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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS P 06 106ES <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: <br /> Za STOCKTON CALIFORNIA 95201 Date Issued: 3/03/2006 <br /> (209)468-3000 <br /> Expiration Date: 7/15/200 <br /> • FAX#(209)468-9324 Job No: 3052-6 <br /> UE/CR/PM NO: 3 b <br /> ENCROACHMENT PERIVIIT UE/CR <br /> Encroachment Type: ELL HOLE&TRENCH <br /> To: &E /S OF HINKLEY AVE. 189'S/O HORNER AVE. <br /> Location: <br /> 04o WEST LANE <br /> TOCKTON CA 95204 <br /> I i <br /> anted to do work in County right of way <br /> In compliance with your request of <br /> �02/28/2006 ,permission is hereby g<' p eneral or special provisions <br /> as shown on attached application and su Jec o a .s'con '*'ons and restrictions written below or rinte as g <br /> on any part of this form. See reverse side and attached sheet,if any. roved b the <br /> d be smooth and even with that of abutting surface. Sp ve o ment. All underground o <br /> Trench excavations for service connections will not bepan permitted within ten feet(10')of pavement centerline. Special <br /> unless otherwise app <br /> T <br /> Director. Surface of trench patches shall match in kind of way,not from right of way <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road rightY <br /> (border)lines. , <br /> within the <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty- <br /> et t hours prior to beginning any rformed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> County right of way. All workpe <br /> and Cal-OSHA. <br /> California Division of Industrial Safety <br /> excess dirt or deb <br /> The jobsite shall be kept in a safe condition at all ris which might be a hazard to either <br /> c convenience and warning devices and personnel shall be provided,placed and maintained <br /> times by the daily removal of any <br /> pedestrian or automobile traffic• All necessary traffi <br /> c Control. <br /> b and at the sole expense of the Permittee in accordance with the latest edition of the CAI-TRANS Manual be remoaverd and the jobsite left in a <br /> y excess material shall <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any <br /> workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice o <br /> neat workm <br /> completion provided by Grantor. <br /> Special Instructions: <br /> �I <br /> THOMAS R. FLINN,Director <br /> Department of Public Works <br /> Est.Permit Fee: $319 41 <br /> By <br /> FORMS: SS/WW,R-29 <br /> Permit Section <br /> WHITE -Permittee <br /> GOLDENROD -PWD Central File PW 27 <br /> YELLOW -Field Inspection <br /> Pte{ -Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit <br />