Laserfiche WebLink
Extenslo n <br /> ; 17IaUA <br /> ='MBCA.C� <br /> i <br /> �ytastea ()0 <br /> rriy <br /> CITY OF MANTECA <br /> 1001 W.Center Street <br /> Manteca CA 95337 <br /> ENCROACHMENT PERMIT <br /> Contractor: Ahtna Environmental, Inc. <br /> Project Name: Sharpe Well Abandonment <br /> License No: Well closures to be performed Cascade Drilling, LP,C57#93811 10 �jProect Location: Louise Ave(I location) <br /> Address: 2255 Contra Costa Blvd, Suite 312 Airport Way(2 locations) <br /> Pleasant Hill,CA 94523 Date Issued: V13 f IF <br /> [� License Verified BZ� Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms, conditions and <br /> restrictions written below or printed as general or special provisions on any part of this for, and/or <br /> attached hereto, PERMISSION IS HEREBY GRANTED TO: <br /> beel (AftaUeA W� ��a 00n) CJ�1061) <br /> (Attach two sets of plans or sketches, if applicable) <br /> PLEASE READ THIS PERMIT CAREFULLY. KEEP IT AT THE WORK SITE. To arrange for an <br /> inspection,phone 639-5964 or 923-0528, at least 48 hours prior to construction. <br /> Your attention is directed to the general provisions printed on the back of this form. This permit is to be <br /> strictly construed and no work, other than that specifically mentioned above, is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed by <br /> EXTEusSON AV & 2019 wale yd <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreem t to all the <br /> conditions and requirements of this permit. <br /> Signature of Permittee/Contractor Engineering Division <br /> By: By: <br /> Permittee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Date: By: <br /> 1) Whal k dS reVr-Sed Ch1' r 14surw e �cov-er sib - (onffr>wt ns. <br />