while reasonable care will
damage any Private works
construction or

highway,

damage to

This Permit+ shall be effective’ on

and shall expire on

be taken
while carrying out the

by the City not to
ny public works in any
ibility to any kind if
occur,

| hereby agree to al}
Highways By-law, 1984, No,
herewith the sum of §

2011"

the terms of the
and this permit and deposit,

that |. shail ftutf#il at
herein within the time specitied

| agree that
Said works to the
time herein
fulfil aif
Highways B
ult thereof,
@ or action

Security deposit made herewith and retain the

of the term
in this Permit,

should fail.or
Ons of.the
No.- 20174
that the City may, without
in the courts, estreat the

"Port Coquittam

as security to guarantee
S and conditions set out

gineer within. the
neglect to
"Port Coquitiam

and this permit is

same tothe

use of the City as liquidated damages.

ANO ! further agree
to the Satisfaction
permit, the City shal}
Security depos!i+ m
Prescribed by Section

WITNESS:

ISSUED BY THE ENGINEER this

that upon completion

of the said.works
Oursuant to this
to deduct from the
inspection
law No. 2011.

APPLICANT'S SIGNATURE

ENGINEER
Application fee ($5.00) Paid,

Security Deposit ($

Meet rl taf DMB RE Agha t bane ee Nt

Receipt No,

19
tre

) Received, Receipt No