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SEP 23 '98 15:41 FR LEUINE-FRICKE RECON 510 652 2246 TO 912094640138 P.05i05 <br /> 64327 <br /> f� <br /> CITY OF(IJOCKTON <br /> 5TflPUBLIC OF pIIBLIG MIOpKS <br /> APPLICATION FOR ENCROA.0 IMEyNT ON PUBLIC RIGHT-OF-WAY <br /> •ppega%1 141 <br /> i4wn'ICoracl_ w3 '4•s a l.vr XNUFa P Ce 94608 <br /> Addnass l�0 I t. 17 Floor le Ph¢ne fe�n�tg�-r,cnn <br /> f1D70 t�� rp too) APPROYEl1. PUBLIC VIIORK•8 DIRECTOR <br /> toca{wn/O//r PAD d wore e/w} 7 aD r nie�...r...s <br /> fTa uT 1h r. caa (YUTeI`�—f-Q .lcsfi <br /> fkegg Zn-gitus <br /> Ormer/Gontracwr adlrea 958 fNrHa Arad Martin. z Ca 94553 � sy <br /> Estirrebd Stoning nets gfi7/9 completion Oate —404 #7 Permit E.pirs1106 but lam{ Qy. <br /> �I (or yue) hereby apply for an encroachment permit to carry out the following work! ImetallatL%t of CPslPIPP hoxlna . <br /> (Soil bartnes from ground avrfaCe ca feet i�irinh diameter Lukfilled .rich C) <br /> Rr• r�� Gi T_y. e LLyfr�._1�_� ar /edC �'L'-, <br /> The Sealti fid eptticeolfren9unWnxa q.mtsion m. PERMIT FEE .. .,.. .. 5 <br /> Additional pe4rtD9e Fee .. . �. ..... . . <br /> Sb w Tap Deposit <br /> OCP W-' q^'� �LayCr+t.Q 'rp'rwk DEPOSIT ....... ..5. <br /> Suilding Permit Na <br /> C)pdi-A 'or, '3 improvement Plan No. <br /> Supplemental Conditions: <br /> as tour lh-ac-v- -m 42wEuJor t TO <br /> T+tE MDZT%A - <br /> LhK�k 3�lAG'a' <br /> snow chem Iowa a nku erawvnD xromusd r <br /> 1 ' <br /> IMPORTANT Applicant hereby agrees to comply with alt provisions of this pefm0 as well as all applicable City ordinances, resalutions,. <br /> standards and specifications currently in effect,and to pay to City its actual cost tar removal and proper replacement of any ilem which <br /> does not meet above requirements. Failure to campy will he cause for revocation of permit.Applicant agrees to indemnify and hold <br /> Me City harmless against any and all tosses,costs.or damages resulting from Injury to persons,death of person or damage to property <br /> occurring at the site a1 or as a result of work to be performed under this permit. A cenlficale of insuraroe shalt be submitted to the <br /> City Risk Manager prier to beginning construction. <br /> PERMITTEE SHALL CONTACT UNDERGROUND SERVICE ALERT(t-80a-942-2444)TWO WORKING DAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNOERGROUND UTILITIES. <br /> PERMITTEE SHALL CALL(209)997.8411 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 inspeodons. <br /> sgnoe, .�,rlc�- �I!� ppw�.Sr a S%6-G, i s <br /> *aD(Zla Defined in txe First I+inal Comment Dearne orders J nc and Ael.'ecence to Spetlsl Maarer, <br /> filed With 11a zzt on Januasuy ler 199rL 9eetian IVs FainWOWh" are .umnsrsnan <br /> TOTAL P.04 <br /> --- ..,n . ..n-, DRQ QZ'P x4[.11 Poru Rd <br /> >k TOTAL PRGE.05 ** <br />