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CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR <br />103R��� <br />Occupancy Permit No.: 2507 <br />Date Issued: 7/2/2018 Contractor Name AEP <br />Start Date 7/9/2018 Contractor Phone (574) 232-2091 <br />Exp 8/8/2018 <br />Address <br />4716, Bellevue Avenue <br />Issuer DCH <br />Inspector Matt Loncifeflow <br />Inspector Phone (574) 286-9589 <br />Comments Contract Land Staff/Black and Veatch --NIB (Lane closures to <br />access construction site - 90 days. Will apply for extended <br />occupancy. <br />OFFICE OF THE CITY ENGINEER, South Bend, Indiana certifies that the above contractor, having an <br />approved occupancy bond on file with the Board of Public Works is granted a permit to occupy the, City <br />Right of Way in front of the above address under Provisions of the South Bend Municipal Code Chapter 18. <br />THIS OCCUPANCY PERMIT IS NON -TRANSFERABLE AND ITS ISSUANCE SUBJECTS THE NAMED <br />CONTRACTOR/PERMITTEE TO ALL APPLICABLE RULES, DUTIES AND OBLIGATIONS IMPOSED BY <br />THE CITY OF SOUTH BEND MUNICIPAL CODE AND TO ALL REGULATIONS IMPOSED BY THE SOUTH <br />BEND BOARD OF PUBLIC WORKS. <br />VOID AFTER 90 DAYS. GREATER THAN 90 DAYS REQUIRES BOARD OF PUBLIC WORKS APPROVAL. <br />Amount 5455.00 <br />Payment Type Invoice Contractor Signature <br />Paid by Check No.: TXFR <br />Printed Name <br />