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uINCOUNTY OF SAN JOAQUIN <br /> �pP •00 <br /> DEPARTMENT OF PUBLIC WORKS <br /> Q G� P.O.BOX 1810-1810 HAZELTON AVENUE --- <br /> H. EP No: EP-07 376 ES <br /> STOCKTON CALIFORNIA 95201 - <br /> (209)468-3000 Date Issued: 12/14/2007 <br /> P FAX#(209)468-9324 Expiration Date: 07/01/2008 <br /> 1. Expiration <br /> x <br /> Job No: 7302-6 - <br /> ENCROACHMENT PERMIT UE/CR/PM NO: 80020185 <br /> To: PG&E - - - <br /> Encroachment Type: BELL HOLE&BORE <br /> — _ -- <br /> 4040 WEST LANE - <br /> Location: E/S OF DAWES AVE. 275'N/0 HORNER AVE. <br /> STOCKTON,CA 95204 <br /> In compliance with your request of 12/10/2007 permission is hereby granted to do work in County right of way <br /> as shown on attached application and sdTject to alTtNe 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 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 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 /> TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC CONTROL DEVICE(MUTCD) <br /> Special Instructions: - - - <br /> CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $315.00 <br /> - - Department of Public Works <br /> FORMS: SS/WW, R-29 B <br /> _ Y <br /> WHITE -Permittee Permit ection <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINKPW 27 <br /> -Permit Section <br /> Access\Permits\FormsEneroachmen t Permit <br /> Revised 07/2000 <br />