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�,.�. RECEIVED AUG 2 0 2012 <br /> PUBLIC WORKS DEPARTMENT NC 139 <br /> 1001 W.Center Street <br /> Manteca CA 95337 <br /> ENCROACIiMENT PERMIT <br /> Contractor: Ar,,, , A�l,r,', 4 Project Name:QA,�— <br /> License No: 5 F-� S Project Location: 6r.2-D t0. 'f <br /> Address: 9 l3-C> C,�,nL <br /> ate Issued: <br /> License Verified Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the terms,conditions and <br /> restrictions written below or printed as general or special provisions on any part of this for,and/or <br /> attached hereto, PERMISSION IS HEREBY GRANTED TO: <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 639-5964 or 923-0528, 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 <br /> strictly construed and no work,other than that specifically mentioned above,is hereby authorized. <br /> Thispermit shall be void unless the work herein contemplated shall have been completed by <br /> 3"`_/ 20_�_3 . <br /> Accepting this permit or starting work hereunder shall constitute acceptance and agreement to all the <br /> conditions and requirements of this permit. <br /> Signature of Permittee/Contractor Director of Public Works <br /> By: By. <br /> P6iffifttee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTEDX DIRECT OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Date: By: <br />