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U- <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS �DDZ�I'� <br /> P.U.BOX 1810-1810 IIAZI-11,TON AVENUE P No: <br /> rEP-01 254 LV <br /> STOCKTON CALIFORNIA 95201 <br /> (209)46R-1000 Date lssuctL 9/2412001 <br /> Expiration Date: <br /> tip ;i FAX#(209)468-9324 <br /> Job No: 11005 <br /> - <br /> ENCROACHMENT PERMIT utrcwp)-"o: <br /> T _T FU - <br /> To: jVk S WN GEO-ENGI Tk� Encroachment Type: <br /> 1386 V.REAMER STRI:1,""r I.Katiom SIS 0FDOUGLAS RD. RN1`IC0F <br /> J'W�61)1..AND,CA 95776-6003 PACIFIC AVE. <br /> In com p I ia-nec wi lit your request of 09/19/2001 permission is hereby granted to do work in County right of <br /> .TTo <br /> ____I ffo <br /> ms, <br /> way as shc��ft,on attached application L�siuiTUji—ceff 'on ns and restrictions written below or printed as general or special <br /> a <br /> provisions on ally,,,part of this form, See reverse side and attached sheet,i f any. <br /> Trench excavalions,lbr service connections will not be permitted within ten feet(to')of pavement centerline unless otherwise approved by the <br /> Director. Surltcc oftrench trench patches shall match in kind and be smooth and even with that Ofal)U(ting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities.road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not <br /> from right of way(border) lines. <br /> The Depattinent of Public Works, Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within <br /> the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> the California Division of Industrial Safety and Cal-OSI IA. <br /> --nV1111111ftsile shall be kept in a safe condition at all linics by the daily removal of any excess dirt or debris which might be a hazard tocithur <br /> pedestrian or autonlohii6liallig-All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the Tswpease of the Permittee in accordance with the West cdi(ion of the CALTRANS Manual of Traffic Control. <br /> After complekilgilipNic work pe;p-j ji-,; bris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workinan7ke manner. finni ia e y ollowimg-completion of construction permitted herein.,Permittee shall fill out and mail notice of <br /> complel.4"Alovided by Grantor. <br /> Special Instructions- <br /> THOMAS R. FLINN, Interim <br /> Director Department of Public Works <br /> Est.Permit Fee: 1$128.00 <br /> FORMS: ISS/WW,R-29 By <br /> w iI rrE Permittee <br /> Permit Section <br /> GOLDENROD PWD Central File tl <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit section <br /> A(,m%sTemiiL%\FmTn-,lFncroachmesit Pennit <br /> Revised 07/2000 <br />