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9-12-2000 2:41PM FROM -ITY OF LATHRGP 209 858 1023 P. 2 <br /> PUBLIC WORKS DEPARTMENT No 97 <br /> 16775 South Howland, Suite 1 <br /> Lathrop, California 95330 $t, 0Z_5`01 <br /> (209) 858-5592 J <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name TnT��[ig�ri t Date lssued 2_77_ <br /> Addxess 4005 W. Wilson Way Stktn Contractor Mitchell Drilling Envir. Corp <br /> Phone 209-467-1006 Phone 467-1006 <br /> (Permittee) <br /> Date work to begin 9-11-oo License No. 672617 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> Encroachment Permit for the Installation of two (2) Monitoring Wells. '@ 15615 S. 7th St., <br /> Lathrop, CA <br /> Conditions Attached <br /> (Attach 1 set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all the <br /> terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this form, and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> by 3-11-01 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirements of this permit. <br /> Signature of Permittee Director o Public Works <br /> Pe ' ee or Authorized Agent <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> HIS AGENT. <br /> WHITE-Permittee YF.IA.OW.Accounting PINK-File _ <br />