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COUNTY OF SAN JOAQUIN <br /> ca DEPARTMENT OF PUBLIC WORKS <br /> G� P.O.BOX 1810-1810 HAZELTON AVENUE <br /> EP No: P-06159NE <br /> STOCKTON CALIFORNIA 95201 <br /> ' (209)468-3000 Date Issued: 04/18/2006 <br /> P FAX#(209)468-9324 Expiration Date: p5/07/2006 <br /> Job No: 11005 <br /> :ENCROACHMENT PERMIT UE/CR/PM NO: <br /> To: 'CLEMENTS LOCKEFORD CHAMBER Encroachment Type: MPORARY ROAD CLOSURE <br /> 18980 N.HIGHWAY 88 Location: ACK TONE ROAD BYPASS BETWEEN JACK�TONEOCKEFORD,CA. 95237 OAD AND HIGHWAY 88 ON 05/07/2005 FROM <br /> O 8:00 PM. (SUPERVISORIAL DISTRICT 4). <br /> I <br /> In compliance with your request of 04/10/2006 permission is hereby granted to do work in County right of way <br /> as shown on attached application andsu pec to a e erms,con rttons and restrictions written below or printed as general or special provisions <br /> on any part of this form. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way <br /> (border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: *NO FEEPERMIT FOR NON-PROFIT ORGANIZATION <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $o.00 Department of Ply,hliC Works <br /> FORMS: SS/WW B <br /> WHITE -Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> AccessTermits\Forms\Encroachment Permit <br /> Revised 07/2000 <br />