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COUNTY OF SAN JOAQUIN <br /> �p iJ r!V DEPARTMENT OF PUBLIC WORKS <br /> P_06 210 W <br /> P.O.BOX 18 10-18 10 HAZELTON AVENUE EP No: <br /> a Z{ STOCKTON CALIFORNIA 95201 Date Issued: 5/24/2006 <br /> to (209)468-3000 Expiration Date: 10/15/2006 <br /> • • FAX#(209)468-9324 Job No: 3052-15 <br /> UE/CR/PM NO:IF0��` ENCROACI�NT PERMIT <br /> -� Encroachment Type: <br /> ORING � <br /> To: G&E OWER JONES LEVEE ROADS ADJACENT TO EMPIRE <br /> �ROOM111 70 C Location: UT LEVEE RD•&MIDDLE RIVER LEVEE RDtZ��% 05 <br /> it <br /> -- /2006 ,permission is hereby granted to do work in County right of way <br /> In compliance with your request of <br /> 05/13 general or special provisions <br /> as shown on attached application and su sect to a erms,con ttrons and restrictions written below or printed as <br /> as any part a this form. See reverse side and attached sheet,if any. <br /> of-pavement centerline unless otherwise approved by the <br /> Trench excavations for service connections will not be permitted within ten feet(10') <br /> facilities,road profile and/or frontage development. ounderground <br /> f ay <br /> ace of trench patches shall match in kind and be smooth <br /> and'even with that of abutting surface. Special development. <br /> attention shall given to <br /> Director. Surf <br /> depth of utilities through roadside area in anticipation of future drainage <br /> utility facilities are to be established and accurately dimensioned on sketches from suryeyed centerline of road right of way, <br /> (border)lines. work within the <br /> hours prior to beginning any <br /> p g pertaining established by the <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight <br /> County right of way. All work performed under this permit shall conform to the rules and regulations ertainin to safety <br /> California Division of Industrial Safety and Cal-OSHA. <br /> removal of any excess dirt or debris which might be a hazard to either <br /> nditThe jobsite r all be kept <br /> inaffaf e co necton essaat allry traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> f Traffic Control. <br /> c. <br /> pedestrian o <br /> b and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Man;�e removed and the jobsite left in a <br /> y excess material shall <br /> leum of construction permitted excess <br /> herein,Permittee shall fill out and mail notice of <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any <br /> neat workmanlike manner. Immediately following comp <br /> completion provided by Grantor. <br /> Special Instructions: <br /> I <br /> I <br /> THOMAS R. FuNN,Director <br /> Department of Public Works <br /> Est.Permit Fee: x$315.00 _ _ <br /> B <br /> y <br /> FORMS: ISS/WW,R-29 === <br /> Permit Section <br /> WHITE -Permittee <br /> GOLDENROD -PWD Central.File PW 27 <br /> YELLOW -Field Inspection <br /> PINK -Permit Section <br /> Revised 07!2000 <br /> Access\Permits\FormsEncroachment_Permit <br />