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- - 5 JC.O pEIZMITS PAGE 01/04 lio COUNTY OF SAN JOA,QL-IN DEPAPJM-lr;•IT OF PUBLIC WORKS P 0 BOX 1810.1810 HAZELTON AVENUE EP NvSTOCKTO�v CALIFORNIA 4520] (209)46R-366 Datalssued 11/0811005 FAX#(209)46$-9324 F-mimlion AAte 01/15/2006 - Job No ENCROACHMENT PERNffT UFUCRTM NO ?a rRATUS ENNROMI:tI PAL INC — 7 _ Encrose[srrt Typr, ELL HOLES(2) 333o CAMERON PARK bRIyE,SL LTTE 55o i I,o izvn OA, OF PATIM£ SON PAss ROAD 350'W/O HWY no lCAH1ERON PARK,CA 95682_ , -_� In compitance with your request of --- - 101121201]5 - —as shown on attached applieanon and su ee to e ,pernussron is hereby;�nted to do work in County ngltt of way J s,con t ons and restrictions written below or printed as general or special provisions OIl any part of this form SCC reverse side and AFfxrh�sheet,3fany Trench excavations for service connections will not be permitted within ten feet(](})of pavemcnt ocnterltne unless othcrVnsc approved by the Director Surface of trench PAtchcs ShalT match in kind and be smooth and even with that of abutting surface Special attention shall be given to depth of uulttics through roadside area to anticipation of future drainage facilities,road profile and/or frantage development All underground uttltty fatuities are to he established and accurately dimensioned on skctchcs from surveyed centerline of road right of way,not from right of way (border)lines The Department of Public Worics,Field Inspection Section shall rcccrve a notice at least forty-eight hours prior to bogmning any work within the County rVt of way All work performed under this permit thrill conform to the rules and regulations pertaining to safety established by the California Division of industrial Safety and Cal-OSHA. The Iobs,tc shall be kept 1n a safe condition at all times by the daily romoval of any excess dart or debris whtch might be a hazard to other • pcdestrian or automobile traffic All necessary traffic convenience and warning devices and personnel shall be provided,plaecd and rnmrtmtnod by and at the sole expenso of the Pcrtnittec in accordance with the latest edition of the CALTRANS Manual of Traffic Control After completion of tho work permitted herein,all debris,lumber,barricades,or any execs material shall be removed and the,lobsttc left in a neat workmanlike manner Imniedtately following completion of construction permitted herein,Pcrmtttec shall fill out and ma notice of completion provided by Grantor Special 1"StrjIL-hues. FRONITORING WILL BOND#295025275 -�-- _ — - - S R FLINN, Director F-% Permit Fee 13155 00 --- Depen= t of Public Works FORMS �SS/WW,R-29 --— -ry--- By ) ATE -Permittee ermlt Se GOLL]SNItOO ,PWp Central 1:da YELLOW -Field Inspevion pIM( -Permit Section PW 27 AcctsglPamtt9tFwmgn Encroachment Pcrrnu Revised 07aoo