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?age l of <br /> ENCROACHMENT PERMIT PERMIT NO. -0 <br /> CITY OF TRACY DATE OF ISSUANCE r, <br /> PERMIT VALID UP TO-S 19 fl �3 t, <br /> PROJECT COST � <br /> INSPECTION DEPOSIT Aa •p6 S '�' <br /> PERMIT FEE �,oa <br /> ENGINEERING FEES-- <br /> TESTING FEE �- <br /> PERFORMANCE BOND `7 Za <br /> i <br /> rHI5 PERMIT IS HEREBY ISSUED To ENCROACH ON THE L SIDE OF F OM <br /> CEET ��c G�10 SL-,ow.1 e�.-ic. .�e1ORITHE PURPOSE OF `.� <br /> FAME OF APPLICANT �'1 ' U u �rJ nr. ADDRESS "� � -10Y (!k''AP' PHONE: . - <br /> APPROVED B FIELD SUPERINTENDENT: S?EbC' i_✓ rZL J' ` <br /> L CONTACT PHONE NUMBER: <br /> CONDITIONS OF PERMIT <br /> 1. The Permittee shall notifythe Public Works Department - Inspection Division 831-4420 fort ei ht 48 hours" <br /> P p ( ) Y` 9 ( ) <br />} prior to start of work pertaining hereto. <br />, 2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standards, <br /> specifications and shall comply with all existing codes and policies. <br /> 13. Permittee shall notify Police & Fire Departments before starting construction of any work. <br /> 14. Tentative .starting date cm ,,cto ec.•. - CLG0-+V <br />" 5. Tentative completion date - _ CITY INSPECTOR'S COMPLETION REPORT <br /> 6. If construction is not started within 90 days from <br /> the issue date, this permit will be void unless DATE OF COMPLETION <br /> otherwise stated in the special conditions. CONCRETE <br /> I7. Contractors must display name and phone number at work ASPHALT <br /> site - preferably on barricades. SIDEWALK <br /> S. The cost of emergency work required to restored BACKFILL <br /> unsatisfactory construction that becomes a hazard will PAVING <br /> be charged to the Permittee. SIZE OF CUT <br />` 9. Replace full concrete sidewalk squares, as required, SQ. FT. INCHES- <br /> by sawcutting along score marks. PAVED BY: <br />: 10. Compaction tests. shall be required on backfilled trenches <br /> at the expense of the Permittee (contact City Engineering COMMENTS: <br /> Department) . <br /> X11. Traffic control shall be in' accordance with the City <br /> Traffic Manual. <br /> t12. Trenching and resurfacing is to comply with Standard <br /> Plan No. 501 and 501A. CITY INSPECTOR <br />