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COUNTY OF SAN JOAQUIN <br />, <br />± DEPARTMENT OF PUBLIC WORKS Permit No: PS4904077 <br />P.O. BOX 18104810 E. HAZELTON AVENUE Date Issued: 12/31/2019 <br />.IA A STOCKTON, CALIFORNIA 95201 Start Date: 01/02/2020 <br />fFo" (209) 468-3000 Exp. Date: 07/01/2020 <br />FAX # (209) 4684324 Project No: PWP730052 <br />Quad: NS <br />UE/CR/PM N0:43937400 <br />ENCROACHMENT PERMIT <br />To: PACIFIC GAS &ELECTRIC - MODESTO <br />P.O. BOX 3031 <br />MODESTO, CA 95353 <br />Encroachment T e: <br />Bell Hole <br />Location: <br />E/S OF REPORT AVE. 60' S/O WATERLOO RD. <br />In compliance with your request of 12/31/2019 ,permission is hereby granted to do work in County right -of --way as shown on attached <br />application and subject to all 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 (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 frontage 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 />from right of way (border) lines. <br />Permittee shall call the Department of Public Works, 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 tinder this permiLa a 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 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 />pedCAS hiall or automobile traffic. All necessary 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 />Aft <br />er completion of the work permitted herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner. hmnediately following completion of construction permitted herein, Permittee shall fill out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />Special <br />Comments: <br />Traffic Contt•ol Per MUTCD <br />FORMS: <br />SS/WW, R-29 <br />Est. Permit Fee: $490.00 <br />WHITE -Pennittee <br />GOLDENROD -PWD Central File <br />YELLOW -Field Inspection <br />PINIC -Permit Section <br />By: <br />KRIS BALAJI, Director <br />of Public Worlcs <br />Section <br />