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U1 COUNTY OF SAN JOAQUIN <br /> �� oo DEPARTMENT OF PUBLIC WORKS <br /> G� P.O.BOX 1810-1810 HAZELTON AVENUE - <br /> EP No: EP-07 - --3'NS <br /> STOCKTONCALIFORNIA 9520] - - --_-_ <br /> (209)468-3000 Date Issued: 101/05/2007 <br /> �P FAX#(209)468-9324 Expiration Date: 04/30/2007 <br /> Job No: 173052-6 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: 'Pivia3os3as7 ----- <br /> To: PG&E J Encroachment Type: BELL HOLE&TRENCH <br /> 4040 WEST LANE Location: S/S STADIUM DR.APPROX 98'E/O SANGUINETTI LN. <br /> 'STOCKTON,CA 95204 <br /> In <br /> e with your <br /> uest <br /> f F <br /> s showntoncattached applicationoand su_Tject to a Ot le0terms0,—con-di—tions d restrictions written is n beloeby w or printed santed to do ork in County general or special of way <br /> provisions <br /> on any part of this form. See reverse side and attached sheet,if any. g p <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 lest 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: iSEE ATTACHED SKETCH*****TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FUNK, Director <br /> Est. Permit Fee: $2115.00 <br /> -- - --- Department of Public Works <br /> FORMS: SS/WW, R-29 By <br /> WHITE Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINK -Permit Section PW 27 <br /> Access\Permits\Forms\Encroachment Permil: <br /> Revised 07/2000 <br />