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02/08/2007 10:41 FAX 510 420 9170 CAMBRIA I� 002 <br /> CITY OF RIPON : Fax:2095992685 Dec 1 14:45 P. 02 <br /> i <br /> CITY'OF RIPON.i ENGINEERING DEPARTMENT NO, <br /> z55 <br /> NorthIII=Aveque,Ripon,CA 953'66 <br /> 20!/SN2i08--Fax: 209/599-2685- <br /> ENCROACHMENT <br /> 09/599-2685ENCRO.AsCHMENT PERMIT <br /> Applicant'8,Name: Date Submitted:' <br /> Contractor: S}C <br /> 5§OU.fic►IIIS, tti l;-S aK• r <br /> Address: ErtteryulljeCA 946M Phone: -5 0 42 <br /> -0 0-7OC <br /> ' Contact Name: <br /> C-efim z <br /> . � f j'IO`'-E2D Cora•�r+c.•rro2 2AnFgor.{ ! c.:'�� <br /> License Number: 0 fi�Z <br /> '. Pursuszxt to Chaptell 1Z.12 of the City of Ripon Municipgt Code and all the terms,.conditions,and restrictions • <br /> written below.or ixi ted as general or special provisions on any part of this form,and/or,attached hereto. <br /> PLEASE]READ THIS PERMIT CAREFULLY AND KEEp.IT AT THE WORK SITE. <br /> C !,Provide a full description ofwork to be done at all locations. <br /> P.MWSSSIONISHERBBFGJU 'I'ED•TO. 2.mach two(2)sets ofptatu or sketches, ifcp rlicable.'; <br /> t t . vicui <br /> 40 <br /> y <br /> F <br /> TO ARRANGE TOR INSPECTION;PHONE 2091599-21-08,AT]LEAST 48 FIOLt S PROR TO CON9'lCRUCTION. <br /> This permit shall be v'bid•unle'rs the work'herein described is'-completed by. <br /> Date <br /> Accepting this permit'6r starting work hereui described,shall constitute acceptance and agreement to all the <br /> conditions Eind requireinmts of this permit. <br /> Signature of ApplicaaU permittee City Engli4eer <br /> or th ed Agent) <br /> lit <br /> ,,Appl=VFerrriittee or Authori <br /> . iud Agent Date xstaued .. <br /> NOTE: Your attentioti is directed to the general piovisiow printed'an.t4c back of this force. This peanit is to be strictly <br /> coristmed and no work,oth6t than that specifically rn,entioned.above,is hereby authorind, <br /> i <br /> PERMIT NOS'VALID UNLESS EXECUTED BY CITY ENGINEER OR HTS AGENT <br /> WORK COMPLETED: BY: <br /> White-F��e. Yenew4atpectar alnk Appneent <br />