Nanaimo : Règlement no 5000, art. 13 — Building Permit Yes ________ No _______ Number I

Building Permit Yes ________ No _______ Number I

• (we) hereby agree to be bound by the provisions of the City of Nanaimo Traffic Bylaw and amendments thereto, if any; as well as any regulation contained within the City of Nanaimo Manual of Engineering Standards and Specifications which may govern work in or under Municipal streets, easements and property; as well as to such special conditions, restrictions, and regulations as may be imposed by the Director of Public Works.
• o INSURANCE ON FILE o 3 SETS OF APPROVED DRAWINGS o DEPOSIT AMOUNT ______________ _______________________________ ___________________________ Authorized Company Signature Applicant's Signature ____________________________ Date of Application PERMIT FEE $25.00 G.S.T. 1.75 TOTAL $26.75 (Bylaw 5000.021) Bylaw No. 5000 (Consolidated Version) Schedule "I" SCHEDULE "I" The permission and approval granted herein, is subject at all times to the following conditions: