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To: AT & T -FRESNO <br />5555 E. OLIVE RM#300III <br />FRESNO, CA 93727 <br />Encroachment T e: <br />Traffic Control Devices <br />Location: <br />4583 ACAMPO RD <br />1UNT1 OFSAI I JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810-1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468-3000 <br />FAX # (209) 468-9324 <br />ENCRa►AC]FIlV1tE,NT PER1YJL t 1 <br />Permit No: PS -"1.000644 <br />Date Issued: 03/05/2020 <br />Start:Date: 03/05/2020 <br />Exp. Date: 07/01/2020 <br />Project No: PWP730079 <br />Quad: <br />UE/CR/PM NO:A01 RXX2 <br />111 compliance with yow• request of 03/05/2020 ,permission is hereby granted to do work hl 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 coimections will not be permitted withal ten feet (10') of pavement 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 fi•ontage development. All <br />underground utility facilities are to be established and accurately dunensioned on sketches from surveyed centerline of road right of way, or <br />fi•om right ofway (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 hoots prior to beginning any work within the County right of way. All work performed umder 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 jobsite shall be kept in a safe condition at all times by the daily removal of airy excess dirt or debris w <br />hich might be a hazard to either <br />pedestrian or automobile traffic. All necessary traffic convenience and warning devices and persomiel 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, hunber, barricades, or any excess material shall be removed and the jobsite left <br />in a <br />neat worlanai�lilce manner, Iimnediately followhlg completion of construction permitted herein, Permittee shall fill out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />Special <br />Comments: <br />Traffic Conhol Per MUTCD <br />FORMS: IS <br />S/WW <br />Est. Permit Fee: $490.00 <br />KRIS BALAJI, Du-ector <br />Department of Public Works <br />WHITE -Permittee <br />GOLDENROD -PWD Central File' (� <br />YELLOW -Field Inspection By: <br />PINK -Permit Section Permit Section <br />