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�rN COUNTY OF SAN JOAQUIN <br /> a co DEPARTMENT OF PUBLIC WORKS <br /> Gy< P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-06 163'NE <br /> STOCKTON CALIFORNIA 95201 Date Issued: 04/21/2006 <br /> RIDEF (209)468-3000 <br /> FAX#(209)468-9324 Expiration Date: i01/O1/2007 j <br /> Job No: 73052-6 <br /> d��FORe� <br /> E114CROACHMENT PERMIT UE/CR/PM NO: !30475676 <br /> ,PG&E Encroachment Type: <br /> ELL HOLE&BORE <br /> To: _ __ <br /> — Location: S/S OF COLLIER RD. 1184'W/O BUCK RD. <br /> ,4040 WEST LANE i i <br /> iSTOCKTON,CA 95204 J <br /> li I <br /> In compliance with your request of :i 04/14/2006 permission is hereby granted to do work in County right of way <br /> as shown on attached application and su sect to t e terms,con r tons 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 <br /> way(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: <br /> I <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: 1,$315.00 <br /> FORMS: SS�WW,R-29 By <br /> W rrE Permittee Permit ection <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit _ ------- ---- <br />