Laserfiche WebLink
APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date JUNE 9, 2014 OFFICE USE ONLY <br /> To: San Joaquin County JOB# 7 S (7(J 5 Z REF# <br /> Department of Public Works APN CR# <br /> PACIFIC GAS & ELECTRIC CO. EXP.DATE 1 -1 -1 <br /> VALID - - TO 1 —( DRIVEWAYS: <br /> (Applicant Name) STREET <br /> 8 RIVER PARK PLACE EAST AREA c(1LM <br /> Ia � QUAD — <br /> TYPE n P <br /> (Mailing Address) FORMS <br /> FRESNO, CA 93720 NOTES <br /> (City, State,Zip Code) <br /> (559) 347-5113 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> THE ATTACHED CONSTRUCTION SKETCH SHOWS THE WORK TO BE PERFORMED. <br /> THE PURPOSE OF THE PROJECT IS TO REPLACE OVERHEAD CONDUCTOR <br /> WITH A LARGER SIZE.. <br /> TO DO SO, WE WILL RE-ARRANGE POLES BY REMOVING 12 DETERIORATED POLES <br /> AND INSTALLING 12 NEW ONES. <br /> TRAFFIC CONTROL PLANS ARE PROVIDED AND WILL BE USED <br /> DURING CONSTRUCTION. <br /> JOB NUMBER: PM 30958094 <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the side of approximately feet/mile <br /> of by performing the following work(description of work): <br /> Work will commence on or about for approximately days. <br /> I,the undersigned,certify that I am the owner of the respective property,or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> Signature of Applicant-Ti tl Date <br /> J <br /> M.ICENTRALSERVICEMCLERICALIPUB-SV.WKWASTER.PSIENCROACHMENT PERMIT APPLICATIONDOC (09113) <br />