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MAR 13 '98 14!30 FR LEVINE-FRICKE-RECON 510 652 4906 TO 12094683433 F.04'05 <br /> • MAR-13-1999 14116 �IL AUKNS rrmill � ��• � <br /> 648y7 <br /> CITU OF STOCKTON ll <br /> IjEPARTMENT OF PUBLIC WORKS A94 <br /> APPLICATION FOR ENCROACHMENT ON PUBLIC RICHT.pFWAV <br /> cf ` Date <br /> Apphosm's Name <br /> tCwnc.iGonrra—aal yv �P pugUC 1NORKS DIRECTOR <br /> Address '^.�/1�-tp� '� Q' ROVED: <br /> I=alion dt Propelled Wm%, aro 'L�-!_„ vt rA&- <br /> Date��IfrA�Fj � <br /> ) <br /> ownstdonvacrar Aderm I pp Z I I�! <br /> Pm01ewn Osie 8 Perms E.PI atwn Dau <br /> C <br /> F,rlma190 St4nIn5 Dm. ..�_ - �` <br /> I (Of We) he eby apply for an encroachment permit to carry out the following work: -V <br /> L�Y.Ft LL.__' Li IrY C-rnAlt;)1� S . - <br /> TMe�1a.a^aTee e0arcr�t nenw�+ <br /> Mme F.mssn w y PERMIT FEE <br /> AddipOnal FoolaQe <br /> SO 91 700 0900.11 — <br /> TUTAL DEPOSIT <br /> 9uilding PerMIT No. <br /> Improvement Plan No. <br /> kqSupplemental Conditions, <br /> Sbv�ieun!°e"e m.ow,re P`r-q:gpn'mn <br /> IMPORTANT;Applicant hereeY agrees to comply with all provisions s acs actual IO sremwell <br /> oval aall <br /> nd P OPeblreD acement Of any itemwhich <br /> standards and spelcdicallons currently in effect. and to pay tO cry opera Tees tO indemnify and hold <br /> tlees not meal above requirements. Failure to comply will be cause for r¢v0Uti0n of permit. App 9d age <br /> the occurring armee site against <br /> asany <br /> a and <br /> UIt of workall tosses. tothe performed Under this s,or damages resulting rpe mom nurA,CerVOcale 01 insurancrsons.deaTm e shall be subm`Ced 110 1" <br /> Of Or <br /> City Rtsk Manager prior to beginning Construction <br /> AP <br /> PERMITTEE SMALL CONTACT UNDERGROUND SERVICE ALERT (1-600-04-Z-2444) TWO WORKING DAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNDERGROUND UTILITIES. <br /> R TO START OF WORK FOR A CONTROL NUMBER AND TO SCHEDULE <br /> pEAMITTEE SHALL CALL(209)937.8411 24 HOURS PAID <br /> INSPECTION• nAAA <br /> uirement of notilfca[ions and inspections. <br /> Rre <br /> Fiend General Provisions on verse side or this perrytqr <br /> L,v ped <br /> iia e.a..o,. .v._norrrarcs <br /> 7qa 937 P901 PAGE.04 <br />