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E NCS HME[,4TC TELr,`•?16, 85 -6, =
<br /> `} .711. 1 2' '92 1 i! (_l f'do . i.l�i F • it?
<br /> L(ED 0
<br /> PUBLIC WORKS DePARTMENT �I�\J ��f U� ll1JL,
<br /> 229 W. PIP ST. 333.6706
<br /> ENT
<br /> CALL C3OR fir' e
<br /> AL524 .
<br /> LORI, CALIFORNIA 6i!�
<br /> 'F :.-ALLEY
<br /> -CLOSURE
<br /> Permi2Aadrggs ALLEY__N_�R -� a SOUTH Ci',ERCIKI�E LAZE
<br /> Applicant's f aMe- ftESf�A - - — _ •f
<br /> Qw;w4contractor) -R T•- INDUSTRI B
<br /> M lG%,ice cam?/pletton _ -- --� 3144 Gold
<br /> ~ ` 2T.N4.(Address amp `Drive, g '
<br /> Starting Date X7/92 j - R.fi`
<br /> Date 7/31/92
<br /> _
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<br /> - LigerlsoNo. 629796 Ph (�1b�,?52-6691
<br /> Gu rterit�tf'at�tor� �i -1- :; 1r �'i �, <i� �.•�.�,� d���/ .— �,,�_
<br /> rsursuanl to the provisions of the Lodi Municlpi Gad ,The undarsienesf applies to parmfss,on to oxcavate,canstsu�tanelar otherwise onoroach on
<br /> City' �-1-�r�irllr �, ,,/•!> hrene
<br /> Y Sir86f Right-O!.VJuy Or Easement Gy pArfor-Ing M6 fotiowlnp Werk:
<br /> NOTIFY USA (804) 642.2444 48 HOURS PRIOA TO ANY EXCAVATION.
<br /> Yheworkconsistsof_..,fist:tl.lgn -- p- - nn.itad rt y
<br /> asst"west: ai less north of Ave. Off Of Cherokee . .a' _..
<br /> Lodi Cherokee I�airte
<br /> as shbvrn or, attr�eheci rrc,rk plan. Traffic lid- required
<br /> wi th utility bW', t)-djusted to surface grade. Barrcall
<br /> i �. la 11Qs,t� iis _ Iz - nranll.o)
<br /> Notif) affecj;ed_Sro crt owners prior to start~ of wbrl '-� 0 r {�,
<br /> r_ --
<br /> 144f,fY- CitY Eth4 044yabandonment of ncruact> _ b� O � ��requred, �P, , ¢6 �• t�y3�$y I1I'
<br /> �T
<br /> CALL : 24hiatars rior to start of vork City- gnspeo:c�r, C 06 rrrr �I!
<br /> 1�fi11 3�'tr.l'icker, (209) 333-6835 ��� �
<br /> Permit void if work—not started within fs rrtortths of permit date - � l
<br /> Licensed Cnntrac#or re required ( p .. orSktteh}
<br /> q ed for this work.
<br /> 11c1X Certificate of insurance In the owner's name w' hlch names the City of L' dI as an Addltlonal Named Insured for com-
<br /> prehensive General and Automobile Insuransr8 in the amount of si,00"
<br /> The undersigned doe3 hereb 000 comhlned single limit is required. I
<br /> I'
<br /> Y +gree to Indemnify sn f save the Ctty of Leri;free and harmless frolm any liability,in aoeordanca with the provisions of sec.
<br /> future
<br /> cQ of the LGdi Wricipal Code.Permittee is speciflcaity aware of Sec.12.04.290 thereof relating to the rolacatlon or rernoyai of Sgid encro8chn}A�t it j'
<br /> TutWe conBlruCtion raQulras such relocation.
<br /> If the work far which this encroachment pern111 has been issued has nct been completed by
<br /> Of Lodi ahgll have the right fa complete the work,and to Nle s(suss of Acon to recoup the City'tiexpenses in Complatlnp the work dntl for ail other costs
<br /> anC f2es in accordance wltlt the provJSians of$eC, 12,04.120 of the Lodi Munlctpal code,
<br /> Date-? Signed.� 'rrf C 'r'- ^/ ✓ate
<br /> ��ri�'r v'� �-._sy•� C.
<br /> FReqed Improvement Security This permit Is grafi ted subject to ait pravislonS of Chapter 12.04 of the Godl
<br /> Nfunlcipst CpdB and to all genera,provisions and applicable special provl.
<br /> --- cions as Shown oA the reverse side,
<br /> ate of Insurance ISLC i C), 7if iG�� - J
<br /> Gen, Policy No. _ �xp.1L1/�_. Permit Approved: CITY 4f= ,LODI
<br /> Automotive Policy No. .I.S)_`_y 077c,-.56-9 P.1/1/913 I
<br /> Referred ta� �� �G ,� - By. —�'•- _ ' -
<br /> 1-J Public Above Ground Date
<br /> Inspected
<br /> _� Date U Public Un1l, erground
<br /> Completed_ _ Date_-___.--_ private, To be mefnra1;79d or relocated by owner rc requfretY.
<br /> Reviewed
<br /> - _— —Cute—�_ •--- Other IPermlt No.
<br /> 5l9G fwtY7 Whtln.lnspector Y01ro w h Pc rhallee'I Af:atlBm,7?lot's;,
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