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Page 1 of 2 ENCROACHMENT PERMIT PERMIT NO. <br /> CITY OF TRACY DATE OF ISSUANCE <br /> PERMIT VALID UP TO <br /> PROJECT COST <br /> QA A,p INSPECTION DEPOSIT �- A <br /> PERMIT FEE 3 <br /> 'ENGINEERING 'FEES <br /> TESTING FESS <br /> P$RFORMANCE BOND 1) 600 <br /> THIS PERMIT IS HEREBY ISSUED TO ENCROACH ON THE Q-y T SIDE OF '�H0W Al L-OT'S &f J vpv�PIA4RAM <br /> ?a-T WDOPGkF_L_P �ST14 �j taet26 &tu <br /> RW OF // FOR THE `P,UIRPOSE OF <br /> NAME Or APPLICANT 4 tcl r�..a.T 0-t C rv% -,u �• ADDRESS Z ly 1 w e`�y}� g� F I o <br /> K LZ I� PHONE. <br /> C> 19 Wo <br /> APPROVED BY FIELD SUPERINTENDENT: <br /> CONDITIONS 0[' PERMIT CONTACT PHONE NUMBER: <br /> 1. The Permittee shall notify the Public Worka Department - Inspection Division (SUM) forty-eight (48) houro <br /> prior to start of work pertaining hereto. 103 1 y l((o V <br /> 2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standard <br /> • Specifications and shall comply with all existing codes and policies. <br /> �. Permittee shall notify Police & Fire Departments before starting construction of any work. <br /> 4. Tentative• starting date 4-$ H+o u !2 Alp-" e-e- o, <br /> 5. Tentative completion date CITY INSPECTOROS COMPLETION REPORT <br /> 6. If construction is not started within 90 days from <br /> the issue date, this permit will be void'unlese DATE OF COMPLETION <br /> othernJse stated In the special conditions. CONCRETE <br /> 7. Con�r4ctprs mus " <br /> tdisplay dahV a nd phone.number at work ASPHALT <br /> site - preferably on barricades. SIDEIIALK <br /> B. The coat of emergency work required to restored BAWILL <br /> unsatisfactory construction that becomes a hazard will PAVING <br /> be charged to the Permittee. SIZE OF CUT <br /> 9. Replace full concrete sidewalk squares, as required, <br /> by sawcutting along score marks. FT' <br /> PA INCHES <br /> 10. Compaction tests shall be required on backfilled trenches PAVED BY: <br /> at the expense of the Permittee (contact City Engineering COMMENTS: <br /> Department) . <br /> 11. • Traffic control shall be in accordance with the "Sv-k-re <br /> Traffic Manual. <br /> 12. Trenching and resurfacing is to comply with Standard <br /> Plan No. 501 and 501A. <br />