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COUNTY OF SAN JOAQUIN <br /> co DEPARTMENT OF PUBLIC WORKS <br /> 2 GZ� P.O.BOX 1810-1810 HAZELTON AVENUE <br /> EP No: EPEP-06 350 ES <br /> STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 110/18/2006 <br /> c` �P FAX#(209)468-9324 Expiration Date: 12/01/2006 <br /> ��FORN <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM No: CR 630��1 <br /> To: ;S.T::A:N.D. Encroachment Type: CURB,GUTTER&SIDEWALK <br /> SPO BOX 30231 � <br /> Location: E/S ORO AVE.APPROX. 100'N/O FARM ST. <br /> STOCKION,CA.95213 <br /> I <br /> In compliance with your request ofi 10/06/2006 permission is hereby granted to do work in County right of way <br /> as shown on attached application and su Jec o e erms,con itions and restrictions written below <br /> on any part of this form. See reverse side and attached sheet,if any. or printed as general or special provisions <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 rimes 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: CONTRACTOR SHALL USE CONCRETE FOR CURB,GUTTER&SIDEWALK <br /> j <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $115.00 , Dep ment of Public Works <br /> FORMS: iSS/WW,CW-C7 By L'/�f/ <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 <br /> Revised 07/2000 <br />