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ENCROACfiiMEN k�ERMIT rLicnur �vu. r--�,c <br /> CITY OF �' WY ` FEI ►IT cItANTED <br /> APPLICATION IS HEREBY MADE FOR A PERMIT TO ENCROACH ON THE � 14 f / 7 <br /> . C PA*TuclE R 0 <br /> �w l/�I.T^�RSEGTi oN , ;4s. �Sf10 c,yN aN . 477' Ep . . 4�2Au%i� <br /> E lgI7- <br /> FOR THE PURPOSEOF ST LL IN6 ELL <br /> N41E OF APPLICANT I'�1=�(/,g/� i�ItIC�'IQ+Ci.. ?/j : ADDRESS �iA f ;��1��� p <br /> a 9�3PHONE NO. ' 372 s -� <br /> APPROVED BY .. �c� .: . '� - - � �. �.)EAN �7e'M.4h.1 Sglr <br /> THE PERMITTEE SHALL NOTIFY THE CITY ENGINEER UTILI r <br /> FOREMAN S REPORT PTc�—T. <br /> (836-4420) TIVENTY-FOUR HOURS PRIOR TO START ' <br /> OF WORK PERTAINING HERETO. FOREMAN <br /> COMPLE O <br /> ..: .. - . : . . ` '" ,.'.. . .• �i` : DATE <br /> SAji <br /> - <br /> cRQ� 6A1 aeAtZ-ZoN'E <br /> 5-,4arPc.,A14 wec.cr L&tfrrak. nmE, EiT}ltER DRILI_W( wEu. C� <br /> 1B. TEMPORARY PAVING MUST BE PLACED,.:AFTER BACKFILL YES ' 0 N fit', <br /> 2. PLAN REQUIRED CITY INSPECTOR'S REPORT <br /> 9 ' YES ✓ NO <br /> 3. PROFILE REQUIRED (Stf&mlT. �,i ai l o�S, YES ✓ NO INITIALS BACKFILL PAVING4. PERFORMANCE BOND REQUIRED YES No—'S. NOTIFY POLICE AND FIRE DEPTS. / 01DWAJlj S74ac .YE5 N0 DATES <br /> 6., . OPEN TRENCH MAXIMUM LENGTH M A WIDTH N CONCRETE <br /> 7. APPROXIMATE STARTING DATE DATE <br /> 8. APPROXIMATE COMPLETION DATE DATE r ASPHALT' <br /> F <br /> 9. THIS PERMIT VOID' 90 DAYS FROM ISSUl' DATE UNLESS•.OTHERWISE - SIDE <br /> STATED IN SPECIAL PROVISIONS - SIZE OF OF <br /> 10, PAVEMENT REPLACEMENT (SA,tr• REQUIItID) _ SQ- FT. INCHES <br /> 11. PAVING TO BE DONE BY-GIVI PAVED BY. <br /> I CONTRACTOR BILL N0. R, TYPE <br /> MINIMUM COVER`STRtET 36" SIDEWALK 30" <br /> ` CONTRACTORS MUST DISPLAY NAME AND PHONE --- CHARGES BACKFILL <br /> • NUMBER AT WORK SITE - <br /> PREFERABLY ON BARRICADES PAVING <br /> 14. THE COST OF EMERGENCY WORK REQUIREp TO RESTORE UNSATISFACTORY <br /> PAVING INSP. <br /> CONSTRUCTION THAT BECOMES A HAZARD WILL BE CHARGED TO THE DESCRIBE STREET SECTION BELOIV <br /> PERMITTEE. <br /> 15. REPLACE FULL CONCRETE SIDEWALK SQUARES, AS,REQUIRED, BY :. A)0 .� <br /> SAWCUTTING ALONG SCORE MARKS E 4C �CIEC.L (_Q[�-T]gry s%�l/-�LL 43016. SPECIAL PROVISIONS SEE $Er�wJ�09PROV=--o QY �i ry enl6l v�,e <br /> 17. COMPACTION TESTS REQUIRED ON BACKFILLED TRENCHES.- (CONTACT CITY ����R.0 <br /> 18. AGREEMENT REQUIRED. YES�NO r ENCS=NEER& DEPAR".C_' k9kI—L_I AJ G , <br /> '�NsTfl u-�onl, �'kF�n1�nJR•nrcE,�, <br /> 14"r" /}pPt rc�t,v7s FX�ENsE •4nJ0oNn�Ear : IYJ4'A1,TZJ r�14 wEc.c�S .sl�,9u QE G�n/E <br /> t#.i�0. in! �4 cca 2 0�#N c�. w�T C!�, ;..dF_ <br /> i4L774 DIST/Z�GT R�C�UF�2E/►'1a�tlTs`. ,S,4AJ JQ�v� ) Loc t'� <br /> G BEZ,Qw �'�0 Ew/ -+ Rh D E e Cbv�4ep w iTH ... 09 l cfl r4�- t PPRo�C jM,+��.Y six <br /> Ait! Al 9 T 96[--7= 06�.r,v L--PD , SCT FLUSH Win! S1 D�(0A(,K r Z!►�G R1.S.Ty 11/9 '.1t1IV C-n6AJ sox "J tTl•( <br />