Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 8/17/22 <br />To: San Joaquin County <br />Department of Public Works <br />Pacific Gas & Electric- Candice Lacceth <br />(Applicant Name) <br />1524 N. Carpenter Rd <br />(Mailing Address) <br />Modesto, CA 95351 <br />(City, State, Zip Code) <br />(925) 303 9411 <br />(Area Code - Telephone Number) <br />C6L5@pgecom / STDivpgepermits@pge com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />PM 35334983 <br />JOB # <br />APN <br />EXP.DATE <br />VALID <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />130052 REF # <br />CR # <br />9/26/2022 TO 4/1/2023 DRIVEWAYS: <br />Norman Ave. <br />StoclOon QUAD NE " <br />Pole Replacement <br />SSlvwv <br />Special Conditions <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the South side of NormenA, approximately 0 1 0feet/ 0mile Ean <br />of — — Iv Sibley Ave _ _ , ----Stockton----, by performing the following work (description of work): <br />Traffic control to replace Pole (in same hole), Transformer and install new OH service <br />Work will commence on or after_ — — — 9/19/24 — — — _ for approximately_ — 1eo---- days. <br />I, the undersigned, certitythat I am the owner of the respective property, oram qualified to representthe 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 />( <br />Signature of Applicant - Title <br />8/1122 <br />Date <br />