Laserfiche WebLink
CITY OF RIPON - ENGINEERING DEPARTMENT NO. E 1 <br /> 259 North R'ilma Avenue,Ripon,CA 95366 <br /> 209/599-2108-Fax: 209/599-2685 <br /> ENCROACHMENT PERMIT <br /> Applicant's Name: Date Submitted: October 16, 2013 <br /> Diamond Pet Food Processors of Ripon Contractor: Lawrence and Associates <br /> Address: 942 S. Stockton Avenue Phone: 530-275-4800 <br /> Ripon, CA 95366 Contact Name: David Kirk <br /> Phone: 209-824-4640 License Number: C57 539447 <br /> Pursuant to Chapter 12.12 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 attached hereto. <br /> PLEASE READ THIS PERMIT CAREFULLY AND KEEP IT AT THE WORK SITE. <br /> DESCRIPTION OF PROJECT. I.Provide a full description of woi*to be done at all locations. <br /> PERMISSION IS HEREB Y GRANTED TO 2.Attach Aw(2)sets ofplans or sketches,if applicable. <br /> Abandon monitoring well OB-27 located in the right-of-way of Parallel <br /> Avenue. All work will be performed in compliance with the attached <br /> work plan and San Joaquin County well abandonment regulations . <br /> Estimated Value of Right-of-Way Work: $ 2 , 025 .77 <br /> Permit Fee: 3% Plan Review: $ 60.77 <br /> 3% Site Inspection: $ 60.77 <br /> 1% GIS: $ 20 .26 <br /> TOTAL FEE: $ 141 . 80 <br /> TO ARRANGE FOR AN INSPECTION,PHONE 209/599-2108 AT LEAST 48 HOURS PRIOR TO CONSTRUCTION. <br /> This permit shall be void unless the work herein described is completed by: 3-1 - 141 <br /> Date <br /> Accepting this permit or starting work herein described, shall constitute acceptance and agreement to all the <br /> conditions and requirements of this permit. <br /> SES ccrao-�-zc�� <br /> Signature7ofA71ic�ant,/Permittee City Engineer(or authorized Agent) <br /> Applicant/Permittee or Authorized Agent Date Issued <br /> NOTE: Your attention is directed to the general provisions printed on the back of this form. This permit is to be strictly construed <br /> and no work,other 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 /> Date <br />