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} <br /> Lm4 <br /> UBLIC WORKS DEPARTMENT N2 474 <br /> 6775 South Howland, Suite 1 <br /> athrop, California 95330 <br /> L09) 858-5592 <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name TOSCO COIRPORATION Date Issued 11-19-02 <br /> Address 1380 LEADRILL RD. , STE 120 Contractor GETTLER RYAN <br /> ROSEVILLE CA 95661 <br /> Phone 916-774-2910 Phone 707-789-3255 <br /> (Permittee) <br /> Date work to begin 11-19-02 License No. 220793 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> CONSTRUCT FOUR GROUNDWATER MONITORING WELLS AS PER ATTACHED DRAWING <br /> "EXTENDED SITE PLAN/PROPOSED INTERIM OZONE SYSTEM, AND ATTACHED SUPPLEMENTAL <br /> CONDITION PERMIT #474 EXHIBIT "A" <br /> (Attach 1 set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all the <br /> 'terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this form, and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> by 11-19-03 119 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirements of this permit. <br /> Signature erinittee Directo Publ' Wks <br /> By: By: <br /> mutt r Authorized Agent <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> HIS AGENT. <br /> WHITS-Permittee YELLOW-Accounting PINK-File <br />