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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0537485
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Last modified
7/27/2020 4:02:25 PM
Creation date
7/27/2020 2:35:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0537485
PE
2957
FACILITY_ID
FA0021568
FACILITY_NAME
FORMER RAINWATER CAR WASH
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21931206
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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107/07/2000 12:33 2094671 AGE STt7CKTON • PAGE 02 <br /> PUBLIC WORKS DEPARTMENT <br /> a Manteca$ <br /> 1001 W. Center Street N2 3953 <br /> �•. Manteca, CA 95337 <br /> �^Wv mnP <br /> ENCROACHMENT PERMIT <br /> Contractor: 1 e � Project Name: r I- Met <br /> License No: & 962,27ProJeeet Location: rl20 <br /> Address: 4005N. `✓� ' � l fY/aA�Iea. <br /> 95205 Date Issued: <br /> Pho e: /20'1 q 0-7 —f6D & <br /> License Verified E?Insurance Verified <br /> Pursuant to Section 12 of the City of Manteca Municipal Code and all the termAtolen, tons <br /> written below or printed as general or special provisions on any part of this for, <br /> PERMISSION IS HEREBY GRANTED TO: JUL 0 7 2000u <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> 52�. War F�lgr1 /Q C[dCrxdurYl - i4sT /9�G�}�� <br /> (Attach Two Sets of Plans or Sketches, If Applicable) g 1-g_,/�"`"`" <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 hall be void unless the work herein contemplated shall have been completed by <br /> t Zk 2000 , <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 /> B : By: <br /> Per tte 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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