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C O1UNTY OF SAN JOAQUIN <br /> c DEPARTMENT OF PUBLIC WORKS <br /> No: EP-06 235SS <br /> 2 'DGy P.O.BOX 1810-1810 I-IAZELTON AVENUE EP _ <br /> a STOCKTON CALIFORNIA 95201 Date Issued: 7/11/2006 <br /> (209)468-3000 Expiration Date: 8/15/2006 <br /> P FAX#(209)468-9324 111005 <br /> Job No: <br /> ENCROACHMENT PERMIT UE/CR/PMNO: G <br /> To: &L BROCK CONST.CO. <br /> -----� Encroachment Type: RENCHING&BELL HOLE <br /> _ <br /> Location: S/S 5TH ST.APPROX.150'E/O"B"ST. <br /> 14145 CALLOWAY CT <br /> !STOCKTON,CA.95215 <br /> I <br /> In compliance with your request of <br /> �— 06/23/2006 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and su Ject a 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 /> feet ')of pavement centerline <br /> nless otherwise approved by the <br /> Trench excavations for service connections <br /> match in kind i e and beed within ten smooth and even woth that of abutting surface. Special attention hall be given to <br /> Director. Surface of trench patches shall <br /> depth of utilities through roadside area in <br /> and anticipation <br /> atly dimensioned drainage set hes from surveyed let and/or <br /> of frontage <br /> fight of way, <br /> (border) <br /> from right of way <br /> utility facilities are to be established <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 /> by the rt or debris which <br /> t be a hazard to either <br /> The jobsite shall be kept in a safe condition <br /> at all times <br /> c conven ence and warn g devices removal of any sand rpersonnel shall be provided, placed and maintained <br /> ffi <br /> pedestrian or automobile trac. All n ars � <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> removed <br /> left <br /> After completion of the work permitted herein, <br /> follo w nall <br /> completion of cebris,lumber, onstruction on permitted herein,Permitteeicades,or any excess material shall s hall fill out and <br /> mail notice of n a <br /> neat workmanlike manner. immediately g <br /> completion provided by Grantor. <br /> Special Instructions: <br /> EE ATTACHED SPECIAL CONDITIONS FOR ENCROACHMENT PERMIT <br /> THOMAS R. FLINN,Director <br /> Department of Public Works <br /> Est.Permit Fee: 1$332.25 <br /> FORMS: SS/WW, <br /> R-29 By <br /> >�� <br /> Permit Section <br /> WHITE Permittee <br /> GOLDENROD PWD Central File <br /> PW 27 <br /> YELLOW -Field Inspection <br /> PI{ -Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit <br />