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COUNTY OF SAN JOAQUIN <br /> �o coG DEPARTMENT OF PUBLIC WORKS <br /> y� P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-06 1 272 SE <br /> tq < STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 08/17/2006 <br /> FAX#(209)468-9324 Expiration Date: 10/01/2006 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: <br /> To: PAUL MARTINEZ �i Encroachment Type: FRONTAGE PAVING <br /> 17700 S.AUSTIN RD. Location: E/S AUSTIN RD.APPROX 130'N/O KIMBERLY DR. <br /> MANTECA,CA.95336 <br /> i <br /> In compliance with your request of 07/06/2006 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and su jec to all the terms,conditions 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: SEE ATTACHED <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $879.24 <br /> FORMS: SS/WW,R-17 By <br /> WHITE Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Access\Permits\Fomis\Encroachment Permit Revised 07/2000 <br />