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' COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.D. BOX 1810-1810 E.HAZE <br /> /'1 STOCK Date Issued:04/l9/20I00 <br /> LTON AVENUE Permit No: PS-100 <br /> ' _ TON,CALIFORNIA 95201 0739 <br /> (209)468-3000 <br /> FAX#(209)468-9324 EXP• Date: IO/15/2010 <br /> Project No: PWpl 10005 <br /> Quad: ES <br /> To: P. G. & EENCROACHMENT PERMIT UE/CR/PM NO:30767149 <br /> P. O. BOX 930 <br /> STOCKTON. CA 95201 <br /> Encroachment Tye: <br /> Bell Hole <br /> Location: <br /> E/S OF GERTRUDE AVE. 166'N/O HORNER AVE. <br /> In compliance with your request of 04/19/2010,permission is hereby <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or ecial <br /> granted to do work in County right-of--way as shown on attached <br /> this form. See reverse side and attached sheet, if any. <br /> P provisions on any part of <br /> Trench excavations for service connections will not be permitted within ten feet(10)of pavement centerline unless <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or otherwise approved by <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surve ed cent Special attention shall <br /> way,or from right of way(border)lines. frontage development. <br /> Y erlme of road right of <br /> Permittee shall call the Department of Public Works,Field Engineering Division at(209)953-7421 ( <br /> Permi <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this e <br /> rules and regulations pertaining to safety established by the California Division of Industrial Safety is Inspections)at least permit shall conform to the <br /> 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 mi <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Man l a hazard to either <br /> be provided,placed and <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed <br /> of Traffic Control. <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall <br /> Of completion(see attached post card ed and the jobsite left <br /> )provided by Grantor. all fill out and mail notice <br /> S ectal Comments: <br /> Traffic Control Per MUTCD,MORAi['OR1UM ROAD USE T <br /> BENCH POLICY CASE 21 SEE ATTACHED -- ----� <br /> FORMS: <br /> Est. Permit Fee: $260.00 <br /> wx►° <br /> THOMAS R. FLINN, Director <br /> -Permitee Department of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW 11) <br /> -Field inspection ' <br /> PINK / <br /> -Permit Section By: <br /> Permit Section <br />