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` V D r ........_... .... ._...�......... <br /> OC 1 1 �J 1992 <br /> 8AM JOA AWN CabNI'Y PLCO I C RMALTH SARV I CHS <br /> L-NVV(DNMENTALHEALTH EIVIRONYBN')~" ggALTH 1) t,1 ION PA <br /> PERMITISERVICES 445 N SAN JOAQUIS, PHORS (209)409-3490 Rec rM NT <br /> >p 0 BOX 2009, STOMTO M t CA 05201 O c veI) <br /> r ,� 2 <br /> Y �, sAN./oAr � 199 <br /> (C0I1P'@ S In 'Pri.plicntb) E-4100tlr64 - 114;', 1j�Nc\01 n ry <br /> eM�leApp leatlon 16 here mAxIb to bets 1064uln County tot a permit to eandtruot And/or netell the vark h6 lin de:o" �n'61"v r' <br /> etlee !1 dodo n neuyillltee ulth hsn 3064uln County Okdinone* Na, Skq and 1Ao! Ind the Ru1t!1 �d pe�111t1or�16�ot � fa,l1)► <br /> J044UIO County hublio ItlAlth lllrvir$A, <br /> Job Addt111 _ 1'�9 a.�,y C.P � ,._. City bat frlWAolee.Ee l IL <br /> OWn1t'# Name CNt'al(:oea uSP► P1�oWt'i� Co_ Add,614 Q _flhX _SD t Phehl� 10 ,_�6 <br /> 'SRI-'-1�rna►.�r t~A ��,�.. <br /> Confr6ctpr ► Wit WN, DUA-AddlM Ltcenll No. eAo 11011 Id <br /> y ELL/PUMP; FW W$lt 'S7-M4!fi P - <br /> -. WELL EPIACEM NT fl 17i8TpUCT1pN Out b svfee ell <br /> PUMP INAtALLAtION Q svSt$M REPAIR M OTMM 0 Ndnitasittt Nell <br /> bl$TANC$ TV MOW: SOPVC tANK �t.� � M4111 LINES `;t !C>� �'r' D18009AL FLO.— PROP. LIN$ <br /> POUNbAtION AGRICULtURt WALL _ OtHEq WELL r _ PITS/6UMPS <br /> INTENOED Ulf TYPO bt WILL PMOOLEM A11$A CONSTRUCTION SPkCIFICAVONA <br /> (1 Indultffll t Op/h 64110m Q Manflel biA. of Well t 1Tcdvatton <br /> bid. 61(I porrl$/tlorptiv111 Ll dr/vel Pack, 0 ttley 401 Of Clling� ►��-PVC_ _, Spot Iloi Wall <br /> ,i1n <br /> I'1 PI►blla '11E¢1h#r bepth of Gidut goal -Zo tc&Ar TY06 pj afoul e 4 <br /> I I►rlUeuon _..App1o11, b#plh �1ltdrn 5u►I101 11101 IMIMIAd by�g _ VG-�-"w%IVE <br /> pep/lt Work Don$ U Typ#of Pufhp N.P. $fall Werk bane _ <br /> Wall la/att"efitlh 0 WIII btafh#a/ �._. !II#llnh Material fl 104th <br /> tMplh tlii6r Netea:It H 1169th <br /> Ypt MIMIC O 1 NEW STA! O 11 AR Ai 001VION 1 1 11 IoN I INO tepl a 41Vy++Iem pe/m Ited 1 Ruble NI 411 11 <br /> In1Idldlidn WIN114NM Ad/ld/hal hfh <br /> _ CarNitiA)..._... What av$ildbi$*11hIA 200(66111) <br /> NUmb6r Of NWho Wig: __ . NUMbat 61 badtobn,$ <br /> cht►aolat of loll to 4 depth of I fait: W00 tdblif depth <br /> AIPVC tANK L7 type/Mfd C/pdalty—..____•`� No. t+ompdrtmintd <br /> PK(t. tAlAtMthT Plt. kl Method o1 bgpoalf <br /> b1N1 11111!1!.- WAIT^ � Foundation Propdtty Lint _! <br /> LIAC111Ntl UN! L1 Net, A Llndth of Nn11 _ told! length/alai <br /> IfltkN i$o tl 011110411 Ib nail Olt RdundlNon prop#rty tint <br /> !t 11Aq$ pits <br /> it 660th 91!13 Numbdr <br /> ,UMP!! I.I t11alIMb1 Ib haitlltsPound1116q Pteperiy Lin# <br /> GI$P tiAL pnNpA .O <br /> 1 ht,6bv Willy that I h6v# PtoOltdd 11116 eppli1;/116A And that Ih# Maar« will 1311 don# In Iccnrdancd wllh SIA JaequlrI county ordinlnedl, etdte Idwa, And <br /> - <br /> U166 and flot►1111an1 of fhb Oen Jdlqulh Ceuhty <br /> Ifom6 OwAlf Of lklAMd AVIAVII Ilphllutl 66HO 111111 1608Wlho; "I tirtify that In thl p6darrhencl at Ih1 wbtit for "Ith thi! pdrmll 1t 16auod, I andtl not <br /> lrnplyy IKyQ41 66A In IUISh"M141 1a t#bla0fn#/011160 to TNorkmen'l eon,pen6111dn 1141 of Caubrnll.''Cantribter6 hlttho or Iub eontT6clino tlanetwd <br /> lion <br /> the t Afflo fit •'1 C 1 !1111 rf#r a$bf Ih6 lvark lot which thll oat Pit 10 Illudd,I IhIN W016y pOrbhl dubl/ol to orkman'6 Eemp6ne6 <br /> non Irwd el CA1llefntA." /O�`9�q�. <br /> TIII:oprttiAl ull tali let AN loqull 11160 8hil. Cam 1616 dt&*In a !/vet/# aid$. <br /> Qld" 11 h tIt11° b#fIt `� <br /> 1.011 DIPAA MkNt Ulf ONLY <br /> Application Aoe/ptA4 by 0111 1 Arid <br /> Pit Of (trout Ih6p44tlon by ,. bite klnAl Inlplatlon by bets <br /> Addi14n11 Ca "ntlt <br /> lrpticen! - Ilbturh All abplee tat bill Joaquin tou►lt Pubilo IldAith borrtCdb <br /> ItdiNoSAnn40kV ho P lth 0 NOX 2000,�i19thn, GA 08201 <br /> J AMOUNT blit AM(fUl� i tMittia TRT _ .—..--_ <br /> 0 f — sit gEclwle Iy bill r PEi1M1t 110. <br /> ='I t J �C�H Cd.l T 11 T�Jrl t71.aU1 T^14•ria 1 17 i .... .... <br />