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- '` COUNTY OF SAN JOAQUINRIDER <br /> DEPARTMENT OF PUBLIC WORKS <br /> + P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1101222 <br /> STOCKTON,CALIFORNIA 95201 Date Issued:06/17/2011 <br /> (209)468-3000 Exp. Date: 09/15/2011 <br /> FAX#(209)468-9324 Project No: PWP730052 <br /> Quad: N W <br /> Extended To: 10/15/2011 <br /> UE/CR/PM N0:30843654 <br /> ENCROACHMENT PERMIT <br /> To: PACIFIC GAS& ELECTRIC-STOCKTON <br /> PO BOX 930 <br /> STOCKTON, CA 95201 <br /> Encroachment Type: <br /> Bell Holes Bores(u)to 6 inch Dia) <br /> Location: <br /> W/S OF DE VRIES Ft D. S/O KINGDON RD. <br /> In compliance with yc ar request of 06/1712011 ,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 fa-service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by <br /> the Director. Surface A trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given 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•:vay(border) lines. <br /> Permittee shall call the Department of Public Works, Field Engineering Division(Permit Inspections)at(209)953-7421 at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform <br /> to the rules and reguia:ions pertaining to safety 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(see attz.ched post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per NIUTCD <br /> FORMS: SSS- ,'WW_ R-29 T_ _ <br /> Est. Permit Fee: S 1,.:04.00 <br /> THOMAS M. GAU, Director <br /> Department of Public Works <br /> wiirrH Permitec <br /> GOLDENROD -I'V,1)(cntral IIIc <br /> YELLO"' -I field Inspection B <br /> PINK -Permit Section �it <br />