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-y' <br /> Pago I of 2 E NCROACHMf:UT PERMIT PERMIT NO. <br /> CITY OF TRACY DATE OF ISSUANCE 4 <br /> PERMIT VALID UP TO q <br /> PROJECT COST <br /> INSPECTION DEPOSIT. 1-15V_ <br /> PET&T FEE <br /> ENGINEERING FEES <br /> TESTING FEESS— 4= _ <br /> PERFORHANCE BOND_ JO _ <br /> �GAd�>o XZ. <br /> '111IS PERMIT IS HEREBY ISSUED TO ENCROACH ON TIIE� �� _ SIDE OF <br /> OrFOR THE PURPOSE OF /,f/ ,. r� <r/4r11f� /il��r9$�E�✓�EYC <br /> NAME OF APPLICANT <br /> ADDRESS 71J7 � 5� -�`��/�1���0 PHONE: ��/ra��� <br /> APPROVED DY �f � _ — FIELD SUPERINTENAENTs <br /> CONTACT PHONE NUMBER: <br /> c'12!I[)iTir)11S OF PE}tMIT <br /> 1. The Permittee shall notify the Public Warks DsparLwent - Inspection Division (836-4420) forty-eight (48) hours <br /> prior to start of work pertaining hereto. <br /> 2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standards, <br /> Specificationu and shall comply with all existing codes and policies. <br /> 3. Permittee shall notify Police toc�Fire Departments Lefore starting conutruction of any work. <br /> 4. Tentative starting date L�'9� <br /> S. Tentative completion dote /��_��� CITY INSPECTORS COMPLETION REPORT <br /> 6, If construction is not started within 90 days From <br /> the issue date, thiu permit will be void unleus DATE OF COMPLETION <br /> otherwise stated in the special conditionn. CONCRETE <br /> 1. Contractoru must display name and phone number at work ASPHALT <br /> site -- preferably on harricadea. SIDEWALK <br /> B. The tout of emergency work required to restored ©ACKPILL <br /> unuatiufactory conutruction that bacoumn a hazard will PAVING <br /> be charged to the Permittee. SIZE OF CUT <br /> 9. Replace full concrete sidewalk sguarcu, as requirc-d, SQ. FT. INCHES <br /> by sawcutting along score marku. PAVED ilY: <br /> 10. Compaction teutu shall be required on backfilled trenches <br /> at the exl.enue Of thu PvrwILt"e (cunt«ct City Engineering COMMENTS: <br /> Department). <br /> 11. Traffic control ohall be in accordanc" with the City <br /> Traffic Manual. <br /> 12. Trenching and reuurfacing in to comlly with Standard <br /> Plan No. 501 ani! 501A. CITY INSPECTOR <br />