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COUNTY OF SAN JOAQUIN <br /> c U I N c DEPARTMENT OF PUBLIC WORKS <br /> GGZ P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-06 377 SW_ <br /> STOCKTON CALIFORNIA 95201 Date Issued: 11/15/2006 <br /> RIDER (209)468-3000 Expiration Date 01/28/2007 <br /> xP FAX#(209)468-9324 I loos - <br /> Job No: <br /> GiFOCtc� <br /> ENCROACHMENT PERMIT UE/CR/PM NO: <br /> - Encroachment Type ROAD CLOSURE"SIGNAGE ONLY" <br /> To. TEICHERT CONSTRUCTION _- - - <br /> - - ALONG GRANT LINE RD.FROM MOUNTAIN HOUSE <br /> Location: <br /> -- - _ <br /> 265 VAL DERVIN PKWY. RD.TO HANSEN RD. <br /> ISTOCKTON CA 95206 - <br /> d:ub ect do till t tl 8on�ttons and n permission is hereby granted to do work in County right of way <br /> In compliance with your request of — d restrictions written below or printed as general or special provisions <br /> as shown on attached application an ) <br /> on any part of this form. See reverse side and attached sheet,if any. <br /> n feet 1)of pavement centerline <br /> nless otherwise <br /> proved <br /> by the <br /> Trench excavations for service connections <br /> ill not <br /> kind and Beed within <br /> and even(wOhthat of abutting surface. Spec al attention p hall be given to <br /> Director. Surface of trench patches <br /> depth of utilities through stadside area in ablisshed and accurately ely dimensioned on sketches cipation of future drainage facilities, <br /> from surveyedtcent rl centerline of road development. <br /> ght o f ay,not from right of <br /> utility facilities are to be es <br /> way(border)lines. n shall eceive a notice at least <br /> urs prior to beginning any <br /> work <br /> The Department of Public Works,Funder this permit shallrconform to the rules and r gulations pertaining to safety establ hed by the <br /> thin the <br /> the <br /> County right of way. All work performed <br /> California Division of Industrial Safety and Cal-OSHA. <br /> al of any <br /> xcess <br /> rt or debris <br /> ch might be a hazard to <br /> The striane shall be kept in a ic.eAll nectessary traffic convenience the <br /> ence and warm g devices and tpersonnel shall tbe provided,placed and maintained <br /> remo <br /> pedestrian or automobile of <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> erial shall <br /> removed <br /> site left <br /> After completion of the work Pmedia'tel herein, <br /> fc�llowingc ompletion of ebris,lumber,con traction permitted hereies,or any excess n,Permittee hall fill out nand m ilb otice of n a <br /> neat workmanlike manner. Im Y <br /> completion provided by Grantor. -- - - <br /> Special Instructions: 1.) PUT CLOSURE DATES ON THE SIGNAGE <br /> RISUTTPRIY <br /> AD <br /> CORE NOTIFICATION PROCEDURE SO THAT ALL EMERGENCY SERVICESS ARE INFORMED ABOUT <br /> THIE TWO DAY CLOSURE. <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est.Permit Fee: $115.00 <br /> By <br /> FORMS: SS/WW, R-29 -- - <br /> WHITE Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> PW 27 <br /> YELLOW Field Inspection <br /> PINK Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Iincroachment Permit _ -- <br />