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a� COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1100013 <br /> �, ;, :•; ` STOCKTON,CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: O 11/04/2011 <br /> Exp. Date: 02/01/201 I <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: CC <br /> To: MARY SANCHEZ ENCROACHMENT PERMIT <br /> 1633 W. WALNUT STREET <br /> STOCKTON. CA 95203 <br /> Encroachment T e: <br /> 'Bore(up to 6 inch Dia) <br /> Location: <br /> ------ <br /> W/S OF MISSION RD. 35', 1 10',& 160' S/O COUNTRY CLUB BLVD. <br /> In compliance with your request of 01/041/2011 ,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as�> <br /> this form. See reverse side and attached sheet, if any. p eneral orsp ecial rovisions on any part of <br /> p <br /> '!Tench excavations for service connectioins will not be permitted within ten feet(10')of pavement centerline unless otherwise approved <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. S ecial atte <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or fronta e de lopmet by <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerlinep ntton shall <br /> way, or from right of way(border) lines. g veloght o f <br /> of road right of <br /> Permittee shall call the Department of Public Works, Field Engineering Division(Permit Inspections)at(209)953-7421 <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform <br /> to the rules and regulations pertaining to safety established by the by Division of Industrial Safety and Cal-OSHA.P at least <br /> The jobsite shall he kept in a safe condition at all times by the daily removal of any <br /> excess pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided la <br /> ced and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest editiondirt or debris which might he a hazard to either <br /> of the CALTRANS Manual of'fraffic Control. <br /> After completion of the work permitted herein,all debris, lumber, barricades,or any excess material shall be removed and th <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill ou <br /> Of completion(see attached post card)provided by Grantor. e Jobsite left <br /> t and mail notice <br /> Special Comments- <br /> Traffic Control Per MUTCD <br /> ;SEE ATTACHED SHEET "SPECIAL.CONDITIONS" — <br /> FORMS: SS/WW R-29- ---- <br /> I <br /> Est. Permit Fee: $639.00 <br /> THOMAS R. FLINN, Director <br /> 601,Iwllrrl: -Permacc Department of Public Works <br /> YFLI-ow, <br /> W <br /> -PL)Central Filc <br /> YELLO -Field Inspection <br /> Pl�h -Permit section n l <br /> Permit Section <br />