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APPLICATION FOR ENCROACHMENT PERMIT <br />PLEASE PRINT: <br />Date 1/6/23 <br />To: San Joaquin County <br />Department of Public Works <br />Pacific Gas & Electric - Candice Laccetti <br />(Applicant Name) <br />1524 N. Carpenter Rd <br />(Mailing Address) <br />Modesto, CA 95351 <br />(City, State, Zip Code) <br />(925) 303-9471 <br />(Area Code - Telephone Number) <br />C6L5@pge.com / STDivpgepermits@pge.com <br />(Email Address) <br />Sketch (Detailed plans may be submitted) <br />PM 35383152 <br />OFFICE USE ONLY <br />JOB # 730052 REF # <br />APN CR # <br />EXP. DATE <br />VALID 947942023 TO 3/29/2024 DRIVEWAYS: <br />STREET Orford Rd. <br />AREA Stockton QUAD NE <br />TYPE Pole Replacement & Aerial Work <br />FORMS SS/WW <br />NOTES Special Conditions <br />NOTE: APPLICANT WAS ISSUED A <br />PERMIT ON 9/26/2023, FOR THEIR <br />PORTION OF THE WORK <br />The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County highway right-of-way on <br />the North side of Orford Rd approximately 0.18 _ Q feet/ 0mile West <br />of Alpine Rd Stockton , by performing the following work (description of work): <br />REMOVE EXISTING SECONDARY SPAN FROM ADJACENT TRANSFORMER AND GUYING ASSOCIATED WITH THE SECONDARY ON <br />BETTERMENT. SET NEW TRANSFORMER TO SERVE EXISTING RESIDENTIAL LOAD AND NEW RESIDENCE ON BETTERMENT. <br />REPLACE DETERIORATED POLE ON BETTERMENT. INSTALL NEW UNDERGROUND SERVICE AND METER TO SERVE NEW LOAD. <br />Work will commence on or after 2/1/23 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 />1/6/23 <br />Signature of Applicant - Title <br />Date <br />