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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date OFFICE USE ONLY <br />To: San Joaquin County JOB # REF # <br />Department of Public Works APN CR # <br />EXP. DATE <br />VALID TO DRIVEWAYS: <br />STREET * <br />AREA QUAD * <br />TYPE * <br />FORMS <br />NOTES <br />(City, State, Zip Code) <br />(Area Code - Telephone Number) <br />(Email Address) <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Highway Right-of-Way on <br />the ______________ side of ___________________________________ approximately ___________________ feet/mile _________ <br />of _______________________________________, ____________________, by performing the following work (description of work): <br />Work will commence on or after _____________________________________ for approximately ________________________ 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 />Signature of Applicant - Title Date <br />Y:\FORMS & TEMPLATES\ENCROACHMENT PERMIT APPLICATION.doc (08/08) <br />Sketch (Detailed plans may be submitted) <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 />4/24/2023 <br />Pacific Gas and Electric - PM 35137036 <br />3136 Boeing Way <br />Stockton, CA 95206 <br />(209) 470-2300 <br />STDivPGEpermits@pge.com <br /> E Augusta St between Lori Ct and Chestnut St, Woodbridge <br />6/10/2023 180 <br />4/24/2023 <br />PG&E to replace gas distribution main and services. Preferred method of install: bore, trench if necessary. <br />Install: 456' of 2" PL HP gas main <br />Abandon: 413' of 2" STL HP gas main, 10' of 2" PL HP gas main <br />Replace (7) STL or ALDYL-A services. Transfer (3) PL services from existing to proposed main. <br />Pre/Post construction CCTV inspections required.Work hours: Monday - Friday, 6am to 4pm