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To.Lori Duncan Page 3 of 3 • 2005-08-16 21:42:00(GMT) • 14257905993 From:Holly Omdorff <br /> F CIPON F3x:29P5992685 Aug 4 2005 7:44 P.02 <br /> CITY OF RIPON- ENGINEERING DEPARTMENT NO. <br /> 259 SNarth Wflma Avenue;Ripon,CA 9596 <br /> 209/5"-2108—Fax: 2091599-2685 <br /> ENCROACHMENT PERMIT <br /> Applicant's Name: Date Submitted; _ .257 eS� <br /> �0 �( 10 4 A, rT_-Act Contractor: ,nvr'in rt, eu Jl jm { <br /> Address: l.v Phone; Imo. 2-r t — 140,Z <br /> . .— 1-zla 3t Contact Nume: INP' ! ,_. 14 <br /> l.ti f3f A4 F1 K.. �C.tt�RyG} <br /> Phone: � License Number: <br /> Pcvsuant to Chapter 12.12 of the City of Ripon Municipal Code and all the terms,conditions,and restrictions <br /> written below or printed as genaxl:or special provisions.on any part of this form,and/or attached hereto. <br /> PLEASE READ THIS PERMIT CAREFUMM AND KEEP IT AT THE WORK SITE. <br /> DE 3CRTFfiION T PROJECT.• 1.Provde a jka desenpuon ofwork to be done at all locanont. <br /> P6ft,V4l56T0N I:4 HFPEBYCR4.VTjW r0 2.Attach Run(2)sets otplanr or zkexhes,V applicalife. <br /> cam- L�Ifo+ _. <br /> f <br /> ------------- <br /> TO ARRANGE FORAN ClV5PECrloii,PHwX 209;559-2109 AT LEAST 48 HSP);] 7' oN&TRi.�r'7'tiSN. <br /> This permit shall be void unless the work herein described is completed by: .._._, 1}4�e*�+�3 iData <br /> _ <br /> Actepting taus permit or starting work herein described,shalt constitute acceptance and agreement to all the <br /> conditions and requirements of this;permit. <br /> Signature of Applicant;Perxnittee City Engineer(or authorized Agent) <br /> Autron ai Agan[ nate.issued <br /> NOTE, Your attention is diru;tcd to the general previsions printed on the back of this form. This penult is to he smelly <br /> con vued and no work,other than that specifically mentioned above,is hereby authorized. <br /> PERIMIT NOT VALrD UNLESS EXECUnD BY CITY ENGINEER OR HIS AGENT <br /> WORK COMPLETED: BY: <br /> vnaeeni: .. vNmw�ny�ene. w � <br /> WOW <br />