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K{FLA t <br /> PUBLIC WORKS DEPARTMENT <br /> Manteca s <br /> - 1001 W Center Street N 4 0 2 <br /> Manteca, CA 95337 <br /> ENCROACHMENT PERMIT <br /> Contractor:_ AQt -c Scie,,c, _ Erwme-r S __ Project Name: Fraiks onc_ <br /> License No: Project Location: 2v�Z csrt A-vc_ <br /> Address: 2o& Mc <br /> cA Date Issued: ?- Z-d 0 <br /> Phone: G 2,S-6 2.e --4a <br /> [- License Verified Q Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms, conditions and restrictions <br /> written below or printed as general or special provisions on any part of this for, and/or attached hereto, <br /> PERMISSION IS HEREBY GRANTED TO _ in -'� 0h74V' -- <br /> rn�eJ��4� � r <br /> h ar� <br /> (Attach Two Sets of Plans or Sketches, If Applicable) <br /> NPLEASE READ THIS PERMIT CAREFULLY KEEP IT AT THE WORK SITE To arrange for an <br /> inspection, phone 825-2309 or 239-1460, at least 48 hours prior to construction <br /> Your attention is directed to the general provisions printed on the back of this form This permit is to be strictly <br /> construed and no work, other than that specifically mentioned above, is hereby authorized <br /> Thisermit shall be void unless the work herein contemplated shall have been completed by <br /> p 0 30 , 20d3 p <br /> starting work hereunder shall constitute acceptance and agreement to all the conditions <br /> Accepting this perrmt ors g p g <br /> and requirements of this permit <br />�1 <br /> Signature of Permittee/Contractor Director of Public Works <br /> By By <br /> Permittee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT <br /> 0 WORK COMPLETED <br /> FormslEncroach doc (Rev 08/95) Date By <br />