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RECEIVED OEVC 0 9 2154 <br /> Mee�eca PUBLIC WORKS DEPARTMENT <br /> 5 1001 W. Center Street N2 7517 <br /> W,+► . Manteca,CA 95337 <br /> �1lR� <br /> ENCROACHMENT PERMIT <br /> Contractor: \J4 ti0 „ Project Name: C bLydoln (Mat n St;� <br /> License No: Uo9oqJ Project Location: pct u ti 51- <br /> Address: 3S014; Il)Lw r Qvm- i Mxn C(A 9533(,- <br /> CA <br /> 'CA 1'jS;L1S Date Issued: /9-7-,;Z0 e <br /> hone: (atxt� meq- �-tc�n <br /> icense Verified f9insurance 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 /> co ick .Sox\. C1ct�,) We tl A bot ndcC'nr ie v-,,V <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 Se., ,at least 48 hours prior to construction. <br /> U LEN L039- 59kD4 "Ve 612-6-- 052F <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 v id unless the work herein contemplated shall have been completed by <br /> '—'Q- , 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 ntractor Director of Public Works <br /> By: By: <br /> CLI)- <br /> Permittee or Authoriz d A ent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRETOR OF PUB C WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Fotms\Encroach.doc (Rev.08/95) Date: By: <br />