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u COUNTY OF SAN JOAQUIN <br /> cOG DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: P-06 134NE <br /> STOCKTON CALIFORNIA 95201 <br /> . ; • . <br /> (209)468-3000 Date Issued: 3/28/2006 <br /> FAX#(209)468-9324 Expiration Date: r/ <br /> FO <br /> Job No: 11005 <br /> ENCROACPIlVffiNT PERMIT UE/CR/PM NO: a g6 <br /> To: RUCE KAYFETZ Encroachment Type: MPORARY LANE CLOSURE <br /> 826 ADOBE LANE Location: /S KETTLEMAN LN.BETWEEN CHEROKEE LN.& <br /> �UTTE VALLEY CA.95965-919L_ ECKMAN RD. <br /> In compliance with your request of E- 03�rerms, <br /> c�oni <br /> ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and su jec o ns and restrictions written below or printed as general or special provisions <br /> 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')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way <br /> (border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> 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 any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole expense of the Permittee in accordance 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 excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: *****GENERAL CLOSURE OF EASTBOUND KETTLEMEN LN.FROM CHEROKEE RD.TO BECKMAN 2 HR <br /> BLOCKS,FROM 09:OOA.M.TO 11:00 A.M.AND 1:00 PM TO 3:00 PM****** <br /> THOMAS R. FLINN, Director <br /> Est.Permit Fee: 115.00 <br /> Department of Public Works <br /> FORMS: SS ,R-29 By <br /> WHITE Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW Field Inspection <br /> PINK -Permit Section <br /> PW 27 <br /> Access\PermitslForms\Encroachment Permit Revised"07/2Q00 <br /> ti�� <br />