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Er-02-19% 5:02PM FROM AGE NG 209 956 0700 P.5 <br /> . a <br /> CITY OF TRACY <br /> PERFORMANCE DEPOSIT RECEIPT <br /> r.NCROACHMEP['P PUNIT NO. Ci 6 r 055-7 <br /> This performance deposit Was received or• by <br /> ct� wk• -w�ans, ,cr,py w�u. w�L L 19-8 S;& <br /> by the Inspection Division, you may pick up your pe=-ormance -riV4 ,jfbC4�r <br /> deposit check from the ?public works Department, City Hall W1 (.1. 96 <br /> - <br /> Annex, 520 :'racy Boulevard. rf the work for the above listed <br /> aerait is not completed and signed off within two weeks of the <br /> date issued ( / / } , `.his chsCk (= gill be <br /> processed by the C-ity of Tracy. After the City of Tracy has <br /> processed the performance deposit, it wil-1 take the normal <br /> processing time of the Finance Department to refund your <br /> deposit after inspection signs off on the permit. <br /> permittee Signature <br /> Name1{ T'Yu✓ <br /> ?hone Number lel } <br /> (ACC*-"- F001-0000-222-002) <br /> I, am acknowledging receipt OC the <br /> above-referenced performance deposit from the Public Works <br /> 0*partment for the EncroaCPjaent Per':ait No. <br /> ©ate: <br /> Permittee gignature <br /> P.W. <br /> PERFDEP_ <br />