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FRS=11 :CITY OF RIP IN 209_S99-262S 1997 q7-22 14:23 #24:=: F.01/01 <br /> P.02 <br /> PU=C WORKS DIKPAPumm" N2 <br /> 259 X. 1rj�]aa Xv4=uv <br /> Rip=, Cxli.tox=-tx 95366 <br /> 209-599-2108 <br /> ENCROACHFXNT PERMIT <br /> �dGriES �1� -t►OLLYL <br /> License <br /> cense Num _ ~ 0�z <br /> �ho�e t7._�s•_co; �� —.. �7VCrl�[ae1w� <br /> Pursuant to Chapter 12 .12 of the City. of Ripon Mus:;.cipe , Code and all the <br /> teZ=Sr conditions, and restrictions written bel Ow or printOd as general or <br /> specie! provisions on any part of this forni , and/or attached hereto, <br /> FMVMX3510N I5 HREBY CPANTM TO: <br /> -11 .Sa.L d3oP'jVG-S Llpmc' 9 <br /> C-$7 4K*M&* c.Olun2 . 710 ' OV,9- tn � /GBar AM CrRat lAutJl�. , <br /> 0117* �WA f'o r' Lja�i9�/' cam �aGI� (f, Z,31V W <br /> (A!:tached two sets of plans oz sketches if applicable) <br /> PLEASE READ THIS PERMIT CARETULLY. KEEP IT AT THE WORK SITE_ To Arrange <br /> for an inspection, phone 599-ZIO$ at leas, 48 hauzs prior to construction. <br /> Yvur attention is directed to the general provisions printed oq the back of <br /> this form. This permit is to be strictly GOrstr•ued and no work, other than <br /> that specifically mentioned above, is hereby authorized. <br /> This pormit shall be void unleaa the work herein contarrp, t d aha11 have <br /> been completed �y -- .- 19 <br /> Accepting this permit Or starting work hereunder shall constitute <br /> acceptance and agreement to X11 the conditions <br /> permit. and requirements of this <br /> Signature of Permitte <br /> g bzzectar of Public mvzks <br /> By: Sys <br /> Permittee az- Authorize <br /> PEMIT NOT VcLID UNLESS EXECUTED BY DIKECTQA OF PUBLIC W0RX5 OR fil5 AGENT. <br /> WORK COIQLETED: <br /> Date <br /> �nk�lt�v4oa�+r <br />