Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date <br />To: San Joaquin County <br />Department of Public Works <br />Pacific Gas and Electric - PM 45488140 <br />3136 Boeing Way <br />Stockton, CA 95206 <br />(City, State, Zip Code) <br />(209) 470-2300 <br />(Area Code - Telephone Number) <br />STDivPGEpermits@pge.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />JOB # <br />APN <br />EXP.DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730052 REF # <br />CR # <br />11/14/2022 TO 5/15/2023 DRIVEWAYS: <br />Gillis Rd. <br />Stockton QUAD NE <br />Bell Hole & Pavement Repair <br />SSMNV, R-29, Trench Cut Policy <br />Special Conditions <br />Crew to call SJ County Inspector at (209) 953-7421 48 to 72 hours before work starts. <br />When calling, crew shall request "rain clearance" for any work during winter months <br />November through March <br />The undersiqned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hiqhway Riqht-of-Way on <br />S Gillis Rd at E Main St, Stockton <br />PG&E to restore 18' x 11 <br />Work will commence on or after 11/14/2022 for approximately 180 days. <br />I, the undersigned, certify that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br />work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br />Siy ure if Appl cant - Title <br />V]FORN6&TENPIATEIENCROACHMEN T PERMIT APPLICATION dov(W&OP <br />11/7/2022 <br />Date <br />