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<br />Ap r. 21. 2006 3 :02PM <br /> <br />No. 619~ P, 8 <br /> <br />1. Public JiabDitJ insurance nammg City of Cc:mervflle and other pubUQ apnoies <br />- adclitioltany h1sured is requhed.' , <br />2. Ho14lwmlesa forms executed and failed. <br />~. = 'List'and approveldisappAOyO othftDwatlC8 coveJap U may be required. <br /> <br />S. FIBE DEP.A.'RTlONT <br /> <br />Appovcd by: <br /> <br />SigrI81:um <br /> <br />TJtlo <br /> <br />Date: <br /> <br />1~1 :.- ~vebic1e'iux:ess. <br />2. _ U. offbworb, PJJOtecbxl1cs. vehic1e fuel, opeu1 flame.. <br />3. _ Coolc.iDs faoilittes. <br />4. _ OccupmCJ and apacing of1ables. enclosures. <br />s. _ Per8de, floats. <br />6., _ TeD1Sp _supported ~ caDDpi.. <br />7. _ Othcrprovlsions as Uly be required. by tbfs department <br /> <br />0;- <br /> <br />6.. B11.ILDING DEPAllTMElU <br />~ovec1 by: <br /> <br />s~ <br /> <br />Title <br /> <br />Dam: <br /> <br />EIectdeaI: <br /> <br />1. _ Plan chc:ckIinspeotion of any wiring iastalled on a temporary orpermit basis. <br />2. _ Pennlt(s) attached. <br /> <br />StruiaraIPIa:&u <br /> <br />1. _ PIau ohBokIJnspeotion of any tempol81'Y or permanent'JtrU.otu!eS. includioa <br />, bleaohms,-.t!bldlns, grandstancJ, reviewing stands. staaes. or platfbnns. <br />'2. _ PemJ.it(s) AttA~hed. <br />3. _ Other ptOvisiom as J1S3 be requUed by this department <br /> <br />PqeSoflO <br /> <br />11 <br />