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PUBLIC WORKS DEPARTMENT N2 073 <br /> 16775 South Howland, Suite 1 <br /> Lathrop, California 95330 <br /> (209) 858-5592 <br /> Fax 858-5259 <br /> 1 ENCROACHMENT PERMIT <br /> ITO: Name semco Date Issued 8/23/95 <br /> Address 1217 S. 7th Street Contractor Doug Flaming/operations Mgr. <br /> Phone 209 524-9653 Phone <br /> (Permittee) <br /> Date work to begin License No. 449864 <br /> I PERMISSION IS HEREBY GRANTED TO: Semco <br /> To excavate into the West sideof 7th street approximately 24 feet to North side <br /> of L Street. <br /> (Attach 1 set of plans or sketches) <br /> Igo 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 /> Ion any part of this form, 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 /> IThis permit shall be void unless the work herein contemplated shall have been completed <br /> by October 31 19 95 <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement <br /> to all the conditions and requirement's of this permit. <br /> Signature of Permittee Director of Public Works <br /> By: By: <br /> Permittee or Auth rized Agent <br /> PERMIT IS NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR <br /> iIS AGENT. <br /> WHITE-Permdtee YELLOW-Accounting PINK-File <br />