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Iy co COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> 2 �y P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-04265 NW <br /> t►1 < STOCKTON CALIFORNIA 95201 — —-. <br /> Date Issued: 08/30/2004 <br /> .. (209)468-3000 <br /> FAX#(209)468-9324 Expiration Date: 105/01/2007 <br /> RIDER�q�/poRN,P Job No: 73052-20 <br /> ENCROACHMENT PERMIT 1.1E/CR/PM NO: SO#7061707 -- <br /> To: :PG&E iEncroachment Type: BELL HOLE J <br /> ,375 N.WIGET LANE,SUITE 250 Location: S/S WALNUT GROVE RD 460' E/O N.LAMB RD. <br /> WALNUT CREEK,CA. 94598 <br /> In compliance with your request of 08/24/2004 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject t to all the terms,conditions an 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(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 to <br /> depth of utilities through roadside area 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 <br /> 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 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 /> Department of Public Works <br /> Est. Permit Fee: $155.00 <br /> FORMS: ISS/WW,R-29 - -- By <br /> 0011 <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Access\Pennits\Fonns\Encroachment Permit Revised 07/2000 <br />