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COUNTY OF SAN JOAQUIN <br /> UI 1N co DEPARTMENT OF PUBLIC WORKS EP No: <br /> EP-07 286 SS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE <br /> STOCKTON CALIFORNIA 95201 Date Issued: 09/14/2007 <br /> (209)468-3000 Expiration Date: 04/01/2008 <br /> FAX#(209)468-9324 <br /> Job No: 73052-6 <br /> �!F O'R - <br /> ENCROACHMENT PERMIT UE/CR/PM NO: 30585500 <br /> _—-- -- Encroachment Type: BELL HOLE&BORE <br /> To: PG&E <br /> --- - - Location: S/S OF FIFTH ST 255'E/O"B"ST. <br /> 4040 WEST LANE <br /> STOCKTON,CA 95204 <br /> In compliance with your request of <br /> 9/12/2007 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to aZI tTie 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 /> nless otherwise <br /> proved by the <br /> 0')of pavement cen <br /> Trench excavations for service connections will nok kind and bee smooth and even t be permittd within ten feet wiith that of abutting surface Special attention pshall be given to <br /> Director. Surface of trench patches shall matchfrontage <br /> depth of utilities through roadside area iinanticipa ton of dimensioned on sket hes from surfuture drainage facilities, dvey dtcent drline of roadad night of way•not from rright of <br /> utility facilities are to be established an aY <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 /> rt or debris which might be a hazard to <br /> The jobsite shall be kept in a safe condition <br /> tessat traffic convthe <br /> en ence and warm g devices removal of anysandtperrson el shall be provided,placed and maintained <br /> pedestrian or automobile traffic. All necessary <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> rial shall <br /> e removed <br /> ite left <br /> After completion of the work permitted herein,all <br /> debris,lumber,completion of onstrucction permitted hereicades,or any excess in,Permittee hall fill out tandthe <br /> m it notice of n a <br /> neat workmanlike manner. Immediately g <br /> completion provided by Grantor. - - <br /> -- _- <br /> ANS*****TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM T <br /> RAFFIC <br /> Special Instructions: SEE ATTACHED PL <br /> CONTROL DEVICE(MLTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $315.00 - <br /> SS/WW, R-29BY <br /> FORMS: <br /> Permit Section <br /> WHITE Permittee <br /> GOLDENROD PWL>Central File <br /> PW 27 <br /> YELLOW Field Inspection <br /> PINK Permit section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroach.ment Permit <br />