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FROM FRONTIER DRILLING FAX NO. : 209 669 0211 Dec. 15 2000 12:45PM P1 <br /> Acil. <br /> IlAuteti�s PUBLIC WORKS DEPARTIVIEN l <br /> a 100I W. Center Street <br /> Manteca, CA 95337 N2 4101 <br /> ENCROACHMENT PERMIT <br /> Contractor: Project Name: <br /> License No: Projeq Ijmation: <br /> Address: <br /> Date Issued: /- - /V-D 0 <br /> Phone: <br /> License Verified Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms,conditions and.restrictions <br /> %Titters below or printed as general or special provisions on any part of this for, and/or attached hereto, <br /> PERMISSIQN IS HEREBY GRANTED TO: gU,�,b 5�ruG��G !'YLON�Tdt��nJ 6 cam _ <br /> r{r�{ S <br /> 4ti }�vt✓. <br /> (Attach Two Sets of Plans or Sketches, If Applicable) <br /> PLEASE READ THIS PERMIT CAREFULLY. KEEP IT AT THE WORK SITE. To arrange for an <br /> inspection,phone 825-2309 or 239-8460, at least 48 hours prior to construction. <br /> Your attention is directed to the general provisions printed on the back of this form. This permit is to be strictly <br /> construed and no work, other than that specifically mentioned above,is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed by <br /> /'�2 — 30 2000 . <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement to all the conditions <br /> and requirements of this permit. <br /> Signature of Permittee/Contractor Director of Public Works <br /> By By: <br /> Permitree or Authori bA <br /> gent <br /> PERMIT NOT VALID UNLESS F-KECUTED BY DIRECTOR OF PUBLIC WORKS.OR HIS AGENT. <br /> WORK COMPLETED: <br /> Forms\Encroach.doc (Rev. 08/95) Date: By: <br />