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r-•+�-. _ „�-_-r--Y•;r-,.-�;--R+^Vr,..--*.,+R--'--"9r �.-�_-,."A"'-"-*--'"'""°'-^---^r,Y'- r^-^-^„^�'---�-nY'^_°" _ o ••—}-'---•-�-Ana-*-r•---,;�.�- ,.-� <br /> PUBLIC WORKS DEPARTMENT <br /> 259 N. W3.1ma Avenue <br /> Ripon, 'California 95366 <br /> 209 .599-2108 ENCROACHMENT PERMIT <br /> f+/� ox L .r✓1r( 9i t f y r? f 3.95 a L,Li(— <br /> • <br /> TO- Name �r'`� � -""It Z"J\1 "'vLfT2,L' Date issued <br /> 5`I <br /> Address 114tif &� r� :r Contractor <br /> &2,.,-kL,A-"P C.J 1) :5 Phone ���f� 3+}"3,� -� �tee' <br /> Phone 6 / D ) 5 License Number <br /> (Permittee) rn� y^f '•kT-N�rg� <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 /> PERMISSION IS HEREBY GRANTED TO: <br /> )A/-3 7-14 L 7 VV G �/ �rlti! ''a O!►mac"/�1 f <br /> 1,14 V'-�5-t 1\44-!Al // 7-/4-:F t v 4- i-TI ©JV 5 <br /> OIAVO PIV T' A-777 I es4 !9172e�- Iwo <br /> (Attached two sets of plans or sketches if applicable) <br /> ALEASE READ THIS PERMIT CAREFULLY. KEEP 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 J- �� Z i 19,15 <br /> Accepting this permit or starting work hereunder shall constitute <br /> acceptance and agreement to all the conditions and requirements of this <br /> permit . <br /> ISignature of Permittee Director of Public Works <br /> By �^ By <br />' <br /> Permittee or Authorized Agent <br /> Perm tte g f <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT . <br /> i WORK COMPLETED - <br /> Date By.-_ <br /> IWhile-File Yellow Inspector Pink Applicant <br />