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AJC, -28' 01 (TM 1042 is1 iY 0 ACY' � SEL l09 8 430 ?, 003 <br /> FILE= No,129 08.08 `01. i7:':,e !D;CtiY CF TPXY DEV & E% FAX=20a a?! 4608 PAGE 4i 4 <br /> Phis Permit Issued purs4ont to all provislWS of Chy of Tracy 6Au ielpai Dada. This penult gaaotfir upon the <br /> axprM conelon that the I)NMAC e1180 be rasponoible for all alms and liabilities arising out Of MW*Pertorrnre d <br /> under the pemtit as arising put nt p6m�itsas's failure to perfor, ofoilt Wfth Iraspeat d streyet rrtainterrarue. <br /> The perm to®e shall end by socr ptarce of the permit agrees to, nd, indemnify.same and bald tlam4iesc trq <br /> city, its olftCers and amlowpo , and against amy 2nd All sum,eiairna or aogens bmugtlt try any person for or <br /> on account of any bodily kjuft% diseasa or its or dantdoe persona andlar property sustanrted or eftft in <br /> the c oistruction of the WWU paribnriad under the permit or in tAnes or perMae'a failure W perform the <br /> eldlgsttnns with respect io street n etn=anae. <br /> b' the provibiens at tuts pemnh. <br /> 8O �Q <br /> E 'S SIGNAT't1RF DAA <br /> Fria to rsx=Vstion,Car&scWnr must eontaet the iollowing to" belaw-§mord MCllMM Iacsd(48 hours oarto <br /> WW. <br /> UNDF-ROROUND SERVICE ALERT <br /> Tali Free:(800)227-OM <br /> 84yd Bervios Canter <br /> (209)331-4420 <br /> Nola: Yau are ratiliad that swinn 5900 of the tabor Code rimlulres U I6ictMO of a permit by the DivWiw Of <br /> Indumrial sa1ev of the ghats of CaliforNa prior to the=Mucti2n cf any trench or exoeveUM which is tt a Not or <br /> deeper and into which a person is required to descent � tion in airy street srasaa uultllou!an exeavadan <br /> parnit may qe puoislhall;ls by a fine. <br /> Permble aWeea that dtetr Pamir WA*Pt Complete responslial, for coordination wkh,reporting ta,and complying <br />-- – —"Wilt the direo5err 4T.env artd sit boards or disiri:ts, inciud'Ing b t not knitted to,SATs Joaquin County Loeet Health <br /> D artd Calftmia Re VMW 4uady Control Board o any ocher roguiatcry agency having;uriaesta W Cr <br /> awrrorfty over sail or ground wsri5er contamination such ss that fmntly bund et the lute of this work.including the <br /> �eservagion of the tiedtr.and oaf*of parsons woftng r� r in�r trench or excavattam ar an the wrs�o•of <br /> tba constrs OM p�O,or any persons pausing by or cha"M i .Or my parsons I'nft to vicinity of the <br /> construction pmopt for erry meson wrtataee+rer that my .ar pttrelwis0 etfka!tits he#ait11 ar gtlity,now <br /> and N the f61Wr6,of llteee persona or group W persons. <br /> FuAhorRWO,permittse Hereby accepts 00ftV is rWanifib(Ply for d4pasai Of any psfraleurr.affeotaa soils,or <br /> ground water, including reporting to and carrtdying wisrt the ro juirernenb of amt,or aa,Of 1116 Am.M,or any atha, <br /> rsriuiatory ag%rroi6s as dscsased Move. <br /> CITY Iht9P�CTQR'S_C LIEL.ETION REPORT_ <br /> Lite of Complsuon, Co' <br /> Asphalt: Sidewalk: <br /> HWKMI! Paving a <br /> &=of cut By- <br /> Sq.Ft. Inches Pang <br /> Gommpnts: ' <br />