Laserfiche WebLink
PUBLIC WORKS DEPAhCPMENT N2 441 <br /> 16775 South Howland, Suite 1 <br /> Lathrop, California 95330 <br /> (209) 858-5592 <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name S ror Tnternational, Tnr_ Date Issued 4-16-02 <br /> Address 3017 Kilgore Rd. , #100 Contractor Fisch Env./Cascade Drilling <br /> Phone 916-861-0400/916-774-2910 Phone 916-774-2910 <br /> (Permittee) <br /> Date work to begin License No. Fisch 693965/Cascade 717510 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> Construct (3) each groundwater monitoring wells and (8) each geoprobe <br /> investigational borings as shown on the Secor figure 2 extended site <br /> map dated Feb. 1 , 2002 subject to the attached conditions on Exhibit "A" <br /> dated April 16, 2002. <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 y r , Ik <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 o P is orks <br /> By: j-r� y,'�-� 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 />