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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 08-02-2010 OFFICE USE ONLY <br /> To: San Joaquin County JOB# REF# <br /> Department of Public Works APN CR# <br /> Ed Arroyo (PG&E Employee) EXP.DATE s(2 <br /> VALID l-3.1$ TO i.l. iZ DRIVEWAYS: <br /> (Applicant Name) STREET A&.0"s i&r. <br /> 850 Stillwater Dr AREA MA QUAD -SF- <br /> TYPE <br /> FTYPE MEQ <br /> (Mailing Address) FORMS <br /> W. Sacramento Ca, 95605 Sac RMC NOTES <br /> (City,State, Zip Code) <br /> 916-760-1945 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> This project is a 19 mile pole replacement and reconductor job. The poles are located on both side <br /> of the road at different times. We will be drilling holes approximately 3' in diameter next to the <br /> existing poles at various depths. Our crews will be setting up safety protection by using our PG&E <br /> Work Area Protection Guide which is base upon US Department of Transportation MUTCD 2000 <br /> Millennium Edition, and CalTrans Manual. See information I sent on Work Area Protection Guide. <br /> We have many different scenarios of traffic control on this job. I've been told work is to start at the <br /> beginning of 2011 (Est. Jan. 03) and ending sometime towards the end of 2011 (Est. Dec. 31) <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the side of approximately feet/mile <br /> of by performing the following work(description of work): <br /> Work will commence on or about 01-03-2011 for approximately See above days. <br /> I,the undersigned,certify that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> G� <br /> Y Electric Estimator 8-02-2010 <br /> �Siqnaturecant-Title Date <br /> E.1PU6-SV WKWSTER PSIENCROACHNENT PEROT APPLICATION DOC(01)08) <br />