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I PERMIT EXPI ES
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JOB SU TEMPT.
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MECHANICAL
THIS PERMIT AUTHO RIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION
STATE SURCHARGE
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT. 1 YEAR, PROVIDED WORK '5 STARTED WITHIN 180 DAYS
END REVIEW FEES
SEE BACK OF PINK PERMIT FDA ORE INFORMATION
.APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
TO DEPEND AND HOLD HARMLESS THE CITY OF
ING INSPECTION FEE
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ISSUANCE OF THIS
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TOTAL AMOUNI , DUE
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COMPENSATION INSURANCE AND ROW 1611
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771-0221
FILE - YELLOW INSPECT6
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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Plan Check #:
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Receipt Date:
2
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Under—d Wiring Required &S
Hydraulics Permit &A
Plattsubdivision Require—nts5"71-0�
Street Dedications x)-%
Easements - Public/Privat6 41 - 19-9
Engineering Storm Drain Review Feel
Engineering 2.2 inspection Fee
Drainage Plan (On -site)
Setback - Storm Drain Line
open Ditch - Existing
culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required A,10
Curb & Gutter Required /Jel
curb Cut for Driveway Required
Street Paving Required
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Right -of -Way Construction Permit Re
Bond Required for Public Improvements Ab
FEMA Map Check/Water Table
Side Sewer Availability lftaW .5-9q-40
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Water Meter Size
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Street Cut
miscellaneous
RW Permit # Date Issued Receipt #
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771-0220
RELEASED By
DATE
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ATTENTION
EXT 333
1 '/ I
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IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
,
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
ORIGINAL FILE YELLOW
PINK -OWNER GOLD
INSPECTOR
- ASSESSOR
CATE OFIOCCURANCY HAS BEEN GRANTED. LEG SECTION 109
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