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COUNTY OF SAN JOAQUIN <br /> c DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE - i- <br /> STOCKTON CALIFORNIA 95201 EP No: [EP-06 332'LV_ � -� <br /> (209)468-3000 Date Issued: 10/03/2006 <br /> -- — — -_J <br /> FAX#(209)468-9324 Expiration Date: _10/17/2006 <br /> ���FORN Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: <br /> —3 Y7 - <br /> To: LFR,INC J --- - <br /> -- —I Encroachment Type: BORE <br /> 1900 POWELL ST (12TH FLOOR) Location: NORTH AND SOUTH SIDE OF BENJAMIN HOLT . <br /> I- <br /> DR <br /> SEE PLAN FOR VARIOUS LOCATIONS- <br /> In <br /> CA 94577 — � � <br /> I <br /> In compliance with your request of j 9/19/2006 J ,permission is hereby granted to do work in County right of way <br /> suTiject to a erms,con thons and restrictions written below or printed as general or special provisions <br /> as shown on attached application and <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: 1.CAN NOT DO BOTH SIDES OF ROAD SIMULTANEOUSLY. 2.FLAGGERS REQUIRED AS SHOWN. 3.WORK <br /> MUST BE PERFORMED AT NIGHT TIME BETWEEN THE HOURS OF 7:OOPM TO 6:00 AM. 4.USA FOR <br /> UTILITIES REQUIRED INCLUDING SIGNAL DETECTOR LOOPS AND LEADIN CABLES. 5.COORDINATE <br /> BLOCKAGE OF ANY RTD BUS STOPS WITH RTD. <br /> i <br /> THOMAS R. FUNK, Director <br /> Est. Permit Fee: <br /> Department of Public Works <br /> $715.00 <br /> FORMS: IS IWW,R-29 _ By , <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section PW 27 <br /> Access\Permits\Forms\Encroachment Permit Revised 07/2000 <br />