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FROM :CITY' OF RIPCN 209-539-2665 20101>02-13 14:43 #352 P.01x`01 <br /> A-Lw. �a v+sr..4� t -4f�4-o1 <br /> PUBLIC WORKS DEPARTMENT NO' - 1120 <br /> .259 N. Wilma Avenue ---- <br /> Ripon, .California 95.366 <br /> 269_599-2i0s. <br /> ENCROAC.EMNT PERMIT <br /> TO: Name Date issued s j:5 <br /> Address Oi _Vc ' �..�' ,' k 523 Contractor ��tyracn + ~ f�rSr�+ S <br /> � Q . CA Z P001, Phone � <br /> Phone License Number <br /> (Permittee) <br /> Pursuant to Chapter 12.12 of the City of Ripon Munjcipa]. Code and all the <br /> terms, conditions, and restrictions written below or'printed as general or <br /> special proviaions on any part of this form, and/or attache hereto, <br /> PERMISSION IS HEREBY GRANTED TO-. C%6.- Cab-Z$ <br /> A9 wd,� 60'ris (Os-2-4).) 4� �6 feti- 6deo _jrv(AAJ skh&,rL <br /> o✓! 2-- " <br /> (Attached two sets of plans or sketches if applicable) <br /> PLEASE READ THIS PERMIT CAREFULLY. BEEP IT AT THE NORIA SITE. To arrange <br /> for an inspection, phone 599-2105 at least 4E hours prior to construction. <br /> Your attention is directed to the general provisions_ printed 6zi the 'back of <br /> this form. This permit is to be strictly constrded and no work, other than <br /> that specifically mentioned above, is hereby authorized. <br /> This permit shall be void Zed the work herein contemplated shall have <br /> been completed by <br /> Accepting this permit or starting work hereunder. shall constitute <br /> acceptance and agreement to all the conditions and requirements of tIxis <br /> permit. <br /> Signature of Permittee Director of Public Works <br /> By: By. <br /> Permittee a Authorized Agent. <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED <br /> Date By; <br /> Whi4e File Yellow-Inspe=r PinkApplicarrt <br />