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,MAR X3'97 18:57 FR LEVINE FRICKE 510 6524906 TO 12094683433 P.02i02 <br /> FEB-28-1997 16:01 WELIC WORKS PERMIT CENTR _ • 209 937 8901 P,02 <br /> CAF CITY OF STOCKTON 6 4 2 1 0 <br /> OEPAWMEM OF PUBLIC WOPKS <br /> AW APPLICATION FOR ENCROACHMENT ON PUBUC RIGHT-OF-WAY <br /> Mme getClLOS Ory C1esnift Deft.nd�a Pebrusry 7, 19 7 <br /> Ccrarsrorl 944 <br /> address 1900 Pewll St...11th PIoorR_B�erY�illey 910-i5i-ifQQ_ <br /> iacarion or Prappdad vtbre,etc. 4keryn Bteoety..aPPtoa_. lIXl._feet north of APPIpVEO: R11BlIC Ye011105 gRECfOR <br /> the Intersection of Eseryh St. and Lincoln Road <br /> p.nertdoMratgr Baorees 930.�+ Read. tsarcinesr_Gk 94SS! ���_ow�j'c. ,_?fo• i997 <br /> ESIMIC!$Wine Dalt Narcb 3'14r k197__GW0~Ose 2 days later Permih EaPlratrvn vele _!��.�t.�9�__ <br /> I (pr We) hereby apply for an encroachment permit t0 carry our the following work : ._,Installation of cnIPIPP boring_ _ <br /> (snil barings from ground surface to 80 feet 2-Sneh diameter, backfilled with Rrout) <br /> TM Me.e wnN MnN'^M.era eMw,wn b- nERM1T cEE e,_,�..i ZB 00 <br /> Soap Tao UOTHA __�. ..... <br /> TOTAL DEPOSIT s. __. 128 OO <br /> Building Permit No <br /> Improvement Plan No -_- <br /> Supplemental Conditions: <br /> aaw araYn Weep nM r^o- ,I9WAW0 <br /> IMPORTANT.Applicant hereby agrees to comply with all provisions of this permit as wen as an applicable City ordinances,resolutions, <br /> standards and apeeificatiorrs 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 indamnlfy and hold <br /> the City harmless against any and all losses.costs,or damages resulting from inyury to persons,death of person or damage to property <br /> oceuring at the site of Or as a result of work 10 be performed under this permit. A CertiflcaTit Of insurance shall be Submrned to the <br /> City Risk Manager prior t0 beginning construction- <br /> PERMITTEE SHALL CONTACT UNDERGROUNO SERVICE ALERT(1-1110(taa2444)TWO wORKING OAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNOeRGROUNO UTR_1TIE5- <br /> PERMITTEE SHAG CALL(209)937.0411 24 HOURS PRIOR TO START OF WORK FOR A CONTROL NUMBER ANO TO SCHEDULE <br /> INSPECTION. <br /> Read General Provisions on reverse side of this permit before signing — Note requirement of notincatbna and inspecytions- <br /> ,e-Onw.Nbc 1nJ-rn _\ `•�JNJMnneae Vytiv'SuN- <br /> •SDCDs Defined In the First Tinel Concent D.cree order, Jvdaement anti Rvrcrvnce to STrclal mater, <br /> TOTAL P.02 <br /> FEB 28 '97 16:04 209 937 8901 PAGE.02 <br /> ** TOTAL PRGE . 002 ** <br />