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To:AT &T -FRESNO <br />5555 E.OLIVE RM#300III <br />FRESNO,CA 93727 <br />Encroachment Type: <br />ITCP <br />Location: <br />E/S MISSION RD 123'N/O ELMWOOD <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O.BOX 1810-1810 E.HAZELTON AVENUE <br />STOCKTON,CALIFORNIA 95201 <br />(209)468-3000 <br />FAX #(209)468-9324 <br />ENCROACHMENT PERMIT <br />PennitNo:PS-1601510 <br />Date Issued:OS/26/2016 <br />Start Date:06/01/2016 <br />Exp.Date:08/01/2016 <br />Project No:PWP730079 <br />Quad:CC <br />UE/CRIPM NO:AOOA8CN <br />In compliance with your request of OS/26/2016 ,pennission is hereby granted to do work in County right-of-way as shown on attached <br />application and subject to all the tenns,conditions and restrictions written below or printed as general or special provisions on any part ofthis <br />fonn.See reverse side and attached sheet,if any. <br />Trench excavations for service connections will not be pennitted 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 surfuce.Special attention shall be given <br />to depth of utilities through roadside area in anticipation of future drainage fucilities,road profile and/or frontage development.All <br />underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,or <br />from right of way (border)lines. <br />(p~iifit~e_~h-aIl"CliJ.!.~Ji.~~eE-~~~ro~PiibliC'.W~~Fiel!LEngine~rin~,mvision,(Ferm~p~tions)i1t,(~09)953'7.42nifleast' <br />{!ortY:"lglit.hours pnor.to tiegmnmgl!,liy.!Vork'WIthm'the County 1:!gh.t,nlway}-All work perfonned under thiS pennlt shall confonn to <br />the rules and regulations pertaining to safety established by the 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 <br />maintained by and at the sole expense of the Pennittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br />After completion of the work pennitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner.iI@l:iedialelytOITO'Wingcori:IplaiOi'-0f~6ilStfuctioflpennitted'herein;',Pennittee.shall fill out and mail,notice'of ";. <br />C2tnpl.etion (see attachedPOsi~d)p~~videdby Gnintor:"''''''''~-,.~.------••"--'--...~-,--"•. <br />Special Comments: <br />ITraffic Control Per MUTCD <br />FORMS:ISSfWW,R-29 <br />Est.Permit Fee:$436.00 <br />KRIS BALAJI,Director <br />Department o[Public Works <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Permittee <br />-PWD Central File <br />-Field Inspection <br />-Permit Section <br />By.-z:::::--,e:::---,., <br />Pennit Section