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11N COUNTY OF SAN JOAQUIN <br /> �o DEPARTMENT OF PUBLIC WORKS <br /> Z �y P.O.BOX 1810-1810 HAZELTON AVENUE i <br /> � EP No: EP-07 299 CC <br /> tq STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 109/21/2007 <br /> .. r - <br /> Expiration Date: 05/01/2008 <br /> RIDER FAX#(209)468-9324 -- <br /> 9� F O RN Job No: 73052-6 <br /> J <br /> ENCROACFINMNT PERMIT UE/CR/PM NO: ��40742861 -� <br /> To: PG&E Encroachment Type: BELL HOLE <br /> 14040 WEST LANE Location: S/S OF CHRISTINA AVE. 293' W/O WF.BSTER AVE. <br /> ISTOCKTON,CA 95204 <br /> In compliance with your request of 9/19/2007 i ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and smbij—ec.t to all the 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 /> 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 Safeb✓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 /> SEE ATTACHED PLANS CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> Special Instructions: i i <br /> CONTROL DE\/ICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: S215.00 <br /> FORMS: SS/WW,R-29 -- -- --- By <br /> WHITE Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Access\Permits\Forms\Encroachment Permit Revised 07/2000 <br />