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FF.ClFi :CIT , OF FIPCnd 1:= 0S-01= 1-1:?1 W-10 P.L_ 4 <br /> PUBLIC WORKS DEPARTHKRP go. N_ 1 ? Q <br /> 259 N. Ailsa Avanue <br /> Ripon, California 95366 <br /> 209-599-2108 <br /> ENCROACHMENT PERMIT <br /> =C. Name V'�R S e � �W C Date _ssuec 7 _ �Z -' z7 <br /> Cont--acto_ J —7-AJC- <br /> License Nu_moer �C� 3 Z �7UG.�iva�vax•t; <br /> Pursuant to Chante- 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 ar!y part of this -form, and/or attached hereto, <br /> PERMISSION TS HEREBY GRANTED TO: <br /> �f So !L ,QOIL/KtCr�S VSi►uG- �JIRL oT- l�uSff �OR►cc -lZiG- o/ /er9T�-f� AY <br /> 9 <br /> cower r�61- 2 To O Avg rO rl E' !�"��r i 6'-2av60A wrj/'ej2, <br /> s11- nWn r- R, I-cY6417.VwS, Z 3 y w. MA'A.1 ST <br /> (Attached two sets of plans or sketches if applicable) <br /> PLEASE 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 R' "3 / — �!I?--- , 19 _, <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 /> Signature of Permittee Director of Public Works <br /> By: By : <br /> Permittee or Authorize e <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT . <br /> WORK CO`'1PLETED <br /> Date By: <br /> While-File Yellow Inspector Plnk-Appllmnt <br />