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PUBLIC WORKS DEPt* ..,t'MENT N° 307 <br /> 16775 South Howland, Suite 1 <br /> Lathrop, California 95330 Od3lbD� <br /> (209) 858-5592 ' <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name Secor International, Inc. Date Issued 7/31/02 <br /> Address 3017 Kilgora Rd. , #100 Contractor Fisch Env./Cascade Drilling <br /> Phone 916-861-0400/916-774-2910 Phone <br /> (Permittee) <br /> Date work to begin 8/1/02 License No. 693965/717510 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> Construct (3) each groundwater monitoring wells as shown on the Il 13 <br /> Secor Figure 2 extended site map dated 2/1/02, subject to the 1 <br /> attached conditions on Exhibit "A" dated 7/31/02. <br /> All work must be performed to the City of Lathrop Standard Details <br /> and Design Standards <br /> (Attach 1 set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all the <br /> terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this form, and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> by 8/1/03 , 19 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirements of this permit. <br /> Signature of Permittee Directo Public Vorks <br /> By: By: <br /> Permittee or Authorized Agent <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> HIS AGENT. <br /> WHITE-Permittee YELLOW-Accounting PINK-File <br />