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'aye 1 of 2 0 <br /> ENCROACHMENT PERMIT ERHIT NO, GI� - Z-.'� ( w <br /> CITY CF TRACY <br /> DA 8 OF ISSUANCE c <br /> L� a <br /> / RMIT VALID UP T .n <br /> u PROJECT COST <br /> INSPECTION DEPOSIT 120 a4 S« m <br /> /\ PERMIT FEE 5,; o <br /> ENGINEERING FEES fj ---- <br /> TESTING FEE a, <br /> as s PERFORMANCE BOND <br /> CMIS PERMIT IS HERESY ISSUED TO ENCRRRppACH QLI THE AS••r •���7 <br /> A'T `2, joC_,1-m& '5 SHtD WtJ �� � J SIDE OF Mac.. AtLT i-F�,{;iz VR-•� VLF FROM <br /> "EET _ A of fOR 49MAI FOR THE PURPOSE OF d(� L'� K <br /> IA mg OF APPLICANT c- ADDRESS /0. S- L, ��.pr�--.�j�• STCX��?b �7�f <br /> / _ PHONEio9- 7'fI.3VS- a <br /> +I'P ROVED BY c <br /> FIELD SUPERINTENDENT: Oti1 WII .9, N <br /> 'ONDITIONS nP PEovrm CONTACT PHONE NUMBER! r'Z0 <br /> The Permitted shall notify the Public Works Department - Inspection Divialon (236-4420) forty-eight (79) hours <br /> prior to start of work pertaining hereto. <br /> 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 /> Permittee shall notify Police & Fire Departments before atsrting constructi Tentative starting date 1--I — 9 on of any work. <br /> Tentative completion data IAtJL+ -.]n1 -� _ y� Da w tl-(2--J94• If construction is not star}ad within BU days Erom )CITY INSPEcmOR'S COMPLETION m <br /> the issue date, 1-21 <br /> this Permit will be void unless <br /> ____othYLW.le e=af3ka.iJ_•;�=h off-a __ nATS1]LzCaknr_nA�nH. <br /> conOltitiS9.Contractors must dldplay name and CONCRETE i I <br /> Phone number at work ASPHALT I <br /> site - preferably on barricades. ,� <br /> The coat of emergency work required to restored SIDEWALK k w <br /> unsatisfactory construction that becomes a hazard wi -I 0- <br /> PAVIRACXFING <br /> jJ j I 0- <br /> y �, <br /> be charged to the Permittee, m z 6 k <br /> R8014ce full concrete sidewalk a CD dl""' SIZE OF CUT <br /> by aawcttting along score marks.squares, as re quire -'� SQ. FT <br /> d�-..�` � ZN C4 N <br /> I• Compaction tests shall be required on backfilled th2sep f •jj PAVER By, <br /> at the expense of the Permittee (contact City Engl� ing� <br /> Department) . _ Co r J COMHENTS• to <br /> Traffic control shall be in accordance with the Cl ` ' ~•• <br /> fi _Traffi❑ Manual, + <br /> Trenching and resurfacing is to comply with Standard <br /> Plan No. 501 and 501A. <br /> CITY USP! Lip m I o <br /> 5 iAr <br /> it <br />