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14", <br /> t <br /> COUNTY OF SAN JOA <br /> QUIN <br /> i DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1002622 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 05/31/2011 <br /> `F_��`• f (209)468-3000 <br /> FAX#(209)468-9324 Exp. Date: 1011512011 <br /> Project No: PWPI 10005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: CITY OF MANTECA PUBLIC WORKS <br /> 1001 W. CENTER ST, <br /> MANTECA,CA 95337 <br /> Encroachment Type: <br /> Trench <br /> Location�—� <br /> S/S OF LOUISE AVE. FROM AUSTIN RD. WEST TO CITY LIMIT LINE <br /> In compliance with your request of 12/13/2010,permission is hereby granted to do work in County right-of-way application and subject to all the terms,conditions and restrictions written below or printed as > <br /> this form. See reverse side and attached sheet, if any. o aY ro shown on attached <br /> general or special provisions on any part of <br /> Trench excavations for service connections will not be permitted within ten feet 10' of <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with t <br /> be given t depth of utilities through roadside area in anticipation of future ( ) pavement centerline unless otherwise approved by <br /> All underground utility facilities are to be established and accurate) that of abutting surface. Special attention shall <br /> drainage facilities,road profile and/or frontage development. <br /> way,or from right of way(border) lines. y dimensioned on sketches from surveyed centerline of road right of <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Ins <br /> forty-eight hours prior to beginning any work within the County right of way. All work erfo <br /> to the rules and regulations Pertaining Inspections)at(209}953-7421 at least <br /> P D to safety established by the California Division of Industrial Safety and eCal-OS Ar this lt shall conform <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of an excess <br /> pedestrian or automobile traffic. All d ition <br /> Y dirt or debris which might be a hazard n either <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CAL <br /> TRANS <br /> traffic convenience and warning devices and personnel shall be provided,placed and <br /> After completion of the work permitted herein,all debris, lumber, barricades, or an TRANS Manual of Traffic Control: <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee <br /> y excess material shall be removed and the jobsite left <br /> Of completion(see attached post card)provided by Grantor, <br /> shall fill out and mail notice <br /> S ecial Comments: <br /> Traffic Control Per MUTCD-See attached Special Conditions <br /> I <br /> FORMS: SS/WW R-29 _ <br /> Est. Permit Fee: $8,100.00 <br /> WHITE <br /> THOMAS M. GAU, Director <br /> -Permitee Department of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section <br /> By: <br /> Pe it sect:----- <br />