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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Permit No: PS-1502770 <br /> P.O.BOX 1810-1810 E.1 AZELTON AVENUE Date Issued: 09/28/2015 <br /> STOCKTON,CALIFORNIA 95201 Start Date: 10/13/2015 <br /> (209)468-3000 Exp. Date: 02/01/2016 <br /> FAX#(209)468-9324 ProjectNo: PWP730052 <br /> Quad: NE <br /> UE/CR/PM NO:31 139997 <br /> ENCROACHMENT PERMIT <br /> To: PACIFIC GAS&ELECTRIC-SACRAMENTO <br /> 2730 GATEWAY OAKS DRIVE <br /> SACRAMENTO,CA 95833 <br /> Encroachment Type: <br /> Pole Replacement <br /> Location: <br /> W/S OF ESCALON-BELLOTA RD. 1.6 MILES S/O HWY 4(FARMINGTON RD.) <br /> In compliance with your request of 09/28/2015,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of this <br /> form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be pennitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches fi•om surveyed centerline of road right of way,or <br /> fi-om right of way(border) lines. <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit inspections)at(209)953-7421 at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to <br /> the rules and regulations pertaining 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 any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance 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 excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: SS/WW <br /> Est. Permit Fee: $692.00 <br /> MIKE SELLING,Deputy Director <br /> Department of Public Works <br /> WHITE -Permittee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section er It Section <br />