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<br />, Olr ZEPIIYIUIIU,S ~ IUIIUJlNG DEI"AR'I'MEN'.'
<br />IUGIl"'-o.r~w A Y USE ."ERM1'l'
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<br />PERMll'N
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<br />Rrouml.r any rll~lIIly .hlllll'e .ceomplllhed ... IIny CI.y RI..... .'W., wi...... writ... ..,'"AI....... ...
<br />.rov.l.r nn"rue'lon .per....n. on .n, Clt,."ned RIch" ., Wal_Q ...... a ...... ...w.. "'w..
<br />,'e '0 .he .f11ce or 'he Bullllln~ Of11cI..1 ror ..pprovIII prior Co the ____. .''''' w.rk. A.".'..... .
<br />he ".rk II' 1111 On.e..
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<br />Cl'rvnOAI) VA/RY ROAn
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<br />DATE S-3/-(J1:;
<br />
<br />;HrEF<::.y 0/1.1'9)-;) C>~ DA/;QY .QCA-D Tn WUEO/C/iL
<br />
<br />/l, S~ A.l / Ale . or
<br />.-------.. ~ ~:i:/~~ /~ ~/,R rJ!:J.p.L~ro PHC\JIDt::.:::.
<br />.:s-.6"RVIC~ POR- MB Ie W N
<br />.ubJeel '0 .he ro"'"In. c...dl'''''.1
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<br />2. All work ...~111te done In keepln. wllh Ihe ,'andard. or Ih. Clll Slree', Depnldlenl and .der the .upenll'" ., the Ch, BuIItI.... 0........ w_
<br />will b. ...1I11e. a'le.,' _ .., prior I. -lIIeIIcenaen' .r _.rucll.... .
<br />
<br />I. 'l'he con,'rue'loa ....d malnleaance .r 'Yeh u'III', .h.11 nolln'errere "llh .he Propertland ........ ., a ,rIor occupant.
<br />
<br />3. All n,.'erlal. and ellul,m.. ....II.e ,u'Jee. 10 ....peellon bl .he Clll Uuu,lInIOIlle"L
<br />
<br />... Durlng_lnlCl"" all..rel, rep"".AI .r lhe Depnlmenl or Tron.port.,1on ....1I1te ....n.d _.... Ch,...... .. ......... .,aU
<br />....p....lblllly rrom c1.m.Ke .r any nature .rlllnK rrom Ihll perinll. s..'Jecllo .'he '.me 'enn. ... condh...... .... ........ .....er ..,.... ... "'."'_1'0"
<br />Includlnll P"cInK .nd dllp..,.r eau..... .!pu, .. I. ..., deem nftCllal')' In eontIlie. or COAlirucllon and .......Ienanco w.rk ..........r. I. II .... -......11.,..,
<br />.he permlUee .0 pl.ce, maln..1n, .nd .upenll. .11 'rollle con'roIand c1eyke..
<br />
<br />5. All prlva'e ....11 .11 CII, properly .....11 be re..orell '0 I.. orl.lnal condlllon ... rar III prac'lca1.. the .'......1... CII)' ....... 01llclaL
<br />
<br />6. All underaroun. cro..In......III........ .hAll be 1..ld a' .ucl. drplh a. n.ay .e.,eellled by the ClI)' BuIld.... OfIIcIaL
<br />
<br />7. . The .ke'ch n'-.rlnl'he lIelalll .r .hl. ......I...1on ....11 be m.dea p.rt or .hll pennlt. ThII penalt II ......... "Ida .........n....... tIaa. ...
<br />appllcan' ha. ....In.. .,I.ther .'W', u.en In the .rea nvere. b,'h. permit and '.ke. full re.p......III.y 1'0....., ....p .....nd '1 prior ........... .. .
<br />re.ul. .rhl. oper.lI_ In .r..r .h.. they "., ..r. pardlhelr Inlere.... ,.
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<br />......
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<br />t. .. II ellpr...', ,'Ipu"'e. ..... ..... pennll II a lkeau. ror pennll.ln u.e onl,.nd ''''' the '1aeIn'.rracll.... upon ,u"lIe ,npor.,.punuae .. .....
<br />pennl' .....11 no. opero'e '0 ere.le .1' .. n.'"", propert, rip. In ..Id hold.r.
<br />
<br />,. Whenever 'he City deelde. .. furCher ..,IoIt.I.. Cltl Rlpl..r W." anI or Iill..ld p.Ie., wlra, ,1,.., ......,.r ....r '.eIIhIu....
<br />.pparten.nc.. .u.horlze. hereunder,....U ...Immed"'el, removed rrom ..Id Rlpl. orW.y,.r reM'.r reIoca.............. .......... .,... ai 8a11d....
<br />Omclal .. .he uPCAl' .r the holder .r Ihll ,.nnl'.
<br />
<br />. 10. 1.... holder ....n ..v. .... keep .1.. CI.y hannle.. rrom _,lInd .11 da11l.1~" cl.lm., .r IDJ....... .hat "1-r bl ....... .r.... COMI.......
<br />maln'enance, ....11 .pero.1on .,..Id racIU.,.
<br />
<br />II. The holder .hAlI comple', .h. reque,'ed "uk "I.hln dll" .r .hl. pennlt ....... bea... "and .oId. .. ... evaat ... w.rk ..........
<br />I. no' nmple'ed UP" d.. uplro''''' d.'e .r IhI. permll, .he CII, .1..11 have .he rlpllo complel. .ach w.rk and Ie _........ ......r or.. ........,... aU _II
<br />In~urred In nmplellnl..ld work.
<br />
<br />12. l'he holder ....11 PO" a ea.h or .ure'l bond wllh lhe Clly M.....er In Ihe .um .r S dollan Ie ....na... pert........ or... ..Up......
<br />herein, .nd .. IU.ranl... m.lnlenance ., .he rlp...r.w., dClcrlbed henln 'or. period .r _ (I) ,..r 'oIIowln, ".,"den .,... ......... ........... .. ...
<br />even' a .arel, bond II po,'ed, the lunl, ....d _1I1te made p.,."1e '0 lhe CII,.nd .h.II.b1lp'. the .....,.. ..... lie CIIt ......... .. 1M..... tile .....'.,
<br />.hl. pennll .llOuI,1 rail 10 nlee' an,., II. ..IIR.,..... hereunder. 11.. bond ....II....In..emnlfy .... City 'or .U court COlli aM n......... .......,..,11I .. the
<br />evenllea.l.cllon I. rellalred .. collec' till .ald bond. . I
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<br />13. The pomalllee .I.all"'''e II 2.. hour emergenc)' con'"ce name .nd number U,'ed ....w.
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<br />SUBMl'nED BY,
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<br />=e~V;:Lh.~~O~~~:~
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<br />A...... /20 ii'.vnu;=r~~L .~.380 I
<br />Phone @ ~-:) G:"B'2 - 7. 5"7?
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<br />a., Mana.er
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