CORPORATION OF THE CITY OF PORT COQUITLAM

SCHEDULE "A"

"Blasting Bylaw, 1990, No. 2544"

BLASTING PERMIT

No.:

Date of Issue:

Insurance Policy No.:

Policy Expiry Date:

WCH Blasting Certificate No.:

This permit authorizes:

address

to blast on those lands at

address

known as

legal description

in accordance with geotechnical report of

for a period of not more than fourteen (14) calendar days from the date of
issue in accordance with the provisions. of the “Blasting Bylaw, 1990, No.
2544",

Note: This permit is subject to cancellation without notice for any
violations of the provisions of the bylaw.

This permit expires:

City Engineer