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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 />Permit No:PS-1602029 <br />Date Issued:07/12/2016 <br />Start Date:07/12/2016 <br />Exp.Date:09/15/2016 <br />Project No:PWP7110005 <br />Quad:WS <br />To:UTILITY TELECOM <br />4202 CORONODO AVE <br />STOCKTON CA 95204 <br />Encroachment Type: <br />IBore (up to 12 inch Dia) <br />Location: <br />EIS LOS ANGELES AVE SIO HAZELTON AVE <br />In compliance with your request of 07/1212016 ,permission is hereby granted to do work in County right-of-way as shown on attached <br />application and subject to all the tcrms,conditions and restrictions written below or printed as general or spedal provisions on any part of this <br />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 <br />to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development.All <br />widerground 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 Departme~t of Public Works,Field Engineering Division (permit Inspectinns)at (209)953-7421at least <br />forty-eight hours prior to begiuning any work within the County right of way.All work performed under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Division of IndustrialSafety 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 Permittee in accordance with the latest edition ofthe CALTRANS Manual of Traffic Coritrol. <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 (see attached post card)provided by Grantor.. <br />Special Comments:ITraffic Control Per MUTCD <br />FORMS:iSS/WW,R-29 <br />Est.Permit Fee:$1,160.35 <br />KRIS BALAJI,Director <br />Department of Public Works <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Permittee . <br />-PWD Central File <br />-Field Inspection <br />-Permit Section <br />By:-~C .G---- <br />Permit Section