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r F r1PON ..__ ® 265-599-268E .._ ..----G . 1999 19 <br /> pS3� P.Ol/p, <br /> PU=C WORKS DEPARTS so. N° 1223 <br /> 259 {H- t lbw ivnaae <br /> . • RiPoa.. Ca]iteza9.a 95365 <br /> 2Q8�599-ao8 <br /> ENCROACHMENT .PERMIT <br /> 40: Name o4- � , Date issued _ e-zZ <br /> Ari�ess 757 �sz,..ro<y trr�. �'*,-rr"Contrzcta= wf S z flA�i"1 sd ; <br /> �.arl;�F Cfr 44 5 S 3 Phone C9 G 3,9- 7 z <br /> Phone 37o --3 -fqo License Number r573u- 554 '1-7 <br /> caarttt�I <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 /> _necial provisions on any part of this form, and/or attached hereto, <br /> PERMISSION IS HEREBY GPJL'gTED T0: <br /> ri.t c ,'4f-GL aS/ v' 'xN,/C- .9 a � � r6; l3osZ7r> G . CSS -25� <br /> Amo QassraLY A wC-u.. <br /> {Attached two sets of plans or sketches if applicable) <br /> P12EXSE PMAD TRIS PERMIT C&RErULLI°_ "FEBP IT n? THE WO:-R 5I75. To arrange <br /> for an inspection, phone 599-2108 at least 98 hours prior t0 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 byMNmac-}•{.- 157 , 19 99 <br /> Accepting this permit or starting work hereunder shall constitute I <br /> acceptance and agreement to' all .the conditions and legbirements of this <br /> Permit_ <br /> Signature of Permittee Director of, ?,Jblic Works <br /> By: AIX B <br /> rD <br /> Permittee or Authorized Agent <br /> PERMIT NO? VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COLLETED! <br /> Date. Ey: <br /> Wni2C•Fnc - TNI�x-US?xMr . Rnbeppli.an[ <br />