Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br />Date 4/12/22 <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 35291213 <br />JOB # <br />APN <br />EXP. DATE <br />VALI D <br />STREET <br />AREA <br />TYPE <br />FORMS <br />NOTES <br />OFFICE USE ONLY <br />730052 REF # <br />CR # <br />7/11/2022 TO 01/01/2023 DRIVEWAYS: <br />Berry Ave. <br />Tracy QUAD SW <br />Pole Replacement & Aerial Work <br />SS/WW <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 _ East side of Berry Ave approximately 318 0 feet/ O mile North <br />of Grant Line Rd Tracy , by performing the following work (description of work): <br />Traffic control to replace pole and run new overhead electric facilities. <br />Work will commence on or after 7/11/22 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 />L�2�1 - -�2' Z zzzz-v� <br />ignature of Applicant - Title <br />4/12/22 <br />Date <br />