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`EC <br /> A PUBLIC WORKS DEPARTMENT <br /> ? Manteca n 1001 W Center Street N2 3782 <br /> f Manteca, CA 95337 <br /> `�RRI pn� <br /> ENCROACHMENT PERMIT <br /> Contractor: �_.." -. - C�•i �k r- Project Name: j - &' <br /> License No: '7'�J'l4'0<' Project Location: 2-0 L -,0-5t- .4 <br /> Address: LJ <br /> Date Issued: '3 <br /> Phone: 9z5 g'zc )3 <br /> 0,License Verified 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 piovisions on any pact of this for, and/or attached hereto, <br /> PERMISSION IS HEREBY GRANTED TO <br /> T--�)��-- f r O�!'Y' 1.-tics(t.J �� ry?C ;•�'�� •��j LJ�-�l S -> >'1�' 'T "'� S�,C�/��.U,r �. � 1�-� � /' <br /> (Attach Two Sets of Pians or Sketches, If Applicable) <br /> PLEASE READ THIS PERMIT CAREFULLY KEEP IT AT THE WORK SITE To arrange for an <br /> inspection, phone 825-2309 or 239-8460, 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 /> This permit shall be void unless the work herein contemplated shall have been completed by <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement to all the conditions <br /> and requirements of this permit <br /> Signature of Permittee/Contractor Director of Public Works <br /> By By <br /> Permittee or Auth Ized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT <br /> WORK COMPLETED <br /> Forms\Encioach doc (Rev 08/95) Date By <br />