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-- — ' <br /> -- - <br /> E.P. No. <br /> ' ' ' <br /> � - <br /> ---_�l4-9/ <br /> COUNTY OF SA ~ ~ OAQ -UN 3 <br /> ��8 � ��� �� Issued) <br /> �d) <br /> DEPARTMENT OF PU <br /> poBOX `wo `woE*^zoLT»wAVENUE 4_1_07 <br /> (209)468 <br /> �r��K�����~���K~���0�������� ������0�0k-�- | <br /> *�NmY M. x/nwrw <br /> ENCROACHMENT' -- - <br /> ".""","° `"~~ No . <br /> Encroachment typo; Tr+uch <br /> To: ��oaac� ylun,�1n� <br /> Location: ��/u D"u���s ��. 2GU`� <br /> "cuc�toc, �� 95�u� W/o Pacific Ave. <br /> 19 , pazmisaimo <br /> is her <br /> 1)yIu compliance with Your request of , <br /> d to do work iCounty right of way as som°" on attached application and subject to <br /> grau�eor printed as general or special <br /> all the terms, conditions and restrictions written below <br /> provisions on any part of this form. See reverse side and attached sheet, if any. <br /> i connections will not be permitted within ten feet (ID,) <br /> Trench excavations for sezvboeer~ise approved by the Director. Surface of trench patches <br /> o� pavement centerline unless otherwise <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention u <br /> shall be given to depth of utilities through roadside area inanticipation of future drain- <br /> age facilities, road profile and/or frontage deneloDmeoc` all <br /> underground utility faoili <br /> ties are to beestablished and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> �m� � o� Public Works, Field Inspection Section shall receive a notice mat <br /> The Depar o b iooiog any work within the County right of ax' <br /> least forty-eight (48) hours prior to eg � �o �be rules and regulations pertain- <br /> All work performed under this permit shall conform dus�rial Safety and Cal-OS8A^ <br /> iog to safety established by the California Division of I o <br /> in a safe condition all <br /> times by the d <br /> aily removal <br /> o <br /> f <br /> The jobsite shall be kept � mobile <br /> any excess dirt or debris which might be a hazard �o either pedestrian oraushall be <br /> traffio' all necessary traffic convenience and warning devices and personnel <br /> provided, placed and maintained by and at the sole expense of the Permittee in accordance <br /> with the latest e di.tion of the C&LTBANS mauoaI of Traffic Control. <br /> After completion of the work permitted herein, all debris, <br /> lonbez, barricades, or <br /> any <br /> e�o material shall be removed and the jobsite leftiu a uaa� workmanlike manner. <br /> exotted herein, Permittee shall fill <br /> Immediately following completion of construction <br /> out and mail notice of completion provided by Grantor. <br /> Est. Permit Fee; $ � <br /> HENRY M. RIRATA, Director <br /> FORMS: Department of Public Works <br /> WHITE - Permittee -----� Permit Section <br /> GOLDENROD - PWD Central File � <br /> YELLOW - Field Inspection PW 27 <br />��� <br /> PINK - Permit Section <br />