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:

WCB 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".

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

This permit expires: By:

City Engineer

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