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COUNTY OF SAN JOAnC <br /> UIN <br /> " l DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 181 - KS <br /> 0 1810 E. HAZELT <br /> STOCKTON ON AVENUE Permit No: PS-0900822 <br /> ON <br /> 95201 <br /> (209)468-3000 Date Issued: 04/14/2009 <br /> FAX#(209)468-9324 Exp. Date: 05/03/2009 <br /> Project No: PWP110005 <br /> Quad: NE <br /> To: MOKELUMNE FIRE DISTRICT ENCROACHMENT PERM <br /> 13157 BRANT RD. IT <br /> LOCKEFORD, CA 95237 <br /> Encroachment T <br /> BOOT DRIVE ---I�-- <br /> Location: L <br /> ELLOIT RD. AND TULLY RD. @ HWY 88 <br /> In compliance with your request of 04/14/2009 <br /> application and subject to all the terms, conditions and restrictions written <br /> ----�,Permission is hereby granted to do work in County this form. See reverse side and attached sheet, if any. <br /> below or printed as general <br /> r� r spec-way as shown on attached <br /> Trench excavations for service connections will not be general or special provisions on any p�of <br /> the Director. Surface of trench patches shall match in kind and be smooth <br /> given t depth a utilities through pe within ten feet 10' <br /> be g' ( )of pavement centerline unless otherwise approved <br /> All underground utility facilities are to be esde area in tab] hed and accura els ooth nd evQ <br /> ooth and even with that of ad pro surface. <br /> g Special attention seaby <br /> way, or from right of way be facilities, road profile and/or frontage development. <br /> g y(border) lines. dimensioned on sketches from surveyed centerline of road The Department <br /> P rtment of Public Works, Field Inspection Section shall receive d nght of <br /> Within the County right of way. All work: <br /> established b the California Division of industrial Safety this permit shall notice <br /> totherules an a <br /> y forty-eight hours prior to beg' <br /> Safety and Ca]-OSHA. d regulations pertaining to sanning fety <br /> work <br /> Tee jobsite shall be kept in a safe condition at all times b <br /> pedestrian or automobile traffic. y the daily removal of any excess dirt or debris which <br /> maintained r and at the sole expense ecthe Permit ee ioven1ence and w <br /> arning devices and personnel shabe provided,placed and <br /> to either <br /> accordance with the latest edition of the CALT <br /> After completion of the work permitted herein, all debris, lumber, barricades BANS Manual of Traffic ontrol. <br /> in a neat workmanlike manner, <br /> Of completion workmanlike <br /> b Immediately followin. trades, or any excess material shall be removed and the 'ob ' <br /> P y Grantor. b completion of construction e <br /> S ial Comments: permitted herein, Permittee shall fill out and mail notte e e <br /> Traffic Control per MU <br /> TCD(I DAY EVENT ON 512/09) <br /> FORMS: N/A ----- <br /> st Permit Fee: $0.00 <br /> IMF THOMAS <br />>LDENROp _PWD Central File Department <br /> -1'ermitce R. FL1NN, Director <br /> LL EN <br /> K <br /> Field Inspection of Public Works <br /> -Permit Section <br /> By: <br /> Perm Section - <br />