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QU'1y <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0902846 <br /> STOCKTON, CALIFORNIA 95201 Date Issued: 12/31/2009 <br /> (209)468-3000 Exp. Date: 06/15/2010 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: ES <br /> UE/CR/PM NO:30745041 <br /> ENCROACHMENT PERMIT <br /> To: PG& E <br /> P.O. BOX 930 <br /> STOCKTON, CA 95201 <br /> Encroachment Type: <br /> Bell Hole Bore(up to 6 inch Dia) I.Trench <br /> Location: <br /> E/S OF DAWES AVE. 284' S/O WASHINGTON ST. <br /> In compliance with our request of 12/31/2009 permission is hereby Wanted to do work in County right-of-way as shown on attached <br /> P Y Q <br /> �P Yb <br /> application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part <br /> of this 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 <br /> by the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage <br /> development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of <br /> road right of way, or from right of way(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 <br /> within the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> 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 <br /> either pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed <br /> and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic <br /> Control. <br /> After completion of the work permitted herein, all debris, lumber,barricades,or any excess material shall be removed and the jobsite <br /> left in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and <br /> mail notice of completion provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> I <br /> FORMS: SS/WW,R-29 <br /> Est. Permit Fee: $487.02 <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> W I I ITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: _ <br /> PINK -Permit Section PernSection <br />