Laserfiche WebLink
APf �r ATIOf FOR ENCRDAC-HME NT PERMIT <br /> PLEASE Pl1N?, <br /> Date 11/x/;11 OFFICE USE-ONLY <br /> { i <br /> To: San JaaquMy JOB# 3D _(o REF-4 <br /> Departibiddof Public Vito ics APN. CR# <br /> EXP.DATE r acs t Z. <br /> ` <br /> PGgE ( JIM FMCARO GC LINE 1-EPT.) VALId _.i2 G TO DRIVEWAYS: <br /> {Applicant Name} STREET �� as S7- <br /> AREA <br /> TAREA �GKTtz nl t�UAD x <br /> -' <br /> 4040 lV EST LANE-,.--' TYPE <br /> NO <br /> iling;Adtss) FORMS S5 w„�/ <br /> NOTES <br /> STOCKTON, CA. -95204_ <br /> ;. Cit. s <br /> .Sta#e,Z. Code <br /> P: } <br /> (209)942-1780 = <br /> (Area Code Teiephona Number) <br /> Sketch{Detaiied;plans maybe submitted) <br /> REFERENCE JOB NO,. PM 3.07476-22 , <br /> PHIL SHEPHERD PG5E .FOREMAN (209)765-2146 <br /> JIM FISICARO WORK COORDINATOR PGgE Q STOCKTON (209)942-1780 <br /> The.undersi,ggrietl horebyapplies'f, <br /> pp, excavate,'-construct andlor-otherwiseencroach on=E©unty'Higi wa .R 'ht�of.;Wa on <br /> ff o W ESfi side o :EL-DORADO-'-8t, <br /> -. Y 9 y <br /> f. <br /> approximately 4 MILE . feet/mile- NORTH . <br /> of FRENCH CAMP RD, $TOCKTON by performing the follow�ng_W rk d&kri on of work <br /> ( :p ) <br /> PG9E WILL BE RFPLAC 2 _P(7LES- UN EL-DORADO ST, MAXIM- CRANE AND PGB-E.- � UIPMEIUT WILL BE SET <br /> UP -ON THE SOUTH-BOUND'"LANir:O.F ELI DORADO ST. BLOCKING I LANE :OF-.TRAFFIC. STATEWIDE SAFETY <br /> WILL PROVIDE TRAFFIC CONTROL-PLAN'FOR THIS PROJECT AND WILL SET UP WORK SI7"�. PROTECTI N <br /> DURING THE•DA.y -01=_THIS SCUli DULE.D. -WORK:. . <br /> V11ork will commence:on:or about 1JA7 E TO:.BE.:DETERMINED C. for approximately- 0- da <br /> ys. <br /> 2- 1--/ t Ir v (TFNTATI UE 1�ATE) <br /> !,die uridersigned,:cerbfy thaf.l am fhe ower bf the~fiespectiveproperty,or am ualifi <br /> q ed to represent the owner and.agree`to do the <br /> work deacnl�ed above in accordance:with fie rules and regulations of=San Joaquin County and subject#o inspection and approval. <br /> - <br /> Signature of Applican#-Title '- <br /> - ' Oate <br /> ►rWWV. VAST tPs oACHMeiTFan!Japm' 00c ra,ua�: <br />