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i <br /> QU t COUNTY OF SAN JOAQUIN <br /> DEPART NM-NT OF PUBLIC WORKS <br /> P O BOX 18104816 IIAZEL TON AVENUE EP No EP-04 76 Nh <br /> STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 DateLzmed 03/0$12004 <br /> FAXW(209)468-9324 ExpvationDate 004 4- , 05/ <br /> C1 fi OFA Job No 11005 <br /> ENCROACI MENT PERMIT UE/1CR/PM No r!121937 <br /> To S1IE- <br /> -oIL PRODUCT'S US Type ONTPORING WFJ i, <br /> I <br /> 20945 S WII.MINGTON AVENUE Loci- EIS OF MORELAND STREET 90'S/O HANMER LANE <br /> CARSON,CA 90810 <br /> In compliance with your request of 01/07/1004 is hereby granted to do work in County right of way as <br /> shown on attached application and su 10 all Me tffrnscondMons aria resmcmons written below or printed as general or special provisions on any <br /> part of flus form See reverse side and attached sheet,if any <br /> Trench excavations for service connections will not be permitted wrthun ten feet(203 of pavement centeA=unless otherwise approved by the <br /> Director Surface of trench patches shall match in kmd and be smooth and even with that of abutting surface Special attention shall be given to depth <br /> of utihties through roadside area in anficipation of future dramage facrhties,road pmfdc and/or frontage development All underground utility facihbcs <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines <br /> The Department of Public Works,Field hr qx%t on Section shall receive a notice at least forty-eight hours prior to begirrmng any work wrthm the <br /> County right of way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the Cahfor ma <br /> Division of Industrial Safety and Cal-OSHA <br /> jee Jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hazard to either pedestrian or <br /> automobile traffic All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> expense of the Permittee in accordance with the hrtest edition of the CALTRANS Manual of Traffic Control <br /> After completion of the work permitted herein,all debris,lumber,bamcades,or any excess material shall be removed and the lobsrte left in a neat <br /> workmanlike manner Immediately following completion of construehon permitted herenr,Pemuttee shall fill out and mail notee of completion <br /> provided by Grantor <br /> Spectai Instructions: <br /> Snt of Pub11c Works R FLIlVN, Director <br /> Depart i <br /> Est Permit Fee Is 155 00 <br /> FORMS SS/WW,R-29 gy <br /> WHIT E -Permittee P"Mit Lion <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PW 27 <br /> PINK -Permit Section <br /> y"°��PermdsTormADia°achnient Permit Revised o712000 <br />