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A <br />HENRY M. HIRATA <br />DIRECTOR <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810 - 1810 E. HAZE:LTON AVENUE <br />STOCKTON, CAUFORMA 95201 <br />(209( 468.3000 <br />ENCROACHMENT PERMIT <br />E.P. No. <br />(Date Issued) <br />1--15•-)6 <br />(Expiration Date) <br />!3051,_-6 <br />(Job No.) <br />To: �'•G• b• Encroachment type: <br />: Trr`rac:' � • Se Z:i ticj.i.��. <br />P. 0. BOA 930 ' <br />Stuff ,toa, CA 952;01 Location: si/s Myrain Avfe.. & t/s littr.n Kv, • <br />e/+) Cherokee €?d. <br />In compliance with your request of 4.►'6 19 95 permission is hereby <br />granted to do work in County right of way as shown on attached application and subject to <br />all the terms, conditions and restrictions written below or printed as general or special <br />provisions on any part of this form. See reverse side and attached sheet, if any. <br />Trench excavations for service connections will not be permitted within ten feet (10') <br />of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br />shall match in kind and be smooth and even with that of abutting surface., Special attention <br />shall be given to depth of utilities through roadside area in anticipation of future drain- <br />age facilities, road profile and/or frontage development. All underground utility facili- <br />ties are to be established and accurately dimensioned on sketches from surveyed centerline <br />of road right of way, not from right of way (border) lines. <br />The Department of Public Works, Field Inspection Section shall receive a notice at <br />least forty-eight (48) hours prior to beginning any work within the Country right of way. <br />All work performed under this permit shall conform to the rules and regulations pertain- <br />ing 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 <br />any excess dirt or debris which might be a hazard to either pedestrian or, automobile <br />traffic. All necessary traffic convenience and warning devices and personnel shall be <br />provided, placed and maintained by and at the sole expense of the Permittee in accordance <br />with the latest edition of the CALTRANS Manual of Traffic Control. <br />After completion of the work permitted herein, all debris, lumber, barricades, or any <br />excess material shall be removed and the jobsite left in a neat workmanlike manner. <br />Immediately following completion of construction permitted herein, Permittee shall fill <br />out and mail notice of completion provided by Grantor. <br />Est. Permit Fee: $ G 4c" q,.- <br />FORMS: <br />/._ <br />FORMS: `'S/wlilk-19 <br />HENRY M. HIRATA., Director <br />Department of Public Works <br />WHITE - Permittee gy, <br />GOLDENROD - PWD Central Filermit Sect on <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />