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Permit Number <br /> M05CITY OF ENCROACHMENT PERMIT EP20-1861 <br /> STOCKTON ON PUBLIC RIGHT-OF-WAY <br /> Applicant: <br /> ATC Group Services LLC Date: 10/16/20 APPROVED: BY THE DEPARTMENT DIRECTOR <br /> � <br /> z Subject to the General Provisions and Special Conditions,and all work must <br /> 1117 Lone Palm Ave., Ste. 201 B O conform to the project's approved Storm Water Pollution Prevention Plan or <br /> Address: N the most current version of the City of Stockton Storm Water <br /> J Pollution Prevention Maintenance Staff Guide,whichever is applicable. <br /> Modesto CA 95351 <br /> City: State: ZIP: Q <br /> (209 579-2221 � By:�' ' � Date: 11/19/20 <br /> Phone. E-mail:genelle.martin�atcgs.com o <br /> [Associated Permit(s): Expiration: 1/30/2 <br /> ORKLOCATION:2085 East Fremont St. PERMIT NOT VALID WITHOUT A <br /> Start Date: 11/1/20 Completion Date: 12/31/20 CONTROL NUMBER <br /> CALL(209)937-8366 TO REQUEST A CONTROL NUMBER NO LESS <br /> ATTENTION:Applicant/Contractor-you are responsible to replace all broken,damaged, THAN 24 HOURS,BUT NOT IN EXCESS OF 72 HOURS PRIOR TO START <br /> and/or raised sidewalk,curb and gutter from score mark to score mark adjacent to the OF WORK. <br /> parcel;remove USA markings upon completion of the permitted work. <br /> CONTROL# <br /> I(or we)hereby apply for an Encroachment Permit to carry out the following work: <br /> Advance two off-site soil borings on Watts St., on the westside of the street In the ROW. City ROW will be <br /> repaired in accordance with city specs. samples must be in the sidewalk <br /> Show sketch or refer to attached Drawing Official Use Only <br /> See attached. Base Permit Fee $523.00 <br /> Additional Footage Fee $ <br /> Misc.crs fee $31.38 <br /> Misc.tech fee $39.23 <br /> Misc. $ <br /> Total $593.61 <br /> Special Conditions: <br /> CALL FOR CONTROL NUMBER <br /> 209-937-8366 <br /> CALL FOR INSPECTION <br /> 209-639-1282 <br /> RESTORE TO CITY STD. <br /> IMPORTANT: Applicant hereby agrees to comply with all provisions of this permit, as well as all applicable city ordinances, resolutions, Standards and <br /> Specifications currently in effect, and to pay to the City its actual cost for removal and proper replacement of any item which does not meet the above <br /> requirements. Failure to comply will be cause for revocation of this permit. Applicant agrees to indemnify and hold the City harmless against any and <br /> all losses, costs, or damages resulting from injury to persons, death of person or damage to property occurring at the site of, or as a result of, work to be <br /> performed under this permit.A certificate of insurance shall be on file with the City Risk Manager prior to issuance of this permit. <br /> IF THE WORK DOES NOT COMMENCE WITHIN 72 HOURS OF THE ISSUANCE <br /> OF A CONTROL NUMBER, THE CONTROL NUMBER WILL BECOME INVALID <br /> AND THE PERMITTEE SHALL CALL FOR A NEW CONTROL NUMBER. PRIOR TO <br /> ANY REQUIRED INSPECTIONS,AS IDENTIFIED ON THE REVERSE SIDE OF THIS Sign <br /> PERMIT,PERMITTEE SHALL CALL INSPECTIONS AT(209)937.8381. <br /> READ GENERAL PROVISIONS ON THE REVERSE SIDE OF THIS PERMIT BEFORE G e n e I I e Martin <br /> SIGNING. Print <br />