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f U �t <br /> COUNTY OF SAN JOA <br /> QUIN <br /> lF= DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-18 <br /> • +, 10 E.HAZELTON AVENUE Permit No:PS-1300268 <br /> STOCKTON,CALIFORNIA 95201 <br /> F � Date Issued:01/29/2013 <br /> -- a (209)468-3000 Exp.Date: 02/24/2013 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: NW <br /> To: THORNTON FIRE DEPT. ENCROACHMENT PERMIT <br /> P.O. BOX 78 <br /> THORNTON,CA 95686 <br /> Encroachment Type: <br /> TRAFFIC CONTROL DEVICES <br /> Location: <br /> THORNTON RD.AT THE INTERSECTIONS OF TURNER RD.,PELTIER RD.AND WALNUT GROVE RD. <br /> In compliance with your request of 01/29/2013,permission is hereby granted to do work in County right-of-way as shown on <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or specialrovisions on attached <br /> this form. See reverse side and attached sheet,if any. P ny part of <br /> Trench excavations for service connections will not be permitted within ten feet(101)of pavement centerline unless otherwise a <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special a pproved by <br /> en <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> tion shall <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road f <br /> way,or from right of way(border)lines. d rightright of <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 a <br /> t least <br /> forty-eight hours prior to beginning any work within the-County right of way. All work performed-under this ermit 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 <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided, laced and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic <br /> affic Control. <br /> After completion of the work permitted herein,all debris, lumber,barricades,or any excess material shall be removed and the <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill t and mail ll ou �obsil left <br /> of completion(see attached post card)provided by Grantor. notice <br /> Special Comments: <br /> Traffic Control per MI TCD****Thornton Boot Drive from February 23,2013 to February 24,2013 from 8:00 AM to 4:00 PM**** <br /> FORMS: <br /> Est.Permit Fee: $0.00 <br /> THOMAS M. GAU, Director <br /> WHITE -Permitee Dep rtment of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section By' <br /> Perm' Section <br />