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Page 1 of 2 ENCROACHMENT PERMIT Co„ <br /> PERMIT NO. <br /> CITY Or TnACY DATE OF ISSUMCE <br /> • o <br /> PERMIT VALID UP TO o <br /> ' PROJECT COST <br /> QAC iD �INSPECTIOH DEPOSIT <br /> PERMIT FEB 3 d <br /> ' . •SNCI1tEERINC'R$BS r <br /> TESTING FEES N <br /> 'F%L EV PmoRmma ROND 1 be 4 <br /> TRIS PERMIT IS f38RBBY ISSUED TO ENCROACS ON THE F tLb�T SIRE OF N�W W t..D f'tj c?{U �r71 !A[e�� <br /> �r w o�p F t o�➢ �..S-��5 l a e p�.6 o-ru �� -r tt,S T. S A t C_. <br /> FOR THE PURPOSE OF j o <br /> r � <br /> NW OP AAPLICAHT `7 F Q.t ea <br /> C" ADDUSS 2t i ZA Pie_ _ PHOHE: 5rD 443 4 tor� <br /> APPRO <br /> C� r. wt.A-"0 9+f�t2 .1. <br /> I�BD 8Y � <br /> FIELD SUPERINTENDPNT: <br /> CONDITIONS op p g,417! CONTACT PRONE 11t1NUER: <br /> 1. The Permittee ahaLl notify the Public Horka Department - Inspection Divialon <br /> prior to atart of work pertaining hereto. lam) forty-eight {48} houro <br /> 2. The Permittee agrees to Pexform work under this permit in accorda'ngce7with they <br /> Specifications and shall comply with all existing codes and policias. prevailing City Standardo, y <br /> 3. Permittee shall notify Police 6 Firs Departments before Starting construction of any work. <br /> 4. Tentative starting date fit- $ H-0 u 2. � <br /> S. Tentative completion date Ala c e o <br /> x <br /> s. If conotructitn is not started Within 90 days from CITY INSPEC o 'S coMPLETjgM REPORT <br /> the inaue date, this permit will be void' unleea <br /> othenjl ae elated In the special conditions. DATE of COMPLETION <br /> 7, Con ractpre must' diep14Y flA& • and phone.number at wo;k CONCRCTE <br /> site - preferably on barieicadee. ASPHALT <br /> 9• The cont of emergency work •required to reutored SIORWALK <br /> Unaatisfactary con9truction that becomes a hazard will 9ACXFILL <br /> be charged to the Permittee. PAVING <br /> 9. Replace full, concrete aidewalk a SIZE OP CUT <br /> by eaWcutting along score marks. "ares, as required, SQ. FT. INCHES <br /> 10. Compaction tests shall be requirad on backfilled trenches PAVED HY: <br /> at the expense of the Permittee IcOntact City Engineering <br /> Department). epN s: <br /> 11.• Traffic control shall ba in accordance with the s $t N TS <br /> Traffic Manual, <br /> 12. Trenching and reaurfacing is to cdmPly with Standard <br /> Plan No. 501 and SCIA, I� <br /> 0 <br /> w <br />