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I- COUNTY OF SAN JOAQUIN <br /> (4- 41 <br /> �G DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE <br /> < STOCKTON CALIFORNIA 95201 EP No. P-06 58 S <br /> (209)468-3000 Date Issued:4 No: F <br /> NSP FAX#(209)468-9324 Expiration Date: 06/!5/2006 <br /> ENCROACHMENT PERMT Job UE/CR/PM NO: �52-6 -- <br /> To: G 6c E <br /> Encroachment Type: STALL POLE <br /> P.O.BOX 930 —� Location: <br /> ` /S OF SECTION AVE. 900'E/O GOLDEN GATE AVE. <br /> TOCKTON,CA 95201 <br /> I <br /> In compliance with your request of —----- 006 -- <br /> 01/28/2006 permission is hereby granted to do work in County right of way <br /> as shown on attached application and su Iec o e erms,con >>oi-ns slid restrictions written below or printed as general or special provisions <br /> 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(101)of pavement centerline unless otherwise approved b 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 to <br /> depth of utilities through roadside arga in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way <br /> (border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> 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 maintained <br /> 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 provided by Grantor. <br /> Special Instructions: <br /> THOMAS R. FLINN, Director <br /> Est.Permit Fee: 215.00 l Department of Public Works <br /> FORMS: SS/WW,R-29 �II By <br /> WHITE -Permittee – — <br /> GOLDENROD PWD Central File Permit ection <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> Access\Permits\FormS\Encroachment Permit <br /> Revised 07/2000 <br />