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COUNTY OF SAN JOAQUIN <br /> �'� DEPARTMENT OF PUBLIC WORKS PermitNo: PS-]502873 <br /> WA, : ; P.O.BOX 1810-1810 E. HAZELTON AVENUE Date Issued: 10/05/2015 <br /> STOCKTON,CALIFORNIA 95201 Start Date: 10/05/2015 <br /> (209)468-3000 Exp. Date: 11/01/2015 <br /> FAX#(209)468-9324 Project No: PWP730052 <br /> Quad: SS <br /> UE/CR/PM NO:31 172563 <br /> ENCROACHMENT PERMIT <br /> To: PACIFIC GAS&ELECTRIC- STOCKTON <br /> PO BOX 930 <br /> STOCKTON,CA 95201 <br /> Encroachment Type: <br /> Bell Hole (Pavement Repair) <br /> Location: <br /> N/S OF I 1 TH ST. 189' E/O BIEGIILE ST. <br /> In compliance with your request of 10/05/2015,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 ofthis <br /> form. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of tench 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 from surveyed centerline of road right of way,or <br /> from 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 dut 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: I SS/WW,R-29 I Trench Cutting Policy <br /> Est. Permit Fee: $436.00 <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 -Pcrmit Section Per it Section <br />