Laserfiche WebLink
Q—G�—I`Jyt5 I =2tYM t-KUM F'UtSL1U WUKIKZi .31:5f3tb/ 10 <br /> J \� <br /> vCity of Lodi ENCROACHMENT <br /> ubfic Works Department <br /> PERMIT <br /> PEi'WTADDRESS (ALLEY) EASEMENT NORTH OF Lodi Ave; WEST of Cherokee Daze 6J29198 <br /> APPI.1t;,MMS N (0wn8WCCs'Lbdeter) AwRESS <br /> (EMECON) Pi nacle Environmental Solutions 3939 Cambridge Rd, #220, Cameron Park, CA 95682 <br /> PHONE <br /> S7ARTWG DATE cOriwr ETlr5h1 aA7r: _ L tCENSE Noy (530) 676- <br /> t>}r ftFJCOI4TRA ADD sS PF7 NR <br /> Mark Capp , R.G. #6561 <br /> NmnmtDth*pro,Amk a rd the Leel rNurlidpak Gude,the W0,,lgned apples far pffi r,lsafon to rxamWe,axMnxL and(or otita,wlsa*M M*,Ch oro czy street AO-d-war ar F—nt ey yedonNnv <br /> are Loft%MW. <br /> NOTIFY USA( 04)227-2600 48 HOURS PRIOR TO ANY EXCAVATION. <br /> ThewDrk1GcnsMs0f abandonment of monitoring well in alley NOTIFY CITY INSPECTOR At <br /> L d' West of Cherokee I n- <br /> START OF WORK: <br /> - <br /> (ARCO sta ion). No vehicles on sidewalk. Curt Juran: 333-6836 <br /> finish r des; as halt concrete 3" min. ; <br /> Manual , current issue- alley to be closed- barricades <br /> and proper signage required. <br /> NOTIFY proprietors affected by alley closure; proper <br /> notificat on required; a tl rnitp 'ingress/egress to <br /> be maintained- <br /> Blocking of public sidewalk (Cherokee Lane) requires <br /> "Sidewalk Closed Ahead" signs at nearest crosswalks <br /> at street intersectinn, a.... "Sidewalk 11 <br /> worksite. <br /> Permit void 8 i work not started within a months of permit date. (Space For Sketch) <br /> I-Joense J Contractor required for this work <br /> XX Certificate of insurance in the owners name which names the"City of Lodi,its elected and appointed Boards,Commissions, <br /> Officers,Agei ft and Employes as an Additional Named Insured is required for Comprehensive General Aggregate in the amours Of <br /> $1,000,000paroccurrence and Automobile Umbility insurance in the amount of$1,000,000 combined single limit. <br /> The urdeaiund 4&m hereby agree to Indw-niry snd sswe the Orty d Lodi free wed hwnlLess kam any keine In accadama wllh itis p wAsterta of Sec.12.04.UO of the Loel lA,mldpal Coda. <br /> PemW,ee is spedrK igy aware ar Soo 12442W there&retabnq W the rdor*mn&e eemmt of said wwmochmmd if fuluro ermeaudlon requVes WAh rroowlw. <br /> v the wade!or whict VSs weroammant P mA has boon issued has net been ox*awd by the City of Lodi titwa here the tight to carrtptate an v4vrk.and to as a Gauss ut Action to <br /> Mtom*Ciro citfsM ns"in oomp*&Q the wok and fa al a4nar austs and tees M arsartlanaa ltr ore d set_i zD4.1 w or m loth kwwcoal trade. <br /> Date 0— Signed r <br /> Required feel etmeM Secxlriky Tins p"t is�1ed subject to en PPWRIous of tempter 12-04 12.04 d the Lod hk+d*m Coda and to <br /> Re <br /> ARe Risk pr e, Inc o f Northern California gi g rterat prtwlslons and aptdlUdM speeeR provislcns as*Frown W rhe roMmm aide- <br /> Certifieatth of In uranoe Permit Approved: CITY orE.ODI, <br /> Comp_Gen.P licy No. rd6B2Q16I270b t=xp. 111/99 <br /> By ' <br /> Automotive Pc GY No YX0300371B (AOS} _E,xp. 1/1/99 Pub IC Above Grotand Date <br /> Referred mX.urt �uran 333-6flafi Date_ Public Underground <br /> Inspected Data— <br /> Completed— <br /> $1a <br /> Complet bate _ XX Private,,,o 6e-WW, ad or WM.Wed by-~1 8&M*Avdl, <br /> Revisymd Date_ Other PERMIT NO <br /> rit97 PY+MD-00¢(Rev-SMfi <br /> WhSte tnt�ecior Yelo"M Plnk/FmR WA* <br />