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1=' 1F NJ A, UIN <br />DEPARTMENT OF PUBLIC WORKS <br />1 BOX 1810 0 E. HAZELTON <br />• •CALIFORNIA <br />Y 1` .. 11 <br />t' 6: <br />ENCIZ®ACHMENT PERMIT <br />To: AT & T -FRESNO <br />5555 E. OLIVE RM#300III <br />FRESNO, CA 93727 <br />Encroachment Ty e: <br />Traffic Control Devices <br />Location: <br />S/S WATERLOO RD 40' W/O F ST <br />Permit No: PS -1903404 <br />Date Issued: 10/25/2019 <br />Start Date: 10/25/2019 <br />Exp. Date: 01/01/2020 <br />Project No: PWP730079 <br />Quad: <br />UE/CR/PM NO:AOIPATY <br />hn compliance with your request of 10/25/2019 ,permission is hereby granted to do work in County right -of --way as shown on attached <br />application and subject to alt the terns, 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 (L 0') 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 ofRittu•e drainage facilities, road profile and/or fiontage development. All <br />undergrotund utility facilities are to be established and accurately dimensioned on sketches fi•om sw•veyed centerline of road right ofway, or <br />fi•om right of way (border) lines. <br />Permittee shall call the Department of Public Worlts, Field Engineering Division (Permit Inspections) at (209}953-7421 at least <br />forty-eight hours prior to beginning any work rn�thin 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 shall be kept in <br />a safe condition at all tames by the daily removal of any excess du•t or debris which might be a hazard to either <br />pedesh ian or automobile traffic. Al] necessaJ y traffic convenience and warning 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 permitted herein, all debris, Imnber, barricades, or any excess material shall be removed and <br />the jobsite left in a <br />neat worlanatnlilte manner. Immediately following completion of conshuction permitted herein, Permittee shall fill out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />Special Comments: <br />Traffic Conhol Per MUTCD*****See Attached "Special Conditions"***�`* <br />FORMS: SS/WW <br />Est. Per <br />mit Fee: <br />WHITE <br />GOLDENROD <br />YELLO1v <br />PINK <br />$490.00 <br />-Permittee <br />-PWD Central File <br />Field Inspection <br />Permit Section <br />KRIS BALAJI, Director <br />Department of Public Worlts <br />By: <br />Permit S ection <br />