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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1201570 <br /> STOCKTON,CALIFORNIA 95201 Date Issued:07/03/2012 <br /> (209)468-3000 <br /> Exp. Date: 10/01/2012 <br /> FAX#(209)468-9324 Project No: PWP730077 <br /> Quad: CC <br /> UE/CR/PM NO:8112 <br /> To: CALIFORNIA WATER SERVICE ENCROACHMENT PERMIT <br /> 1550 W FREMONT ST, SUITE#100 <br /> STOCKTON, CA 95203 <br /> Encroachment Type: <br /> 12 Bell Holes <br /> Location: <br /> WALLACE AVE.,PRINCETON AVE.,TELEGRAH AVE., DELANO AVE., MICHIGAN AVE.,KIRK AVE.,MENDOCINO AVE., <br /> AND SONOMA AVE. <br /> In compliance with your request of 07/03/2012 ,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 for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by <br /> the Director. Surface of 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 way(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 regulations 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 attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: I SS/WW,R-29 <br /> Est.Permit Fee: $1,656.00 <br /> THOMAS M. GAU, Director <br /> WHITE -Permitee Department of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection B <br /> PINK Permit Section Permit Section <br />