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OPqu!y c E.P. No. <br />G <br />Z� COUNTY OF SAN JOAQUIN <br />4_11-��:. <br />DEPARTMENT OF PUBLIC WORKS (Date Issued) <br />P.O. BOX 1810 - 1810 E. HAZELTON AVENUE <br />STOCKTON• CAUFORNIA 95201 ` C <br />(209) 468.3000 <br />-95 <br />HENRY M. HIRATA <br />ENCROACHMENT PERMIT (Expiration Date) <br />DIRECTOR 73079-3 <br />(Job No.) <br />To: c b c. 61 1 Encroachment type: Trench <br />YoKuth Ave. <br />i,.rt k.con, ;A 9-"'20 7 Location: �;/s Greeno.ikk Ct:. 250' <br />s=/o F. Hwy 94 Front. Rd. <br />In compliance with your request of <br />granted to do work in County right of way <br />all the terms, conditions and restrictions <br />provisions on any part of this form. See <br />4-11 , 19 95 , permission is hereby <br />s shown on attached application and subject to <br />written below or printed as general or special <br />everse 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 County 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: $ <br />FORMS: <br />SSf VrW I, s'—[ <br />HENRY M. HIRATA, Director <br />Department of Public Works <br />WHITE - Permittee By <br />GOLDENROD - PWD Central File Permit Section <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />