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Page 1 of 2 ENCROACHMENT PERMIT PERMIT NO. <br /> CITY OF TRACY DATE OF ISSUANCE <br /> PERMIT VALID UP TO <br /> 1 �]� PROJECT COST--r),2(-`, <br /> INSPECTION DEPOSIT <br /> PERMIT FEE <br /> ENGINEERING FEES N �- <br /> TESTING FEES•�'r, t ��._• �Qy_ <br /> PERFORMANCE BOND S 2-0 <br /> THIS PERMIT IS HEREBY ISSUED TO ENCROACH ON THE l,L�- t4--^7 S-IDE OF [ F-Ro m- <br /> tIa-�.Jt-� / -C%�/ •l�' -CI:T e i ilt�t �Ul I l CJ(i eel S (/ r l . <br /> FEET O/F/11 FOR THE PURPOSE OF J — Sn <br /> NAME OF APPLICANT iC_. ADDRESS /002, /V ,t/4,1Z!_111 11« - YVL �- jJPH0NE: 7-D(0 <br /> API �JED BY --- C,/) S?6 % f;'}� l�S(�-07613 <br /> FIELD SUPERINTENDENT: '?'14-4- 4-r4-, (2 <br /> CONTACT PHONE NUMBER: <br /> CONDITIONS OF PERMIT <br /> 1. The Permittee shall notify the Public Works Department - Inspection Division (831-4420) forty-eight (48) hours <br /> prior to start of work pertaining hereto. <br /> 2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standards, <br /> Specifications and shall comply with all existing codes and policies. <br /> 3. Permittee shall notify Police & Fire Departments before starting construction of any work. <br /> 4. Tentative starting date Z !5-777 /r3).C,:F 7 <br /> 5. Tentative completion -date /�v(Z2�-. (O - } t ICjr) 7 CITY INSFECTOR'S COMPLETION REPORT <br /> 6. If construction is not started within 90 days from <br /> the issue date, this permit will be void unless DATE OF COMPLETION <br /> otherwise stated in the special conditions. CONCRETE <br /> 7. Contractors must display name and phone number at work ASPHALT_ <br /> site - preferably on barricades. SIDEWALK_ <br /> 8. Phe cost of emergency work required to restored BACKFILL <br /> unsatisfactory construction that becomes a hazard will PAVING_ <br /> be charged to the Permittee. SIZE OF CUT <br /> 9. Replace full concrete sidewalk squares, as required, SQ. FT. INCHES <br /> by sawcutting along score marks. PAVED BY: <br /> 10. Compaction tests shall be required on backfilled trenches <br /> at the expense of the Permittee (contact City Engineering COMMENTS: <br /> Department) . <br /> 11. Traffic control shall be in accordance with the City <br /> Traffic Manual. <br /> 12. Trenching and resurfacing is to comply with Standard <br /> Plan No. 501 and 501A. CITY INSPECTOR <br />