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CITY OF RIPON Fax:2095992685 Dec 1 2006 14:45 P. 02 <br /> -CITY'OF RIPON-IENGINEE�IG DEPARTMENT �- Np <br /> 259 North Wilma ,Aivetue;Ripon,CA 98366 . <br /> 209%5994108,Fas: 209/599-2685' <br /> ENCROACHMENT'PERMIT'. <br /> Applicant's Name: ! Date,Submitted:' /2- <br /> 17-7 2boC, <br /> Contractor. S <br /> sow HMOs$t" , <br /> Address: <br /> Ve CA 94608 — Phone: 51 fl -- 4ZO - 0`100 <br /> Contact Name: 0-eA IN 4lar&,L <br /> b-q2o Co►, ,mac Tort a-A P0t4( eq <br /> Phone: , t(� 5I - License Number: 74 O Z• <br /> Ptusuaztt toChapte 'iZ.12 of the City of Ripon Municipal Code and all the terms,,conditions, and restrictions <br /> .; written below'.or printed as general or special provisions on any part of this form,'and/or•aitached hereto. <br /> PLEASE AD THIS PERMIT CAREFULLY AND HE <br /> EP.IT AT THE WORK SITE. <br /> D C O 1,Provide a full description of work to be done at all.JOCaliotlS. <br /> PERMISSION IS HEREBY GRANTED-VO. 2.,mach two(l)sets ofplans or' sketches, if applicable.'. <br /> w-cd-eck: Ca <br /> s � <br /> I <br /> TO ARRANGEFOR-A�INSPECTION,PHONE 209/599-2108 AT LEAST 48 Ilomm puTOR TO CONSTRi7c�rrnN <br /> This permit shall be v�id unless the work•herein described is completed by: <br /> Accepting this permit . starting'work herein described, shall constitute acceptance and agreement to all the <br /> conditions and requirements of this permit. <br /> Signature of Applfeaat/Permittee City Engineer(or authorized Agent) <br /> Applicant7Penruttee or Authorized Agent Date issued <br /> NOTE: Your attentioU is directed to-the general provisions printed'ou.the baric of this form This pennft is t0 be-strictly <br /> construed aad no work,oth6 than that specifically mentioned above,is hereby authorized, <br /> PERMIT Not VALID UNLESS EXECUTED BY CITY ENGINEER OR HIS AGENT <br /> WORK COMPLETED: . . . BY: <br /> WIpEo�Flle. Yelfow4ospamor PFnh,AppflCon! <br />