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� .. . � .... . . :. <br /> _. ' .._.'I'�:C_�TFU� :C�R �_'TILI��� P:_Sc.ti:�"� . <br /> - _ _. __,�,, J.� c�,t,�'���.i�`t'�'.�T�:.�:t <br /> ' - _. .'.� _�. .. <br /> �;�_'.�;R.a;� ::�T C;2.hSh7"T�ti <br /> ., :"�U'�rlc j c��,�}�'d:Oi:::l�:C;'y.`•n.7:5 h;'!Ti?.11 CI'lfi perSQ^ 3L r•'r.':'Ci;y offiCS. <br /> _. 'tin:i�d'ul �?F:iGs:1CAS 3:6 51SL;tC! :��:?�OS�i3C 2.���13I7a:;.^.Q i�C S.howr be;ou'. PCtT!`.lI Car3s���il]�� S-:?:h�,.rnyr,l ;,i2.;i',t,t 5�'Ce �.'1} <br /> �ht a�pltcatior. i5;ecrived. <br /> ;. Permits are noc valid until yeu rc•:eiFe c ��CRtlt C3rd. <br /> P:or4�t+�:;:st r.ot ceg:r.u.hle:$LhC r+CTI?:it caer�is avai:ablc c;,che joh site. <br /> �' UTility con:�ec.icr,pe:miu ma}�re issued to licensed contrac..ors oniy. <br /> �. Contzu t'r.c Pub;ic Worl,:s Dcparrrzenc(952-:49-4600)for utiliry sn:b es•bu;lilocacions. DO�07 EXCAVATE iir Ati'Y S?"TtEETA:�D <br /> v0?�GT T.-.P ANY'.v1AIN�'ithout express approval�f th�i'ublic Works Dep�en:. �ssusnce uf a permit does not�rsn:this app:ov.t. <br /> 7. At!work m�s[he done in accordanca�vith State Code requi:ements. <br /> ;;. All work rnust be inspectzd befo:e it is covr.cd. Call(9�2)249-460�. <br /> 24 hour notice required• <br /> JOh SI'TE AT?ARESS: � L, ;`(�S�'�%n c'-� , o�o�� -- <br /> Oceu�ancy Type: Residential J Commercial <br /> URaer's ltiami:�� C' �e � � �n� v�2 Phone humber� +7Co��J3'o�1a�(? <br /> '.L'�aiiing Ad�iress• p (�b11 �-113 3 Clty: '►hh� .�� Zip: 554y 7_�,CU�3� <br /> Contract�r's P�ame: �Qd �X vc���r.� . Phone Vumber:9 - r-t - <br /> �1aitiag�ddress:��-IQ1 (.,c3 1 a(n�' �ipp:� City: ��LiP��_�37.� <br /> PER:VfIT TYPF . � <br /> �'luaicipa!Se�ver C�nneition ($35.00 per stu � <br /> �.� . - _ - _ � _ = _ <br /> t. _ _ � . _ _ . - <br /> . <br /> _�-,.��. ._z_:� ..-;.� ; T ._-._ _�, _ .-:; :__ --: _ - �_- = _ }-� -- _- > <br /> - - :�: <br /> . - , <br /> - - -.---_�-�-> -- , <br /> - : - - _. _�. �.� - _ - <br />