Laserfiche WebLink
A-15-1999 8=ADAM FROM CITY OF LATHROP 209 858 1023 P_ 2 <br /> PUBLIC WORKS DEP$t*TMENT N2 162 <br /> 16775 South Howland, Suite 1 <br /> Lathrop, California 95330 <br /> (209) 858-5592 <br /> Fax 858-5259 <br /> ENCROACHMENT PERMIT <br /> TO: Name Ad&&Ap,A *w&oj ? o ate Issued ,cmc„ <br /> Address JRNO 1tly. Contractor 5 e <br /> Phone �zo�)9�7—/t90Co Phone <br /> (Permitt ) <br /> Date work to begin e! License No. (vSd ZZ7 <br /> PERMISSION IS HEREBY GRANTED TO: <br /> &'We 50// 4' CO.9Am%0,a&43 and Sect/ fait"GIOIe. (¢ Z za bons <br /> 7" St. G s'fiee - <br /> (Attach 1 set of plans or sketches) <br /> to do work in City right of way as shown on attached application and subject to all the <br /> terms, conditions and restrictions written below or printed as general or special provisions <br /> on any part of this foray and/or attached hereto. <br /> Your attention is directed to the general provisions printed on the back of this form. This <br /> permit is to be strictly construed and no work, other than that specifically mentioned above, <br /> is hereby authorized. <br /> This permit shall be void unless the work herein contemplated shall have been completed <br /> by <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirements of this permit. <br /> Signature of Permittee Director of Public Works <br /> , i ' By. <br /> Penni a or Authorized Agent ( F-'J & !w ` <br /> PW <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> HIS AGENT. <br /> WHnF.Petmiltee YEU0WA"*untily NNK-File <br />