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yManteca <br /> Permit number: 171130B <br /> CITY OF MANTECA Z e I (J <br /> 1001 W.Center Street <br /> Manteca CA 95337 <br /> ENCROACHMENT PERMIT <br /> Contractor: Advanced GeoEnvironmental(AGE) Project Name: Save On Gas <br /> License No: 680227 Project Location: City of Manteca right of way <br /> Address: 837 Shaw Road Goodale Court and the 11Tidewater Sikeway, near Center Street( <br /> Stockton, CA 95215 Date Issued: 1 30/ O-Loa <br /> 1>�J License Verified 171 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 /> See attached. <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 /> This permit shall be oid unless the work herein contemplated shall have been completed by <br /> � 3b 2011 . <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 Engineering Division <br /> By: t � 1, By: M A/':Wwp N©s (f" <br /> Erin Rottacker /AGE <br /> Permittee or Authorized Agent <br /> PERMIT NOT VALID UNLESS EXECUTED BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> Date: By: <br />