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ICA°� PUBLIC WORKS DtImARTMENT -.Owl •�'` DD Y�d <br /> p{utece <br /> 3 1001 W. Center Street <br /> Manteca, CA 95337 N° 6444 <br /> ENCROACHMENT PERMIT <br /> Contractor: l,l_`(.,C(kCCAk ,Di,`��i vl)6) Project Name: Fcxtne t- '-3u-ipe `�}n <br /> License No: 11 tc=G"1 C1 j Project Location: Zct C 1V- 64ct it <br /> Address: _4� c,. i�x �''�� Mcu-,4-cc•n CA- <br /> �'��r.Vi Date Issued: 6-1w-2-'00 (o <br /> Phone: cam_ L-) — a�c:o <br /> [� License Verified [d 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: <br /> Drift y,ns+wU yvloh� r� W-e�t 66\%v, d Zao N . M"'J St. <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 /> A:v a 0 i + Z D , 20_p.(O. <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 /> Permittee or Authorized Agent <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 /> J 4 J PRINTING(200)230.2410 <br />