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HENRY M. HIRATA <br />DIRECTOR <br />• <br />• <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810 - 1810 E. HAZEL1ON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468.3000 <br />ENCROACHMENT PERMIT <br />To: ;:'at 3h� 11 L:+ Fever <br />;`::.1117 }s. i�o;�laaropuli�r <br />CA 9S:%'36 <br />E.P. No. 95-09f)�k�: <br />4-2`4-95 <br />(Date Issued) <br />1-1.-96 <br />(Expiration Date) <br />110051 <br />(Job No <br />Encroachment type: TreTLch (Sewer) <br />Rd. <br />Location: WIS Dawes. Ave. 400't <br />z;lo Horner Ave. <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 />i <br />4-i l , 1995 , permission is hereby <br />as shown on attached application and subject to <br />written below or printed as general or special <br />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 />r;5J�r1 0 HENRY M. HIRATA, Director <br />FORMS: Department of Public Works <br />WHITE - Permittee BY <br />Permit Section <br />GOLDENROD - PWD Central File <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />