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HENRY M. HIRATA <br />DIRECTOR <br />0 <br />�J <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810 - 1810 E. HAZELTON AVENUE <br />STOCKTON, CAUFORNIA 95201 <br />(209) 468-3000 <br />ENCROACHMENT PERMIT <br />E.P. No. 95- lay—>'-. <br />4-21-95 <br />(Date Issued) <br />11-1-95 <br />(Expiration Date) <br />(job No.) <br />To • • r • �' 1�. • Encroachment type: Trench, Bell Hole <br />box. 930 <br />)G(%Cktoll' t;.:y, 95iul Location: s0 i Gillli.n Hct. 85' <br />e:/v Orie6t W. <br />In compliance with your request of 4--19 , 19 105 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 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 />HENRY M. HIRATA, Director <br />Department of Public Works <br />WHITE - Permittee BYT <br />GOLDENROD - PWD Central File <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />Permit Section <br />