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Permit Number <br /> SCITYOF ENCROACHMENT PERMIT EP22-0958 <br /> STOCKTON ON PUBLIC RIGHT-OF-WAY <br /> Evan SchmidtADVANCE GEO 4/13/2022 APPROVED: BY THE DEPARTMENT DIRECTOR <br /> Applicant: Date: J <br /> z Subject to the General Provisions and Special Conditions,and all work must <br /> 837 Shaw Road 0 conform to the project's approved Storm Water Pollution Prevention Plan or <br /> Address: N the most current version of the City of Stockton Storm Water <br /> � Pollution Prevention Maintenance Staff Guide,whichever is applicable. <br /> Stockton CA 95215 <br /> City: State: ZIP: Q <br /> 209-467-1006 eschmidt@advancedgeo.biz LL By: /04n:rdd_ Date: 5/4/22 <br /> Phone: E-mail: 0 <br /> ssociated Permit(s): Expiration: 7/30/22 <br /> 741 N HUNTER ST <br /> WORK LOCATION;Street&Sidewalk along 715 N Hunter Street,736 N Hunter Street,222E.Flora Street,&741 N Hunter Street PERMIT NOT VALID WITHOUT A <br /> Start Date: Cpletion Date: <br /> May 2022 5/4/22om6/30/22June 2022 CONTROL NUMBER <br /> CALL(209)937-8366 TO REQUEST A CONTROL NUMBER NO LESS <br /> ATTENTION:Applicant/Contractor-you are responsible to replace all broken,damaged, THAN 24 HOURS,BUT NOT IN EXCESS OF 72 HOURS PRIOR TO START <br /> and/or raised sidewalk,curb and gutter from score mark to score mark adjacent to the <br /> OF WORK. <br /> parcel;remove USA markings upon completion of the permitted work. <br /> CONTROL# <br /> I(or we)hereby apply for an Encroachment Permit to carry out the following work: <br /> Destruction of monitoring wells in the sidewalk and shoulder at the property addresses listed above. <br /> destruction of qty-8 wells in the sidewalk and qty-6 wells in the shoulder of road <br /> Show sketch or refer to attached Drawing Official Use Only <br /> SEE ATTACHED <br /> Base Permit Fee $ 523.00 <br /> Additional Footage Fee $ 100.00 <br /> Misc. CRS FEE $ 37.38 <br /> Call for control number prior to start Misc. TECH FEE $ 46.73 <br /> 209-937-8366 Misc. $ <br /> Call for inspection 209-639-1282 Total $ 707.11 <br /> 72hr no parking notice Special Conditions: <br /> Coordinate with property owners affected <br /> keep driveways open <br /> Restore to city std. see left <br /> Must maintain an ADA path of travel at all times <br /> gam -3pm <br /> IMPORTANT: Applicant hereby agrees to comply with all provisions of this permit, as well as all applicable city ordinances, resolutions, Standards and <br /> Specifications currently in effect, and to pay to the City its actual cost for removal and proper replacement of any item which does not meet the above <br /> requirements. Failure to comply will be cause for revocation of this permit. Applicant agrees to indemnify and hold the City harmless against any and <br /> all losses, costs, or damages resulting from injury to persons, death of person or damage to property occurring at the site of, or as a result of, work to be <br /> performed under this permit.A certificate of insurance shall be on file with the City Risk Manager prior to issuance of this permit. <br /> IF THE WORK DOES NOT COMMENCE WITHIN 72 HOURS OF THE ISSUANCE <br /> OF A CONTROL NUMBER, THE CONTROL NUMBER WILL BECOME INVALID <br /> AND THE PERMITTEE SHALL CALL FOR A NEW CONTROL NUMBER. PRIOR TO <br /> ANY REQUIRED INSPECTIONS, AS IDENTIFIED ON THE REVERSE SIDE OF THIS Sign <br /> PERMIT,PERMITTEE SHALL CALL INSPECTIONS AT(209)937.8381. <br /> READ GENERAL PROVISIONS ON THE REVERSE SIDE OF THIS PERMIT BEFORE Evan Schmidt <br /> SIGNING. Print <br />