Laserfiche WebLink
02/08/2007 10:55 FAX 510 420 9170 CAMBRIA Ia002 <br /> CITY OF RIPON / Fax:2095992685 Dec 1 die 14:45 P. 02 <br /> ,.crrY'OF RIPON ENGINEERING DEPAATMYNT* NO. ' <br /> 239 North W16t Etive> ue;Ripon,CA 95366 <br /> . 209%599=2i t 9*,Fax: 20.9/599-2685- <br /> ENCROACHMENT PERMI'Y''. <br /> Applicant's Name: Date-Submitted: /2 ZZ/2bO�r� <br /> Contractor- <br /> -8 <br /> wo <br /> ontractor-she <br /> Address: i #t .,: A Phone: -510 -- 42-0 - O`Z ©Q <br /> i' Contact Name: (. e.ti� t�4w 2,_ <br /> An4S�Ol.( <br /> 2 (• t.'�i <br /> • •Phatie: t�.�� r�� �lO-`�2�7 Cor.+•-R,�c.To2 <br /> Q i ✓ ��' - 5"� <br /> License Number: r1 CSS Z <br /> Ptirsysat#o Chap 12.12 of the City of Ripon Municipal Code and all the terms,.eondifiaas,and restrictions <br /> _ written below'.or Iminted as general or special provisions on any part of#his form,-and/or attached hereto. <br /> PLEASE READ TDISt PERMIT CAREFMLY AND XEEP.IT AT THE WORK S1 E. <br /> 1,Provide a fu11 description of,work to be done at all.lvaatiarts. <br /> PERMIS'SIONISHEREBNQRr4ATED.2'o. 2. jttacb two(2)sets ofplans or ske <br /> tches,ifap�l;cable.': <br /> L tt� tt 0• `C <br /> C--A c <br /> 7,10 <br /> l�y(Izf)N 14, <br /> .� rel ,1.' :� 's{�. ' ➢ � - ✓� its � 7L' <br /> TO ARRANC,;E•FOR-I INSP rCTipN,PEtO E 209/599-2109-AT LEAST RS to-tn s p"o �QCOI�TBTRUQION. <br /> This permit shall be vdid unless the work'herein described is�coinpleted by; <br /> Accepting this permit'br starting work hereitt described, ghaI1 co Date <br /> nstitute acceptance and agreement to all the <br /> conditions and requireinents of this permit, <br /> Signature of Applfeaat/Permittee -City Eug' er(or th ed Agent) <br /> ,ApplieanilPermittee or Authored Agent Date Usued <br /> NOTE: Your sttentiou'is directed to the general plvvisious printed'on.the back of this form This peiaiit is to be strictly <br /> coristafed and no work,oth�r than that specifically mentioned.above,is hereby authorized <br /> . „ <br /> PERMIT NOf VALItD UNLESS EXECUTED BY CITY <br /> ENGINEER.OR HIS 4GENT <br /> WORK COMPLETED: . BY: <br /> White%File, Yellow4nspecjer PtnOt-Appllcent <br /> i .Aw.wos <br />