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To: AT & T -FRESNO <br />5555 E. OLIVE }tM#300III <br />FRESNO, CA 93727 <br />Encroachment T e: <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 18104810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468-3000 <br />FAX # (209) 468-9324 <br />ENCROACHMENT PERMIT <br />Permit No: PS -1901534 <br />Date Issued: 05/17/2019 <br />Start Date: 06/11/2019 <br />Exp. Date: <br />Project No: <br />Quad: <br />05/05/2020 <br />PWP730079 <br />Extended To: 05/01/2020 <br />UE/CR/PM NO:A0IKQHH <br />Bell Hole <br />Bore (up to 12 inch Dia) <br />Location: <br />S/S W SCHULTE RD 1,252' E/O BUD LYONS WY <br />In compliance with your request of 05/17/2019 ,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 this <br />form. See reverse side and attached sheet, if any. <br />Trench excavations for service connections will not be permitted within ten feet (10') ofpavement centerline unless otherwise approved by the <br />Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br />to depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. All <br />underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, or <br />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 Lite County right of way. All work performed under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal -OSHA. <br />The job <br />site 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 an <br />d the jobsite left in a <br />neat worlananlilce manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />special Comments: <br />Traffic Control Per MUTCD <br />FORMS: <br />SS/WW, R-29 <br />Est. Permit Fee: <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />$743.00 <br />-Permittee <br />-PWD Central File <br />Field Inspection <br />-Permit Section <br />KRIS BALAJI, Director <br />Department of Public Works <br />By: <br />PernAt Section <br />