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PquIN COUNTY OF SAN JOAQUIN <br /> � o DEPARTMENT OF PUBLIC WORKS <br /> Q ;Zt P.O.BOX 1810-1810 HAZELTON AVENUE <br /> y 1` EP No: EP-07 257 NE <br /> STOCKTON CALIFORNIA 95201 <br /> -IDER (209)468-3000 Date Issued: 08/28/2007 <br /> FAX#(209)468-9324 Expiration Date: 03/15/2008 <br /> q<jFORi� <br /> Job No: 73052-6 <br /> ENCROACHMENT PERMIT UE/CR/Plvl NO: PM930584388 <br /> To: PG&E Encroachment Type: BELL HOLE <br /> &TWO BORES <br /> 4040 WEST LANE - _ - <br /> Location: - - <br /> W/S N.TULLY RD.APPROX. 0.50 MILE N/O JAHANT <br /> STOCKTON,CA 95204 RD.. <br /> In compliance with your request of 08/27/2007 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to all heterms,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 pennitted 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 SKETCH*****TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> NOMAS R. FLINN, Director <br /> Est. Permit Fee: $317.94 De"rtment of Public Works <br /> FORMS: SS/WW, R-29 By <br /> WHITE Permittee <br /> Permit ection <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINKPW 27 <br /> -Permit Section <br /> Access\Permits\FormsEneroachment Permit <br /> Revised 07/2000 <br />