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r4U1N <br /> E.P. No. <br /> COUNTY OF SAN JOAQUIN 3-11-97 <br /> y. DEPARTMENT OF PUBLIC WORKS (Date Issued) <br /> ,•, P.O.BOX 1810- 1810 E HAZELTON AVENUE <br /> STOCKTON.CALIFORNIA 95201 6-15-9 <br /> (2091 ase-a000 <br /> (t•OC�FO�t�`p (Expiration Date) <br /> HENRY M. HIRATA ENCROACHMENT PERMIT 11005 <br /> DIRECTOR <br /> (Job No.) <br /> To: <br /> t1:f3qu„- Encroachment type: L ivra1i E'iPe <br /> 95k15 Location: e/s riiakley Ave. 70 "' <br /> In compliance with your request of <br /> ;)-. 19 G7 permission is her 1)y <br /> granted to do work in County right of way as shown on attached application and subject to <br /> all the terms, conditions and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet (10') <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile and/or frontage development. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> The Department of Public Works, Field Inspection Section shall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall conform to the rules and regulations pertain- <br /> ing to safety established by the California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of <br /> any excess dirt or debris which might be a hazard to either pedestrian or automobile <br /> traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> provided, placed and maintained by and at the sole expense of the Permittee in accordance <br /> with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades, or any <br /> excess material shall be removed and the jobsite left in a neat workmanlike manner. <br /> Immediately following completion of construction permitted herein, Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> F�-:)W <br /> 3+ii .3t .2`_eC }� wry:♦ j..:C.3�f << .c'.Lt+W t :')liill' _ , <br /> qq yy <br /> y t'A <br /> Est. Permit Fee: $ <br /> S HENRY M. HIRATA, Director <br /> FORMS: Department of Public Works <br /> Permittee 111 s <br /> WHITE y Permit Section <br /> GOLDENROD - PWD Central File <br /> YELLOW - Field Inspection <br /> PINK - Permit Section PW 27 <br />