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+•+: I�-c.+-iaac 1r.J.y WUbt_Il" WORKS PERMIT CFNTR 209 937 0901 P.02
<br /> CITY OF STOCK TON 63846
<br /> DEPARTMENT OF.PUBLIC WORKS
<br /> AV APPLiCATioN Fon gluertaACkMANir ON PUBLIC RIGHT O1le-WA'Y
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<br /> Owner FCPnvaclw Addare '*•r�e',y_j,7Ar-1 _ S.G,-,Se' ''l jBy_ Olt,--
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<br /> (or We) hereby appiY for an anchakdhiflsht �mlfhn1E Id carry out thn folbwing vMlk't
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<br /> TUMAL DEPOSIT......... S_ Z P3 co.„
<br /> .:.1". eulldlnp Permll NO.
<br /> improvement Plan tJo_ —
<br /> Suppremantal Gondiliorm.
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<br /> IMPORTANT Applicam hetaby agreee W-68M�ly'whh'mill prWalora Df thid'perrriit Qa Wall'is all applicable City oritinanboa;resolutions,
<br /> standards and specifications currently In affect,rod to pay la City lir aW+id cost for Aims ovAl and prdphr repla'cemant of any Iters which
<br /> does not moat above requirarnants. Failure to rempry-will be cause for revocation of permit- Applloant agrees twindernnlfy and hotd
<br /> the City harrnless against any and all losses,coats,or damages resuhing from Injuryto persons,dealh Dt person or damage to property
<br /> occuring el Ot site of or as a r'asuR of work to be,performed under this permit. A certificate of MpurgMCO shall be sotfmilted to the
<br /> Cily Rlsk Menagor prior to boginning constructloh.
<br /> PERMITTEE SHALL CONTACT UNDEHGROU146SERVICE ALERT(1-aOO.842-2444)TWO WORKIN13 DAYS BEFORE 1390INNING
<br /> WORK FOR LOCATION OF UNMMUROUND UTILITIES,
<br /> PERMI7TVIR SHALL CALL(209)0,17-841124 HOURS PRIOR TO START OF WORK FDR A CONTROL NUMFIFIR AND TO SCHEDULE
<br /> INSPECTION.
<br /> Read oentrr*l Provisions on rwmraa ride of this pertnit hef a signing — Nate requirement of notllleatlon Amer inspections.
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<br /> TO rql_ P.02
<br /> ZL1p B£TOV91760ZT f S3T931Hb19739 TS:ET 96i9zib0
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