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- COUNTY OF SAN JOAQUIN <br /> _ DEPARTMENT OF PUBLIC WORKS <br /> wLAW <br /> P.O. BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-0802662 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 08/13/2008 <br /> (209)468-3000 Exp. Date: 03!15/2009 <br /> `- FAX 4(209)468-9324 Project No: PWP 110005 <br /> Quad: M <br /> UE/CR/PM NO:30648307 <br /> ENCROACHMENT PERMIT <br /> To: PG& E <br /> 4040 WEST LANE <br /> STOCKTON, CA 9.5204 <br /> Encroachment Type: <br /> Bell Hole _ Bore(up to 6 inch Dia) <br /> Location: <br /> S/S OF WAL,LFR RD.291' E/0 CHILDRESS RD_ <br /> In compliance with your request of 08/13/2008,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> begiven to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way, or from right of wav(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 <br /> within the Countv right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> established by the 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 <br /> maintained 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 <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice <br /> of completion provided by Grantor. <br /> Special Comments: <br /> Traffic.Control per MUTCD <br /> i <br /> I <br /> FORMS: SS/W W, R-29 <br /> Est. Permit Fee: 5335.00 <br /> THOMAS R. FLINN. Director <br /> Department of Public Works <br /> IF[l. -Pcnnrtee <br /> C 0 1DI'NROD -11%'1)Cciltral Pile r✓` :/' <br /> YI:I,LO" -Field Buprction Bv: <br /> —- -- --- <br /> PINK Pcrnut Section Per S <br /> It eCtlOn <br />