12C-119 (3) a I3ngineeting Bnard r ,
. 1 #a•s8 G (� 6 Rick br i ve
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.� City of Northampton,Mass. '
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ry No:......».. �?: .........................
f - APPROVED
TREN PERMIT D
(Board of Pub. Wks.)
` No�ko k'to atait until aimed.
This permit (license (W digging up any street or sidewalk is issued under the provisions of Chapters 32_and 18-A of the Revised
Ordinances of the C1t ,f D, bston spl�jec4tito the "Specifications for care of Street Cuts" approved and adopted by the Board of
Public Works on f + t 1`-O . The applicant hereby agrees to protect•all cuts with barricades and lights, and to
save the City of N04ampton barmkss from all claims for damages whatsoever arising from the occupation of the highway, until such
time as the work b been approved,and accepted by the Board of Public Works as provided for below,and in the case of private utility-
to to pay all charges fw7ulPacing.
1. Name cv`
A �ess »...».......»...........» i7. Y.�p °a �1..».».......».....»»...»....................».. .....................»..» .»....».....» ..
By .,.. .............*..:..............:' .... » r° =:i ^!'......1 .......................»............................................»................
».». .
(Authorized Representative) r
2.:;�Location and description of proposed trench and utility (if any), and purpose of cut:
Rick Install >iater si rvic .
M&y t;, -„ f?C,
3. F.Rnhated-dateg o€;