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Page 1 of 2 ENCROACHMENT PERMIT PERMIT NO. <br /> CITY OF TRACY DATE OF ISSUANCE 1. Ig L <br /> PERMIT VALID UP TO -1 <br /> PROJECT COST <br /> INSPECTION DEPOSIT _ <br /> PERMIT FEE 00_ foo <br /> ENGINEERING FEES <br /> TESTING FEES S/� tD 17,/ fz <br /> PERFORMANCE BOND F-I-E <br /> v Lj -FROM <br /> FEET <br /> THIS PERMIT IS HEREBY ISSUED TO ENCROACH ON THE 618Ia-6F� <br /> FEET OF FOR THE PURPOSE OF L N(�TR L(� 06, lti 7� /'1 C/V) <br /> N OF APPLICANT J�flyf}^�Cf� ,D G�D����Nn` }z-ADDRESS U �ti'- m art Uh^T Garret, PHONE �Q <br /> �1 ti S-TMtL—Tc"v � I, C 2-0C'--j <br /> APPROVED BY FIELD SUPERINTENDENT. c <br /> —V A� -� CONTACT PHONE NUMBER: C-;2L>-j ) !�2 <br /> CONDITIONS OF PERMIT <br /> 1. The Permittee shall notify the Public Works Department - Inspection Division (831-442.0) 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 (. "? 13 4 <br /> 5. Tentative completion date CITY INSPECTOR'S COMPLETION REPORT <br /> 6. If construction is not started within 90 days from <br /> the issue date, this permit will be void unless DA'L'E 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. The cost of emergency work required to restored BACKFILI, _ <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 /> CITY INSPECTOR <br /> Plan No. 501 and 501A. <br /> x <br />