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`^ COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Permit No: PS-1102083 <br /> P.O. BOX 1810-1810 E.HAZELTON AVENUE <br /> Date Issued:09/15/2011 <br /> • STOCKTON,CALIFORNIA 95201 Exp. Date: 12/01/2011 <br /> (209)468-3000 project No: PWP730077 <br /> F FAX#(209)468-9324 <br /> Quad: ES <br /> UE/CR/PM NO:8081 <br /> ENCROACHMENT PERMIT <br /> To: WATER SERVICE <br /> 1550 <br /> CALIFORNIA ONT ST,SUITE 4100 <br /> STOCKTON,CA 95203 <br /> Encroachment Type: ----- <br /> Bell Hole <br /> Location: <br /> W/S OF ADELBERT AVE.320'N/0 MAIN ST. right-of-way as shown on attached <br /> permission is hereby granted to do work in County g art of <br /> In compliance with your request of <br /> 09/15/2011___ •p printed as general or special provisions on any p <br /> application and subject to all the terms,conditions <br /> anyd restrictions written below or p <br /> this form. See reverse side and attachedroved by <br /> smooth and even with that of abutting surface. Special attention <br /> sha <br /> excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise frontage development.app <br /> Trench exca profile s and/or Special <br /> the Director. Surface of trench patches shall match in kind an e <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road <br /> All underground utility fac <br /> ilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border)lines. <br /> Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 at least <br /> PermDeittee shall call the p work within the County right of way. All work performed under this permit shall conform <br /> forty-eight nor to beginning any and Cal-OSHA. <br /> � ht hours p <br /> to the rules and regulations pertaining to safety established by the California Division of Industrial Safety <br /> the dail removal of any excess dirt or debris which mighidedt be a laced and hard to ether <br /> The jobsite shall be kept in a safe condition at all times by y personnel shall be <br /> pedestrian or automobile traffic. All necessary traffic convenience accordance with he latest editiondof the CALTRANS Manual of Traffic Control. <br /> maintained by <br /> p and at the sole expense of the Permittee <br /> ermitted herein,Permittee shall fill out and mail notice <br /> ft <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite e <br /> in a neat workmanlike manner. <br /> c d immediately <br /> ediby Grantoring pletion of construction <br /> of completion(see attached pOw <br /> ) <br /> r�1 Comments: _________ <br /> ic Control Per MUTCD <br /> FORMS: SS/WW,R-29 <br /> Est.Permit Fee: $413.00 THOMAS M. GAU,Director <br /> Department of Public Works <br /> r <br /> WHA -Permitee <br /> -.PWD Central Pile By. <br /> "- — <br /> GOLDENROD Section <br /> YELLOW <br /> =Field lnspectmi Pe <br /> PINK -Permit Section <br />