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RUNTY UY SAN JOAV U N <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810-1810 E. HAZELTON AVENUE <br />STOCICTON, CALIFORNIA 95201 <br />(269) 468-3000 <br />FAX # (209) X168-9324 <br />ENCROACHMENT PERMIT <br />To; PACIFIC GAS &ELECTRIC - IvIODESTO <br />P.O. BOX 3031 <br />MODESTO; CA 95353 <br />Encroachment Type: <br />Permit No: PS -1903495 <br />Date Issued: 11%05/2019 <br />Start Date: 11/15/2019' <br />Exp. Date: <br />Project No: <br />Quad: NE <br />04/l 5/2020 <br />PWP730052 <br />UE/CR/PM N0:35114G 1 G <br />tom✓ S� � I <br />Pole Ire lacentent <br />Aerial Work <br />Anchor Removal <br />Location: <br />E/S OF CHEROKEE LN, 1377,' N/O COLLIER RD. <br />Incompliance"with yourrequest of 11/05/2019 ,permission is hereby granted to. do work in County right-of=.way as shown oit attached <br />application and subbiect to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of this <br />form. See reverse side and attached sheet, if any. <br />Trench excavations for service connections will not be permitted within ten feet (l0') ofj�avement centerline unless otherwise appfoved by the <br />Director. Surface oftrench patches shall match in kind and.be smooth and even with that ofabulting surface. Special attention shall be given <br />to depth of utilities through roadside area in anticipation of fitttu`e drainage facilities, road profile and/or fi•ontage development. All <br />underground utility facilities are to be established and accurately dimensioned oil sketches from surveyed centerline of road right of way, or <br />from right of way (border) lilies, <br />tEei�mittee shall call theDepartment ofRublicField y;nbinecring Division (Permit Inspections) of (209)953-7421 at least 1 <br />tforty-eight Jlonl'S prior tobcginning arty worJc ►vitlrin'the County right oflvaya All work performed under this permit shall conform to <br />the rules and regulations pertauiing to safety established by the California Division of Industrial Safety and Cal -OSHA. <br />The joUsite shall be kept in a safe condition nun I I <br />times by the daily removal of any excess dirt or debris which might be a hazard to either <br />pedeshian or automobile traffic. All necessary triflic convenience and warning devices and persou»el shall be prof+ided, placed and <br />maintained by and at the sole expense of the Permittee in accordance with [lie latest edition of the CALTRANS Manual ofTraffic Control, <br />After co» pletion of the work permitted herein, all debris, lumber, barricades, or any excess tuaterial shall be removed and the jobsite left in <br />neat workmanlike manner. hiunediately folloti� ing completion of co;>struclion peruritted.lterein, PerZnittee shall fill out �u�l u11i1 notice of! <br />completion (see attached post card) provided by Grantor. I <br />Special Comments: <br />Triflic Cotiti•ol Pet• MLl'I'CD""'�` �`�See Attaches "Special Conditions"'��"'"� <br />FORMS: SS/WW <br />ISt. Pcrntit Fee: <br />$774 <br />wH1`fE <br />GOLDF,NROD <br />i'BId.OR' <br />PINI: <br />.00 <br />-Pcrrniltcc <br />-PIVD Ccnlr�l Filc <br />Yield Inspeeliat <br />Permit Section <br />By: <br />KRiS BALAJi, Director <br />of Pab] is Works <br />Section <br />