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64324 <br /> CITY OF STOCKTON <br /> DEPARTMENT OF PUBLIC WORKS <br /> Ago ENCROACHMENT <br /> APPLICATION FOR ENCROACHMENT ON PUBLIC, RIGHT-OF-WAY <br /> Applicant's Nam settling Dry Cleaning Defendants (S� �s*) 5/29/97 <br /> (Owner/Contrace-c]o IfonalH-7. Brad-Tian. <br /> Address 1900 Powell St., 12th Fir., Frneryvllle, CIAho eD�10-652-4500 <br /> L caliv of Fra osea�Work eta on the frontage road located 100 - 120 ft <br /> APPROVED: PUBLIC WORKS DIRECTOR <br /> �Jort�i of t�ye nH cdrner of'Ee m n BSli'�trJ-Paalfi�Tv�;3Year <br /> _west of_the concreet sidewalk in tbeessphalt ey rking lane A ,� I <br /> parallel to Pacific Ave, rl(�tp{ty Cole— <br /> owner/Contractor <br /> ole_Owner/Contractor Address Week&-DriU ing,-61 Sebastspo1-Rd,-Rd, B _____ <br /> Compl¢Ilon Dale '1L7197 ___ Permit Expiration Data <br /> Estimated Sterling Data —7W97 _. <br /> I (or We) hereby apply for an encroachment permit to carry out the following work <br /> Ina tall 3-gWandttnpBh'-mmi�atleedrng wmgr77a - 4fJl\ tn-.a _�xs " - eco drrA/N'Ft� <br /> the above named-appilceni hereby requests permission to- PERMIT FEE..................... S 2`8 OQ_—. <br /> Additional Footage Fee............. - <br /> -Sewer Tap Deposit ................ <br /> See Attached <br /> TOTAL DEPOSIT ......... $ 128 00 <br /> } <br /> Buildirg Permit No. <br /> Improvement Plan No. <br /> Supplemental Conditions: <br /> two woo.•[ F•ReOZ to 8'•'�O 0Q- <br /> 4 <br /> 4Q <br /> t <br /> show stretch above or rotor to drowing submitted <br /> IMPORTANT: Applicant hereby agrees to comply with all provisions of this permit as well as all applicable City ordinances, resolutions, <br /> standards and specifications currently in effect, and to pay to City Its actual cost for removal and proper replacement of any Item which <br /> does not meet above requirements. Failure to comply will be cause for revocation of permit, Applicant agrees to indemnify and hold <br /> the City harmless against any and all losses,costs,or damages resulting from injury to persons,death of person or damage to property <br /> occuring at the site of or as a result of work to be performed under this permit. A certificate of insurance shall be submitted to the <br /> City Risk Manager prior to beginning construction. (A2 <br /> PERMITTEE SHALL CONTACT UNDERGROUND SERVICE ALERT (1-800-g4Y-2444) TWO WORKING DAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNDERGROUND UTILITIES. <br /> PERMITTEE SHALL CALL(209)937-8411 24 HOURS PRIOR TO START OF WORK FOR A CONTROL NUMBER AND TO SCHEDULE <br /> INSPECTION. <br /> Read General Provisions on reverse side of this permit before signing — Note requirement of notifications and Inspections. <br /> Signed 0.�-- ...��V'.bi}' „J/ Phone .._ ... <br /> 1st—Perminam 2nd._Flie ard--Rnanr:e n n--tit t i 1.Ueei <br /> *SDCDs Deffned it, thn P6rst Final Consent necrpeordor Judgement and nororenced to "pnr,)al f,Xa�.urI fl1eJ <br /> —i t.h rhe Cour' on ?anunry 18. i996. Sectlon IV. Paragraph V. <br />