HomeMy WebLinkAbout06-121_Page_3The total square footage of the site:
The total linear feet of water lines crossing under paved road:
IDENTIFY THE TYPE OF WORK TO BE PERFORMED:
❑
Awning
Structural Contractor:
❑
Benches
Number of Benches
❑
Bike racks
Number of Bike Racks:
❑
Cafe
*Structural Contractor:
❑
Canopy
*Structural Contractor:
❑
Demolition
Structural Contractor:
❑
Electrical
Master Electrician:
❑
Facade
Structural Contractor:
❑
Irrigation system
State Licensed Irrigator:
❑
Landscaping
*Landscape Architect/Company:
❑
Masonry fence
*Structural Contractor:
❑
Sign(s)
*Sign Contractor:
❑
Waterway Alterations
Design Engineer:
❑
Wood fence
*Structural Contractor:
Other (please describe):
Identify party to perform this work: PTV& ovc f� t cap I
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*The starred items may not require that structural contractors, sign contractors, or landscapers perform
the work - contact applicable City Departments for determination
I hereby verify that the information contained in this application is true and complete, to the best of my knowledge.
I understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any
time. I also understand that this permit may be revoked at any time at the discretion of the City Officials.
3A-MI L) �L1D10
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Applicant's signature
Conditions of Approval:
6Q - -D1rV
Date applied
Authorize on of City Engineer
Date approved
1-Aug-02 2 of 2