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COUNTY OIB'SAN JrOAQUITN <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 />Permit No:PS-1503561 <br />Date Issued:12/14/20 IS <br />Start Date:12/19/20 IS <br />Exp.Date:02/01/2016 <br />Project No:PWP730052 <br />Quad:NW <br />Extended To:10/15/2016 <br />UE/CR/PM NO:31162235 <br />ENCROACHMENT PERMITT <br />To:PACIFIC GAS &ELECTRlC -SACRAMENTO <br />2730 GATEWAY OAKS DRlVE <br />SACRAMENTO,CA 95833 <br />Encroachment Type: <br />IBore (over 12 inch Dia) <br />Lc.r,~tion: <br />N/S N ORANGE ST 220'MOKELUMNE ST <br />In compliance with your request of12/14/2015 ,permission is hereby granted to do work in County right-of-way as shown on attached <br />app1ic.ationand subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part ofthis <br />form.See reverse side and atteched 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.Surfuce of trench patches shall match in kind and be smooth and even with that of abutting surface.Special attention shall be given <br />to depth of utilities through roadside area in anticipation of future drainage facilities,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 />Permittee shall call the Department of Public Works,Field Engineering Division (permit Inspections)at (209)953-7421 at least <br />forty-eight hours prior to beginning any work within the County right of way.All work perfonned under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal-OSHA. <br />Thejobsite 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 Permittee in accordance with the latest edition of the CAL TRANS 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.'Jnunediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br />completion (see attached post card)provided by Grantor. <br />Special Comments:ITraffic Control Per MUTCD <br />FORMS:iSSIWW,R-29 <br />Est.Permit Fee:$824.00 <br />KRlS BALAJI,Director <br />Department of Public Works <br />WlllTE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Permittee <br />~PWDCentral File <br />-Field Inspection <br />.Permit Section <br />By: <br />Permit Section