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A -28' 01 (TUE; ME CITY OF(-%?ACY TEL:209 631 "00 P. ON <br /> FILE ho.29 08:48 '01 I? i II;;CITY GF TPACY DEV a EM FAX:20: 4OYZ PAGE 4/ .4 <br /> This porn it lesued pUM%;Mrt to gp prnvislpns of Glty of Tracy Mur,Ktpal ttiad0. This permit Is scanted upon the <br /> Gxprew oona tion that the per bu oholl be responsible for all dalrns and Its`tildes pains Out of wrfvn <br /> ork pe *d <br /> untwr the pemit arOeing out of psrmliwn's tallure to perform the obltgaWni with r'a:pexlz street maintenance. <br /> The pmnnittee shsdr and by acceptande of#�e perrnit agrooe to,defend, Jmernn0y,save and hold harrt'ilesn IN <br /> for or <br /> city;its o Eters sed empitsyeers,from and aVinat any and tall er Iit�, claims or aegons l,rotrgtri by any prtrso <br /> on ac�unt of any bodily injuries. disease or ITOWa or darnaag to poroons andlor property ouStained or arising in <br /> tho coastruden of the Work peMM-mBd under the permit Of in corwegLAMB dr pen'NME s failure to perform ft <br /> cbligahens with respect io street maintenance. <br /> Perri p b' the provisions of tN%permit+ <br /> $ ?G O <br /> VEWItjE <br /> -S SIGNATURE DATE <br /> pdpr to e=avation,Coreradw rnuct eontaet tris fallowing to novo taw-ground facill iar�tai(+48 hours pHarta <br /> wor'k1� <br /> UNDERGROUND SERVICE ALERT <br /> Toll Free;(80C)227-nM <br /> Boyd Servloe Censer <br /> (M)837-4420 <br /> No%; You are notrlleC tnat suction 53640 of the Labor Code nqulres this lsauenca of a permit by the Division Of <br /> Indui-u al Safety of the 9tite of Celilbrnii prior M the construetlan of any trench or exomtlon vThlot►iQ fere feet ar <br /> deeper prod into vrhich a person Is required to deeaernt ExMvs�ian in city street arses witt+out an excavalfon <br /> pe rnit may be puri:einoble by a fine, <br /> Permittee agrees that they hereby atWPt cOmplate respanslbiilty for coordination*kh, repor"ta,and cpmplying <br /> with ti-,e direotion of,any and art beards or districts, including but not Ile Ud oa,San Joaquin County I�oc�aI H#W <br /> Diskrict and California Regional 1Alefer'QvWiV Control Board,oil any other regw tory agency having lolcuon or <br /> stZority over sari or ground water contaminaWn such as that rx,rrenity found et the slip of this work.including the <br /> preservation of"how and safety of persons woriting near or in w7y bench Of OXM491+R nr an the surf toe of <br /> the oondruction pr*ctt,or any Fs'raene psaslna by or 0eoFA4,or any pawns fVft In ttre vicinity Of the <br /> ccnstractlon project, for any rawn wheMomi,Vat my adverseltr.or otherMse aftd the With ar eirfary, now <br /> and In the future,of thee$persons or group Cif per>tranc. <br /> Fumorm^permitter: hereby a— '� wish iia rs Iuirerrjtnb elf array,PO s er�Iny other. <br /> 001euir,Off0dw 6006,Or <br /> around water,Including m"rtn9 P►Y 9 <br /> reguiptvy apno;es as discussed MOvs. <br /> VTy jNBpEC^Tog'S CO N p <br /> Dee of Zorn €tangy' <br /> ptepon. <br /> Agpht Sklewsk, <br /> Bserclllt: <br /> Paving: <br /> size of Cut Paved By.- <br /> Sp.Ft. Indies <br /> COmrnants: <br />