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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT Oh PUBLIC WORKS <br /> P.O.BOX 1810-1810}{aLECCf)N AVENUE EP No: 1;P-07 183 ES <br /> �L0 � S 1OCI:'1ON CALIFORNIA 9201 <br /> Date Issued: 07'02/2007 <br /> \ (209)$68-3000 <br /> - FAVI(209)468-9324 Fxpiration Datc: 09/15-Zoos <br /> -- Joh No: 73052-6 <br /> ENCROACHMENT PERMIT Ul:C-R;I)M NO o�6o9sx <br /> lo. Ni K I Encroachment I'\pe: BFIJI BOLE K BORF <br /> 4040 W:S 1 I ANk Location: E S OF ADfiLBF,R'1 AV1:. 285S/O 14)(WHI ST. <br /> SOCh rON_CA 9�2114 <br /> In compliance�sith%our request of 6/29'2007 permission is heretic granted to do work in Count,right of xray <br /> as shoxrn on attached application and subject to all the terms.conditions and restrictions NNritten below or printed its general or special provisions <br /> on am part ofthis form_ Sec reverse side and attached sheet. ifany- <br /> Drench excavations for service connections will not he pennitted within ten feet(10')of pavement centerline unless othernise approved by the <br /> Director. Surface of trench patches shall thatch in kind and be smooth and even with that of anutting surface. Special attention shall he given to <br /> depth of utilities throuw)h roadside area in anticipation of future drainage facilities.road profile and/or frontage development. All underground <br /> utility facilities are to he established and accurately dimensioned on sketches from surveyed centerline of road right of win,not from right of <br /> v%ay(border) lines, <br /> The Department of Public Works, Field Inspection Section shall receive a notice at(cast forty-eight hours prior to beginning am v\ork within the <br /> County right of%�ay. All work performed under this permit shall conform to the rules and regulations pertaining to saiety established by the <br /> California Division of Industrial Saletv and Cal-OSIIA. <br /> I he johsite shall he kept in a safe condition at all times by the daily removal ofam excess din or debris which might he a hazard to either <br /> pedestrian or automobile tralfic. All neccssar% traffic conenience and warning devices and personnel shall he provided.placed and maintained <br /> b�and at the sole expense of the Permittee in accordance with the latest edition of the CAL VRANS Manual of"I raftic Control. <br /> After completion of the�wrk permitted herein.all debris. lumber,barricades.or am excess material shall he rentned and the johsite left in a <br /> neat workmanlike manner. ImmcdiateN f0II0%Nin'-' completion ofconstruction permitted herein.Permittee shall fill out and mail notice of <br /> completion provided h\ Grantor. <br /> Special Instructions: SEE ATTACHED SKETCIi*****TRAFFIC CONTROL.PLAN PER CIRRENT MAM kl,OF I TNIFORII TRAFFIC <br /> CONTROL.DEVICE(-*It TCD)CALIFORNIA SUPPLEMENT****** <br /> "THOMAS R. FLINN. Director <br /> Department of Public Works <br /> Fat. Permit Fee: 531 5.00 � <br /> FORMS: SSVW. R-29 By <br /> ,r <br /> R I If IT -Permiu°c Pert it Section <br /> (iol,DIAROD PW 1)Central rile <br /> Y1 L M\ field hispcction <br /> Pw 27 <br /> PINK Permit scctior. <br /> Acccss'Permits.hmn.s Lncroadiment Permit Revised 07i2000 <br />