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COUNTY OF SAN JOA <br /> QUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE <br /> ��, ..:;; •.'';' STOCKTON,CALIFORNIA 95201 Permit No: PS-1100301 <br /> —'- (209)468-3000 Date Issued:02/16/2011 <br /> FAX#(209)468-9324 Exp. Date: 04/01/-?0] 1 <br /> Project No: PWP790055 <br /> Quad: NE <br /> To: MOZINGO CONSTRUCTION, INC.ENCROACHMENT PERMIT <br /> 751 WAKEFIELD CT. <br /> OAKDALE,CA 95361 <br /> Encroachment Type: <br /> (4)-Bell Holes <br /> Location: (2)-Bores(u to 6 inch Dia) Trench <br /> ESCALON-BELLOTA RD. NEAR LITTLE JOHN'S CREEK AND DUCK CREEK <br /> In compliance with your request q t of 02/16/2011 ,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 rov' <br /> this form. See reverse side and attached sheet,if any. <br /> P inions on any part of <br /> Trench excavations for service connections will not be permitted within ten feet(101)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 e sketches from surveyed cent Special attention shall <br /> way, or from right of way(border)lines. frontage development. <br /> erline of road right of <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections at <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under <br /> to the rules and regulations pertaining to safety established by the California Division of Industrial Safety n (209)9 mit shall <br /> 1 at least <br /> this permit shall conform <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which d Cal-OSHA. <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRAN might be a hazard to either <br /> Provided,placed and <br /> After completion of the work permitted herein,all debris, lumber, barricades,or any excess material shall be removed Manual of Traffic Control. <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee <br /> Of completion (see attached post card)provided by Grantor. emoved and the jobsite left <br /> e shall fill out and mail notice <br /> S ecial Comments: <br /> Traffic ControlPer er MUTCD—� <br /> --------------- <br /> FORMS: :/W W. <br /> Est. Permit Fee: $1,132.50 <br /> WHITE THOMAS R. FLINN. Director <br /> GOLDWENROD -Permitec Department of Public W <br /> -PWD Central file Works <br /> YELLOW -PWD <br /> Inspection <br /> PINK -Permit section <br /> By .r <br /> Permit ection-��- <br />