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HENRY M. HIRATA <br />DIRECTOR <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />PO. BOX 1810 - 1810 E. HAZELTON AVENUE <br />STOCKTON, CAUFORNIA 95201 <br />(209) 468-3000 <br />ENCROACHMENT PERMIT <br />To: six:v Cc:aa;tui C !., r+, 1.:.,c. <br />�Saisu hider. C-,:1.tk RU. <br />.�:.i:•.3:-d.#i;4t:;Ci+_t`, %max ?rjf�.,`�y <br />E. P. No. <br />(Date Issued) <br />(Expiration Date) <br />(Job No.) <br />Encroachment type: h¢: Ur <br />Location: <br />i, /dv <br />In compliance with your request of 4--i."j 19 '£ 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 (101) <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 />NOT)" ;I t:%' ;:3I`d:. ai'n-(i t..1"3L:; tiE;d ili^.Itk.:.1.,_ <br />'kP,oie-" '�.V ."-sir' 94-11,of5i--ci2 <br />Est. Permit Fee: $ eT 40.00 , 'i <br />FORMS: <br />Sv/m'14 <br />WHITE - Permittee <br />GOLDENROD - PWD Central File <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />HENRY M. HIRATA, Director <br />Department of Public Works <br />By .% <br />Permit Section J. <br />