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o <br /> Page 1 of 2 r-NCROACHMENT PERM.LT PERMIT NO. �d � �• �� � <br /> CITY OF TRACY DATE OF ISSUANCE 10 - ~z. -7` Q e-D , <br /> PERMIT VALID UP TO S l - t '1i - Cr p , <br /> PROJECT COST <br /> INSPECTION DCPOGIT <br /> PERMIT FEE <br /> -ENGINEERING^FESS J <br /> TE S ZXNG FEES <br /> >I 11 PWORMANCF BOND 1 0 0 <br /> THIS PERMIT IS HEREBY ISSUED TO ENCROACH ON THE ~ �� D L C SIDE OF <br /> STS b OF LE1ti�ti2 2 S rt-} FOR '2n, PURPOSE of •��1 s�tx. l � off. YY�os� �� 2� W e { � S <br /> NAMB Off' APPLICMT�P-� e-� �a.v� ! fJC ADDRESS 3 �r (- G�vL �awi mac►I�g •`��1'SONE: <br /> Go.a d a n <br /> APPROVED SY a-V"wl Up'L S v t c� r� FIELD SUPERINTENDENT:�+�V <br /> CCNTACT PH= NUM S:1, <br /> CONDITIONS OF PERMIT <br /> 1. The Permittee shall notify the Public Norka Department. -- Inspection Division ) forty-e-,ght (48) hours <br /> prior to start Of work pertaining hereto. Swo ! L44(o [0 a 9L ?j 3 1 LJ14G {p <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 n©tify Police & Fire departments before starting construction of any work. <br /> 4. Tentative, starting date Q ou t -7-� --Z I <br /> S. Tentative completion date _ A) b1I L ` 2.2 _ CITY INSPECTOR'S COMPLETION REPORT <br /> 6. If conatructi.on is not started within 96 days from <br /> the innue date, this permit will be void' unleas DATE DF COMPLETION o <br /> oncarwine stated in the special conditions. CONCRET.S A <br /> 7. Contractors must display name and phone number at work ASPHALT �' <br /> site - preferably on barricades. SIDEWALK F- <br /> 8. The coat of emergency work required to reatcred BACXIILL <br /> unsatinfactory construction that becomes a hazard will PAVING <br /> be charged to the Permittee. SIZE OF CUT <br /> 9. Replace full concrete sidewalk equaree, as reguired, SQ. FT. INCHES <br /> by sawcuttinq 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 ftk0y ST?►TS <br /> Traffic Manual. <br /> 12. Trenching and resurfacing is to comply with Standard g <br /> Plan No. 501 and 501A. - .. <br />