Laserfiche WebLink
pNtECA, tOL����'}3 <br /> as �o PUBLIC WORKS DF RTMENT -RECEIVED 2001 <br /> Manteca = 1001 W. Center Stre ` <br /> Manteca, CA 95337 N2 414 6 <br /> ENCROACHMENT PERMIT <br /> Contractor: a. q, d J. r,. Project Name: 5iQIrli <br /> License No: _],2Q!2Q4/ Project Location: D 1\1, Mu;,� <br /> Address: P0, Imo) 4411c4e �� <br /> Date Issued: 3 -� Z 7'-. 0 1 <br /> Phone:9,t p 0 <br /> License.Verified Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms, conditions and restrictions <br /> written below or printed as general or special provisions on any part of this for, and/or attached hereto, <br /> PERMISSION IS HEREBY GRANTED TO: `=U_t L(.. V---Lc. 5,rc--_S a ZC161 aK;/1-1 vi) <br /> (Attach Two Sets of Plans or Sketches, If Applicable) <br /> PLEASE READ THIS PERMIT CAREFULLY. KEEP IT AT THE WORK SITE. To arrange for an <br /> inspection,phone 825-2309 or 239-8460, at least 48 hours prior to construction. <br /> Your attention is directed to the general provisions printed on the back of this form. This permit is to be strictly <br /> construed and no work, other than that specifically mentioned above, is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed by <br /> k o , 20 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement to all the conditions <br /> and requirements of this permit. <br /> Signature of Permittee/Contractor Director of Public Works <br /> By: By: <br /> -�.e. . ............oe <br /> Pe ittee r Authorized Ag t <br /> PERMIT NOT VALID UNLESS EXECUTED.BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Forms\Encroach.doc (Rev. 08/95) Date: By: <br /> e <br />