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1 <br /> COUNTY OF SAJOAQUIN <br /> c DEPARTMENT OF PUBLICEp o� 6?gg ss <br /> DG P.O.BOX 1810-1810 HAZELTON AVENUE EP No: <br /> Z� STOCKTON CALIFORNIA 95201 Date Issued: 08/22/2006 <br /> j <br /> (209)468-3000Expiration Date: 10/21/2006 <br /> • • FAX#(209)468-9324 Job No: 73052-6 <br /> UE/CR/PM NO: PM:30506149 � <br /> ENCROACHMENT PERMIT <br /> Encroachment Type: BELL HOLE&BORE <br /> To: PG&E iN/E SIDE OF DRAKE ST.APPROX.402'S/O FOURTH ST.it <br /> Location: <br /> tP.O.BOX 930 <br /> ISTOCKTON,CA 95204 <br /> 06/2u. 2/2006 permission is hereby granted to do work in County right of way <br /> In compliance with your request of � <br /> general orspecial provisions <br /> as shown on attached application <br /> nside and attached sheet,if any. line <br /> and restrictions written below or printed as <br /> on any part of this form. See reverse <br /> be smooth and even with that of abutting surface. Special attention shall be given to <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 profile <br /> ground <br /> depth of utilities through roadside area in anticipationdimensioned drainage <br /> sketches facilities, <br /> om surveyed centerline <br /> and/or ne of road right of way, from right of <br /> utility facilities are to be established and accurately <br /> way(border)lines. work within the <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any <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. s which <br /> to either <br /> ebri <br /> The jobsite shall be kept in a safe condition at all times b h dace and warning devices removal Of any ssandirt or d personnel shall be pro idedt be aplaced and maintained <br /> pedestrian or automobile traffic. All necessary traffic <br /> c Control. <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTItANS hall be removed emo ed and the jobsite left in a <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material s <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 /> SEE ATTACHED*****"TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> Special Instructions: CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT <br /> I <br /> THOMAS R. FLINN,Director <br /> Department of Public Works <br /> Est. Permit Fee: x$320.39 <br /> FORMS: <br /> ISS/WW,R-29 I 13y <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\Forms\Encroachment Permit <br />