|
CITY OF STOCKTON
<br /> DEPARTMENT OF PUBLIC WOR%5
<br /> APPLICATION tilt MCROACHWNT ON PUifUC RIGHY-4t'-WAY
<br /> N° 61636
<br /> qr�f:.� "darrsy..�,...t,��� _�.�,.C_.�,•�ra p �, _ Ckre � I � �
<br /> far.+..s/Lc�+rrtstfOrl
<br /> A,ddram WC. i�j�
<br /> laaxha,at sca,�ascd Vlprfc,ttr t''��tVi Nt f�j}-'A�� !� t_
<br /> APPROVEn. DIRECTOr! Of PU4LIC WOWS
<br /> fc-nr.ccrr[,r Ace.,..s r`eiGQ ls• � 4 A (Pp.Pxs � 1 I By 1101
<br /> Ev,r:v+rert - - - -....
<br /> ws� �i exp,,c+an uric..
<br /> :,�.�.'a hereby apply ..� � — - - .ry ^vt the fo+tow,T
<br /> I for Wt hereb o I for on enCrooChmeri�rmit to ear ng wor'c._.__-D, 9til L 9k-�
<br /> - - — — ;�.�.., •ter _ - - - _ �,,w,..
<br /> LA
<br /> T`w �bcr.�sj+pkor�n�.:ppl�cnr�t haraby •eGyaxrx tscrrr si�:p}n
<br /> i F ��• ? � L-0 't� }N r.540w%A Feu, ,ra F*o --
<br /> r Sewr, Top N$jcj�t
<br /> r:JrAL DEPOSIT j„—� { `♦ I '/aJ
<br /> Building Permit No.
<br /> Improvement 'Plan No �+
<br /> SUpp16mentel Cordltions
<br /> e
<br /> SSOW zXWCh above or refer to dray„,; wbrnmed
<br /> +.:a:r• ., ;.;..-az...-rz:.-:.s—�:s�:u�.-z..._,..�....y..�*,ti�:.� -_�:,._..._.,raau,c•�...�.-: -,.`. - .._....,tm .wc.-:. -_ +..�_.... � __��a.r.,...,r
<br /> IMPORTANT App?icant hereby agrees to Comply with a,i prowsions of th.s berm.+ v C� OL opr-� r sb;a riry orarnpnces,
<br /> resolu:iens, storida^cis rind +pecif,cat,oris Currently ,r, effect, and to pay to C-tv Rs grtL,o _-tt fur emC fv' onb proper replace-
<br /> meat of any item which does not meet above requ,cernenf3. Fa lure to comply wr„ be rause for revc.nticn of r:--rm7 t. Apps-
<br /> tont ageeLs to enJertinrfy and hold the C,ty hcrrrr less against tiny and atl losses, costs, or damc.ges -t "ortrrr from injury to
<br /> persons, death of ;person or damage to prop" ocu,rring at the we of or as a res: ' 64 work tc: be- pPrfwrnc:l under This
<br /> permit. Certificate of insurance w,ll be presented 6y applicant upon request
<br /> Read General Pruvlalans an rererso side of this permit bora signing. *NotC ai notiticatiow,rind inr-p:-cttctnc.
<br /> Permit Engineer/inspector
<br /> ""250
<br /> 04A4=6
<br /> -
<br /> n4A4=6
<br /> lar_1+grmrttea 2rk}..,silo 7r4 -F�nQnc;: arh.--�;r.rty/Srr.,>r
<br />
|