maintenance of the right-of-way described hereinfor a period of one (1) year following <br />completion of the requested installation. In the event a surety bond is posted. the surety bond shall be made payable to the City and <br />shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligations <br />hereunder. The bond shall also indemnify the City for all court costs and reasonable attorney's fees in the event legal action is <br />required to collect on said bond. <br /> <br />13. The permittee shall have a 24 hour emergency contact name and number listed below. <br /> <br />(Permittee) <br /> <br />Signature & TlUe <br /> <br />Address <br /> <br />Phone <br /> <br />SUBMITTED BY: <br />GREQREYNOWS I VgON <br />..0~6 ,.&tt1 ..Nl. <br />120 E LIME ST LAKE D FL 33801 <br />863-688-5357 1 888-483-3180 <br /> <br />.~~ <br /> <br />~..v <br /> <br />APPROVED BY: <br /> <br /> <br />cnyOFZEPHYRH1~ rs <br />~~~omo. ~ <br />Date: .~ . <br /> <br />Uti,,~Su_ ~ <br />Date: "/" 'S/ <11 <br />( <br /> <br />Public Works <br />Date: <br /> <br />=f-/2-$lft/ ~ ,~ <br /> <br />City Manager <br />Date: <br />
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