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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2450
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2900 - Site Mitigation Program
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PR0506303
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Last modified
7/23/2020 4:46:42 PM
Creation date
7/23/2020 4:27:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506303
PE
2965
FACILITY_ID
FA0001086
FACILITY_NAME
MANTECA PUBLIC WORKS
STREET_NUMBER
2450
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
24130050
CURRENT_STATUS
01
SITE_LOCATION
2450 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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PUBLIC WORKS *ARTMENT <br /> (PiManteca, <br /> 1001 W. Center Street N2 3027 <br /> CA 95337 <br /> ENCROACHMENT PERMIT <br /> Contractor: exJ! lo,-a4-;ov, Project Name: G-'l y o Mah4cJcC _ <br /> License No:('0-5 7 ITI5�9 Q2) _ Project Location: Gr*{y o Mn„ l ecei <br /> Address: 1/95— N. Coble S+o4e 131uc1 1d1 nlaz <br /> N�-Joc l< CA Gh 3 Date Issued: -7 - /7 <br /> Ph e: - - 'I <br /> a <br /> License Verified Guur� �nsurance Verified WJ ^^y 0mA4 <br /> -r' S. . <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms, conditions an is <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: <br /> Dry 11 (�rvvv` �.wc U��n�lz�r� IJ-)4AS 0V\pG,v\.& <br /> CJS ,A.0 p L'oQQ-.� [ fUP�✓� . <br /> QQ.buae-_,k TU✓ W�C.F G!`DJv�e lJ Q✓� Sa ��O� , <br /> (Attach Two Sets of Plans 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 /> Thi mit shall be void unless the work herein contemplated shall have been completed by <br /> /nuc,"1s 3 1 <br /> 19C <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. cJ• ���.�� <br /> Permittee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Forms\Encroach.doc (Rev. 08/95) Date: By: <br />
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