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r <br />WELUPUMP PERMIT <br />S Ax JoAauM CouNTY Ewv wuuviTA1 Hr tLTw D£PAAiYEVT 1868 FAsn HAMTor AV®aE-.STCorMod CA 95266 •(209) 462-U20 <br />NON-REFUNDAs>_E PERMIT CALL 209 7697 wR lmsPECT1m EXPIi1:S i TEAR FFWM uAre M� <br />Joe, l (p 01 C o/ S C o Jon Gr x/55 Z� <br />eaoas srwt'Er A. AttC£L Sta L,wD thfi TtCN z <br />OWNER NAae s <br />Lv P L_ A 7 ZD <br />OWNER Auxwvss�.CNTRACTCR ACC 3 V` / (� C7TYf,7TA ( as I % �]� ✓ " <br />iSU8CONTRdCTCR PirO! AV / 1-1 <br />�SUBGCrrTRAGTOR ADCRl55 ! CRYISTATIEMP <br />TT - <br />IL GENSE - _ _ C-57 C l O -W dherf)zj _ `- tavatATtoR DATe �-`� <br />GEOGRAPMr'-' <br />'tRTE4CED usE <br />Y <br />R Af` Wowc New WRedacement Wa4 We9 Allam Otter <br />TYK OF e➢ MonkornV Wed(s) 9ofwaft SodBaino(5) odnortF . GOWdlraCal ,dam <br />1 Out-0tServiQ, WL.V Out-OfServieo WeA Renee= QaesCavtrson tT� <br />New Pump V � p Redremtnl ---?un+0 RcAait Rx" WOO Casim <br />PdATICN: CCOC&M aas X I Y Tewvi Wp _ RomeSaen«t_ <br />Danes=Pr`•.ste IrLusutal Waw QualhpMorhrtnp Sol <br />Pudic WsW Systan <br />IIrm. <br />RK <br />Yrau G,, rSngtCP4r+ <br />Drilfing Mathod Mutl Rotary Ar RCtary Auger Cabia Tod Ptah Pent dyer <br />Propcsad Wal Depot ft Ex=ySdon in diameter Gpon Bowtm Croy PsddGaval Sae_ In diameter <br />Carductar Casatg in dtarneW / Cmductar C&VJV Depen it <br />We9 Casing Dia oder _ in TAiimess/OaupHASTM Scbad Steel Plastic Sleiieas Suad O*W <br />Grout Seai Dopth ft Now Cemont (96 ib baglS10 gal wwar) Saud Cwnom sadr m.W 7 gal \%ter <br />Bantmafe RM solids) Other <br />Grout Placement Madiod PtrnpM Free Fall Other ReMrd@W.. I Aoc WoW (name) <br />PWtSW Dlrnatalorta:'Aldth _ A Length R Th" Oar 3iove rtpa <br />Pu1m Submwsbe Twb ren OMer HP P.mtG Sd R 81w4k1g Waitx Leo !t <br />I HEREBY CE^RTi Y THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK MA.L BE DOME IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. 1 ALSO COMFY TNAI; MMY RIHMt» LKENSE IS <br />CURRENT AND ACTFVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AN IN COMPLLANCE WITH ALL <br />WORKER COMPENSAiI,ON LAWS. <br />1 MUM 24 ' }� gDYIANC NOTICE: REQUIRETDD �FO� IIN/S�PEEC/Tib W - PLEASE CALL (209),9 7697 <br />NGN_� �� �� � . "'-t !i `i l Y ` t� ! CAi _ DATE (p <br />Aepiic-non Accepted By <br />Gra.; Irspecticn By <br />P=p lnspe- By <br />Sal SOr- 9 Ir-SDeC=iW BY <br />COMMENTS <br />:P fRTMEVT U�,BE ONLY <br />Dam <br />Daw t. <br />Date <br />fVN <br />Aw <br />R �Fv�T <br />D <br />SUN Z 6?» � <br />4'd N N ECp <br />` 1, <br />OE�R�11 � <br />Arae Gy�/ y `J atpiciyee low _ j����l[,vyU �% `" <br />$PECtAL Weti Permit �-,,yy%% <br />WAr#W ROCWved <br />Cww&b tod WO DePth R <br />r3Ll r 3 <br />