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COUNTY OF SAN JOAQUI <br /> DEPARTMENT OF PUBLIC <br /> EP-07 325'ES <br /> G P.O.BOX 1810-1810 HAZELTON AVENUE EP No: <br /> a STOCKTON CALIFORNIA 95201 Date Issued: 10/09/2007 - <br /> (209)468-3000 - <br /> Expiration Date: 01/01/2008 <br /> WFO <br /> FAX#(209)468-9324 Job No: 73077 <br /> UE/CR/PM NO 7899 <br /> ENCROACHMENT PERMIT U <br /> yp BELL HOLE <br /> - Encroachment Te <br /> _ -- <br /> To: CALL_ IFORNIA WATER SERVICE -- Location: W/S OF ANTEROS AVE. 450' N!O HORNER AVE. <br /> 1550 W.FREMONT ST., #100 - <br /> STOCKTON,CA 95203 <br /> _ -- - ranted to do work in County right of way <br /> In compliance with your request of <br /> 10/9/2007 ,permission is hereby g <br /> d a request <br /> and subject to all the terms,conditions <br /> and restrictions written below or printed as general or special provisions <br /> as shown on attache PP <br /> attached sheet,if any. <br /> on any part of this form. See reverse side and of pavement centerline unless otherwise approved by the <br /> n feet <br /> Trench excavations for service connections will not be permitted withine facilities,Oroad profile and/or frontage development. All underground <br /> e given <br /> Director. Surface <br /> of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attentionshall <br /> from right right of to <br /> depth of utilities through roadside area in anticipation of future drainage <br /> utilityfacilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, <br /> way(border)lines. <br /> Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within te <br /> The men to the rules and regulations pertaining to safety established by the <br /> Department of Public Works,Field <br /> Countymy right <br /> ht of way. All work performed under this permit shall con <br /> California Division of Industrial Safety and Cal-OSHA• <br /> and warning devices and personnel shall be provided,pTaocl d and maintained <br /> Thejobsrte <br /> shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be o hazard to either <br /> pedestrian or automobile traffic. All necessary traffic c e with nc <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRAManshall be removed and the jobsite left in a <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material <br /> like manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> neat workman - - <br /> completion provided by Grantor. - -_ -_ -RM TRAFFIC- - CONTROL DEVICE(M <br /> - <br /> TRAFFIC CONTROL PLANT PER CURRENT MANUAL OF C�IIFO <br /> Special Instructions: (CALIFORNIA SUPPLEME <br /> THOMAS R. FLINN. Director <br /> De rtment of Public Works <br /> Est.Permit Fee ,$215.00 - <br /> By <br /> FORMS: SS/WW,R-29 _ <br /> Permit Section <br /> WHITE Permittee <br /> GOLDENROD PWD Central File PW 27 <br /> YELLOW Field Inspection <br /> PINK Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit <br />