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05/31/20016 10;42 FAX 209v931 440 CITY OF TRACY uu[/uuy <br /> ENCROACHMENT PERMIT <br /> CITY OF "TRACY � •SR ' E3blZ <br /> w— - <br /> Plia nit Na: <br /> Date Of I,;;u anee <br /> Permit valid lap To, l_ � _ �'" C:> BY <br /> Inspection Deposit. / _ Permit Fees <br /> f cct.# 112-453,,1-405-R33 �`` (F1cct. A 112-4332-403) <br /> L'ngineering Fees ,_._-- Perforrhance Sore l <br /> This permit i` hrrsby iwkuod to encroach on the <br /> _I the purpose of � <br /> l"�('' t �%'-'.1 �`,i'iC1 i�/�/� !•i; 1 'jt' / L(w�l� <br /> �i <br /> %�.--: ,%r• ' fir- �%�,/-� c�.a; .:-+. <br /> Name of applicant: <br /> Address' <br /> 77 <br /> Field Superintendent _1`1•�l A � t !v"�i } `.. _Contaci Phone Number. _! �i <br /> CONDITIONS OF PERMIT �1 <br /> 1 )THE PERMITTEE SHALL NOTIFY MARK RUIZ 209 483 6091 )CONSTRUCTION INSPECTION DIVISION AT LEAST <br /> FORTY EIGHT(48) HOURS PRIOR TO START FORK PERT44MING HERETO. <br /> 2. The Permittee agrees to perforrn work under this J�rmit in icco,rd6nce with the prevailing City Standards, Specifications <br /> ,.nd shall comply with all existing codes and policies.'—'—'—�`_•. <br /> 3, Permittee shall notify Police 8. Fire Departments before sta ung construction of any work <br /> .j 1, "�'_(•':.�', c.=rel 1.. .. —! / 4 L. ,t. <br /> 4, Tentative Starting darts lei-� �; ) ..._-. r • <br /> S. Tentative completion date: •�„_, - <br /> 6. If construction Is not started within g0'days from the issue date, this permit will be void unless otherwis©stated in the <br /> Special conditions, <br /> 7. Contractors must display name and phone number at work site—preferably on barricades. <br /> S. 1"he cost of emergency work requirRd to restore unsatisfyctory construction that becormes,fa hazard will be charged to the <br /> Pmrmittee, <br /> 9. Replace full concrete:::sidewalk squarer-, as required, by Sawcuttincq along scores marks. <br /> 10, COMOacticrt tests shall be required on backfilled trenr_he5 at the expense of the Pcrmitteu (contact Construction <br /> Management or Development & Engineering Services oepartment). <br /> 11. Traffic control shall be in accordvinoe with the Caltrans Traffic Manual. <br /> 12. Trenching and resurfacing Is to comply with Standard Plan No. 501 and 501A. <br /> 13. The time of construction will be limited between the hours of T30 A.M. rand 4,30 f.M., Monday to Friday. Any request <br /> for work beyond the hours noted herein and :any work on the weekends and holidays will require prior approval from the <br /> City, The Permittee shall pay for all additional City inspections beyond the normal working hours. <br /> 14. City inspections shall be performed Monday-Friday between 8,00 A_M, and 5;00 P.M. Any inspection performed beyond <br /> these hours, in accordance with Condition 13 of this permit, will be considered overtime and will be paid by the Permittee <br /> in advance to the Development& Engineering Services Department <br /> 15, Non-compliance or City Codes, Pla►'is, $pecitications and conditions of this permit may r-.sult in fines and penalties as <br /> established by the City Council, <br /> 16. PERMITTEE SHALL COMPLY WITH THE FOLLOWING SPECIAL CONDITIONS. <br /> Page 1 of 2 <br /> 08/16/05 TUE 11:03 [TX/RX NO 66891 <br />