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7-19-1995 5: 17PM FROM AGE NC 209 956 0700 P- 1 <br /> f <br /> car�sroc;rc� ti� <br /> �J,,ONIAENTAL <br /> NEA- <br /> TN635OF <br /> AV wPPMlYMe <br /> &M 8 r 95 JUL 20 AM 7-- 35 <br /> Appfmrjm AM= IMM MM N <br /> iLCasien d Pippppd Work, ti <br /> E�Crrrtra siput.+s o�te _i._=?�i—��► . .. —c'.ar�Aetio�oaf '7—�5-- _�._ . P�rs.t e�ira�a� � fir_' ..-- <br /> 1{or[file)hereby apply for an encroachment permit to carry out tate foilawing work94114 <br /> Tft aowa nurwr aoa"d ha sby nvubw oornipam,o- •— <br /> S01AW TAP 09004111 ................ _ <br /> TOTAL Deaoerr.........S . . <br /> Building permit No, <br /> improvemerd Ptah Na <br /> Pa"-brand Iax memo M rtaffeem► Suppkffiental Conditions: <br /> • ✓i, 4 V <br /> 7 <br /> OWYN shack abmo of n*v p 0 a sLbnlgletl <br /> IMPORTANT:Applicant hereby egress W comply with all provisiorra of ttris permit as well as all appkabie City ordinances.resolutions, <br /> $Wvmkndo and apeeiTieations currently in efrect,and to pay to City its actual cast for removal and proper repacsrn"of any Dem which <br /> done not meet above raqukamenta,Failure to comply will be cause for nwoostion of permit.Applicant agrees to indemnify and holo <br /> Ite My ham►less against arty and al Ioeoas,coats,ordain *a resulting from iriluryto persona.death of person or damage to property <br /> oc:cruing N the site of or as a result of work to be performed under this permit. A certiticate of insurance shalt be submitted to the <br /> City!inti Manager prior to begiming cvrrrrt wAion. <br /> P SMALL CONTACT WDERCAMUM SERVICE ALERT(1-800-MZ-2444)TWU WOMM[MM BE )M BE0N HWG <br /> WOW FOR LOCIKfION OF UMDEIGRpUPW UTILITIES. <br /> PRRWTTEE SHALL CALL M)UT-8+1124 HOURS PRIOR TO$TART OF WORK FOR A CAM l W)L M MEM AND TO SCHEDULE <br /> Head General PnmWons on mrtimee side of this permit before signing—Now requinits. at of notifications ar��tivrrs <br /> ,!A_vm:,rs <br />