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To: AT & T -FRESNO <br />5555 E. OLIVE RM#3001E <br />FRESNO, CA 93727 <br />COUNTY OF SAN JOAQ UIN <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 />Encroachment T e: <br />Trench <br />Location: <br />W/S CHRISMAN RD 35' S/O CARMELO AVE <br />Permit No: PS -1901964 <br />Date Issued: 06/12/2019 <br />Start Date: 06/28/2019 <br />Exp. Date: 10/01/2019 <br />Project No: PWP730079 <br />Quad: <br />UE/CR/PM NO:AOIL3GHC <br />In compliance with your request of 06/12/2019 , pennnission is hereby granted to do work n1 Cowrty 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 ofthis <br />form. See reverse side and attached sheet, if any. <br />Trench excavations for service cormections will not be permitted within 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 dimensioned on sketches from surveyed centerline of road right of way, or <br />fi•om right of way (border) lines. <br />Permittee shall call the Department of Public Worlcs, Field Engineering Division (Permit Inspections) at (209)953-7421 at least <br />forty-eight hours prior to beginning any work within the County right of way. All work performed under 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 shal] be kept in a safe condition at all times by the daily removal of any excess du -t or debris which might be a hazard to either <br />pedestt•ian or automobile traffic. All necessary h•affic convenience and warnarg devices and personnel 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 permitt <br />ed herein, all debris, lumber, barricades, or any excess material shall be removed arnd the jobsite left in a. <br />neat worlananlilce mamner, hrunediately following completion of construction permitted herein, Permittee shall fill out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />Comments: <br />Traffic Control Per MUTCD <br />FORMS: <br />SS/WW, R-29 <br />Est. Permit Fee: <br />WHITE <br />GOLDENROD <br />YELLO W <br />PINK <br />-Permittee <br />-PWD Central File <br />Field Inspection <br />Permit Section <br />KR1S BALAJI, Director <br />Department of P>_iblie Worlcs <br />Permit ection <br />