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SEP 23 '98 15:40 FR LEVINE-FRICKE RECON 510 652 2246 TO 912094640138 P.03i05 <br /> SEP-23-1996 11:00 "UBL1C WUh'KS HERML I CENlk AML 2&1 415r C`Jt41 I.LW <br /> .. _ • ,�,. - • - 64325 <br /> CITY OF STOCKTON <br /> � � DEPARTMENT OF PUBLIC WORKS <br /> APPLICATION FOR ENCROACHMENT dN PuaLic RIGHT-0FWAY <br /> 1 <br /> /1ppGgnl'a Neme5e Ft+�?Tri #�a*�r9 Dare—LIiCrL�_ <br /> ��+I nerrContracmrl`���eriw.e FN � �rvp.0 '� p � <br /> AQdnlsa�10nA pdooll ASF-r79Mh 41 nor SSr p-rgwitlePhpn¢ M1�F;1-4cnn <br /> Lemam¢eI Propowd vNrk,ate 17•s�(AJr c7F a� (?e �rn (.!1 APPRIJtfE1717 P[1131]C WtlpK341RECFOR <br /> Z-81CU, Inc. �����yL / <br /> Ownarl Oamraetnr aodreaa gee n,rsn�x..r+. , ra Ohe C/'1ay ^ .( ^-^One- . - {. qa <br /> Esdmatec Sooting Dale d1J.x ComWv[o D 1 ,.$[day hmJt WIFOOfren Dale -.10 /t-r435_ - <br /> r (or We) hereby apply for an enaroachmiam peter tmit to carry out the following work`- ineeillatien orf CPr/FIFP Dorine <br /> (soil poring¢. Ecom grauad surface to W £BBk, 2-tach diaweCer beek.Eilled with Rrouk) <br /> ��p►u o..Qsite td�� is 1.3�r4„�c ,oPr lam l(e:z.-� ..,—_. .— <br /> TN above name onowcoo,",.or ro@msp bamryren ie� PERMIT FEE:....... .... $_ 128 )Q— <br /> . <br /> Q_- <br /> A.dillanal roou9e <br /> (\1 J J/�1 9¢wer lap Dapssil ... .. ... _ ...-._..— <br /> I P e Q r'J� PF I r C,Lr.(-.L TOTAL DEPOSIT.. .... <br /> Uf F Building Permit NO. <br /> (j Impeoyemant Plan No. <br /> Supplemental Conditions; <br /> r5b *SOT eA-o4- . <br /> R -ro �usT <br /> A �-(A�, <br /> Di <br /> At finaa eaexn ever!a mkr ro tlr wig:Yemhatl <br /> Di _ - - <br /> IMPORTANT:Applicant hereby agrees 1loComply wilh all provisions DI Tnis permit as well as all appliCaOls GitV ordinances,resolutions. <br /> Standards and spechicatlana eurfendY'n effect,and W pay to City its actual cosi for removdi end proper reptacameni of any hem whrch <br /> meet above requirements. Failure to comply will be cause tar revocation of permit Applicant agrees to indemnify and hold <br /> does not <br /> the City <br /> meet ss against any and all losses,costa or damages resulting from injury to persons.deam or person or damage ro property <br /> eecuring at the site of or as a result of work To be performed under This permit. R ceniitcate of insurance shatl be submitted to the <br /> City Risk Manager prior to beginning construction. <br /> PERMITTEE SMALL CONTAG7 UNDERGROUND SERVICE ALERJ(1-80 .2444)TWO WORKING DAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNDERGROUND UTILITIES. <br /> PERMITTEE SHALL CALL(209)937-841124 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 a��nyyd inspections. <br /> �j, nn and Reference Sperii I'ssecef�- �''/5` <br /> *5=4 Deflged Laai <br /> Ln tae Firak Final Coenpd �r/db# <br /> Filed vtCD the CaurC 4n`Janaesy 18, 1996 Section I9,, Paraga>roaph anDeb .ro_uronw 5•� <br /> ur-Pormmen z,a- a. <br /> 7G7� 94? R9R7 PAf;F 017 <br /> d.FP 7.4 `QA 11:01 <br /> 1 <br />