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' AUG-25-1998 10:46. • PUBLIC WORKS PERMIT CENTR • 209 937 8901 P.02 <br /> bZ)UUI <br /> CITY OF STOCKTON <br /> pEPARTMENT OF pUBLIC.WORKS <br /> APPLICATSON FOA ENCROACHMENT ON PUBLIC RIGHT-OF-WAY <br /> Appliean' :�r� �5--,.�_—Address <br /> ddr esl 1 91Zu3=- ' Phon <br /> Addred �� <br /> aaa - A APPROVED: PUBLIC{IIiORKS fltRECTOtA <br /> lottatlor,or Proposed Work,etc. <br /> rL�r r3�► �� s,g,l T-KAcfliicp C�1.�3- BY �a1e <br /> ner eornractor Address r - q/I I M�? <br /> r f Completion Date g _—Permit Expiration Dale , <br /> Eetirnated Startlnc bate <br /> I far an encroachment permit to cairy out the following work : .._ <br /> I (or We) hereby appy <br /> ' 1 S <br /> The above namod aCo11c2n1 rlerAtry requee,e Pa'^,issron to- PERMIT FEE...:!, <br /> iLddlUonal Footage <br />�1 t <br /> ' Sower Ted Depo6R ..... ...... '-r'•-^---^�'� <br /> . lL3rAL DEPOSIT. .. , - ,,. • ,� <br /> I Building Permit No. <br /> 1 <br /> = Improvement Plan No. <br /> I <br /> l Supplemental Conditions: <br /> No Iano5u .. rvtii't�d . <br /> 2 fe'ryvl.ttm <br /> ref taw e ax . d.ama .' sfit <br /> trestrre, i- -ta it5 e-r�i iia l <br /> i Te ' P <br /> 'Sew-a s.'. . <br /> ghow sketch above or rarer to drawing submitted <br /> livable City ordinances, resolution <br /> .j y I with alk provisions of this permit as well as all app <br /> IMPORTANT`. Appllcant hereby. agrees to comply P <br /> standards and specifications currently i effect'comply will be clty it�ause for revocation of permit. Applicant l co- val and proper ragreesrtorindem�indemnity and ho <br /> does not meet above requirements. Failure damage to <br /> tper <br /> he Oily harmless against ,ny.a`ed all lot work lacosts.or damages perfor ed rnder resulting from <br /> mit. Atcerteticate ofgnsuorancesshallrbe submitted oto it <br /> ioccuring at the site of ora ,•I .. <br /> City Risk Manager prior to beginning construction.' <br /> PERMITTEE SHALL CONTACT UNDERGROUND SEAYICE ALERT (1-gpl).V*2.2a44) TWO WORKING DAYS BEFORE BEGINNIH <br /> WORK FOR LOCATION OF UNDERGROUND UTILITIES. <br /> i <br /> i PERMITTEE SHALL CALL (209)937-8411 24 HOURS PR TO START OF WORK FOR A CONTROL NUMBER AND TO SCI <br /> INSPECTION- � ulrem of notifications and inspecliar <br /> Read General Provisions on reverse side of this permi fare <br /> sig n gler q <br /> 2 slpnnd: -- <br /> ..� 3r4—rinant• a1A—UrllirTlSirg91 <br /> S <br /> -- <br />