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�Hum :uiiy OF RIPON <br /> FROM :CITY OF RIPON • 20F-s99-2655 1999, 19 14:P4 4ee2 P.01/01VV <br /> PUBLIC WORKS DEPARTMENT So. N° 1223 <br /> 259 ia. Wilma aV%k3T1;8 <br /> Ripoa, C 'i:E* Liz 953fi5 <br /> Z09�393-2ia8 <br /> ENCROACEMWA T PERMIT <br /> s0: Name <br /> T Ct�MZ p--xge.;7J o� Date issued _ '��23��� _ <br /> Address757 /4/1N'D=-D 7R, Contractor Wf=- 5-7- Nth 7- <br /> Phone C'716) (v-3e-7Z7(,, -- <br /> Phone Oip-5) 370- 3g9a License Number e 57 17q <br /> C?er-.i�ceal <br /> Pursuant to Chapter 12.12 of the City of Ripon Municipal Code and all the <br /> terms, conditions, and restrictions written below or printed as general or <br /> special provisions on any part of this form, and/or attached hereto, <br /> PER-MISStON IS HEREBY GRANTED TO: <br /> S y s-r'4 2-.L 2 51p / .L N V 4a 7-2 Gs F k•vCs /3 o du z,v G, ('/-7 Z" Z Z> <br /> CoM �z 1r S A" 470 ' " l AlI -T dO-Z'9 /j wrx 2i. , <br /> (Attached two sets of plans or sketches if applicable) <br /> PLF-BSE RZAD THIS PERMIT C?.REE'DLLY. REE? IT AT THE WORK SITE. To arrange <br /> for an inspection, phone 599-2108 at least 48 hours prior to construction. <br /> Your attention is directed to the general provisions printed on the back of <br /> this form. This permit is to be strictly construed and no work, other than <br /> that specifically mentioned above, is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have <br /> been completed by MAdtctf (•5 , 19 ?1 <br /> Accepting this permit or starting work hereunder shall constitute <br /> acceptance and agreement to' all -the conditions and requirements of this I <br /> permit. <br /> Signature of Permittee Director of Public Works <br /> By . <br /> Permittee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OF. HIS AGENT. <br /> WORD: Cd%PLETED: <br /> Date Ey <br /> Wnflorn2 Yello.+•Ins000Wr Ftek•Appltc ,t <br />