Laserfiche WebLink
r <br /> C�'T q <br /> WELLIPUMP PERMIT <br /> SAN JOAGJer CouNTY ENInAONaENTAL HEALTr1 DEPARTYEN= T Bae EAST HAMLTON AYE%uE-STOCKTON CA 93209•1209)469.3320 <br /> NON-REFUN)"LE PERINT CALL X209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> .{Oe AOMtESS H1Vy C1TY.Zi IAar!c� 'v5s3' w <br /> } <br /> CROSS STREE7 Aunn Rd APN Y.__. PAA-^*7L" LANG USE APPLICATION R q <br /> OWNER NAYf a.~S .. PHONE____ • <br /> OWNER ADOREss CIT ISTATEZdP <br /> 1CoNTRuroa B4xkblariCmsutlebg _ pnONE 1916)375-8706 <br /> CGNTRACToa AD2aEss ?A91 BOWMWn Avenue CMISTATLZp]4 6t Sa:s-�=CA 98691 <br /> '$176CCKTRA.CTOR ML?Ye EuJ+Gao testing Inc PHDNE t714)633b025 <br /> SueCONT RACTOR ADDRESS 453 ti Lertgl:St ____ CIff1StATt1LP r"eM1ia CA.9T9at <br /> ,UU%Sf C-5' ()r'er RIBIBNt ExPwArok[IATE <br /> DomEsnc WEu SAI9PuMG: General kW*reLCdr(Drrrl Bacteria(4391)' Dlibromodtoroprowe(4392) Amwic(43931 <br /> ; <br /> R Sod Senv Gt'trec1tn28Dc+`Ir.-ENDED USE o,.Tact 'Pm.aua I.rwy,xn"Aapinftlrai - Inausafal -Water Q�7lilir MwWro><y oA"y <br /> P�;:,�c W seer System <br /> -:trar2�s Orr. Yriq 5ya►*.Nara Ca'ba Wnr a PrArawr wre. <br /> TYPE OK WORK Nes t�qm =Rapawnaed Wee WeE AlteraborcMWSca cn 00w <br /> ..Ma m-ng WAS) a_n vwEs a Sd". Is' a 5�oraa,a I Gael odnrucal a p10°e''M <br /> 6-t-0t-Senxe Well _400-of Strom We9 Rei+ " - C css-Cr n P&aOn Rspa:r <br /> Nen P - PIJMC Rcoapmwd Pwp Repee _Rar9e'tram Cas: <br /> �We LL CONSTROC TION <br /> 0x01 g Iavthod Mud Ratary As Ratnry Auger Cable TDo1 R Pusn Point GthL+ <br /> Pr.po*"Wan 11Rp: IID R E,tavatar, 2-- _.n C+arrww Cyan Barg Gravel Pad.Gra.el Sae In am"Nor <br /> Gana r.9pr Casunq n aareaar I Gansu"Casi+4 Dwe+ 1 <br /> Weft Casing Dwr,9rar_h Th.*wwAC*uqaASTMSdW _Steef -Plaeac -S`ardaiss S-" COW <br /> — <br /> Grout Sial petty enye t Neal CamsrM(W a Dap'S•TO 9W Waft Saw Cerner aaa awl pat WNW <br /> 9--te;20%loads) Oster <br /> Grose Ptuwrwml Method - PtNnp9d =Free Fpm -Other 4errle Retardard I ACG1algbr tRenlel <br /> PEDESTAL Installed BY preen ArIv Cgrww.:r Oa+er <br /> Cornett Pod—til Dialaaaieaa.WxW n Lergill ft T1Kk r Christy Bax .Stove Plpe� <br /> PUMP SL:U•- ILir %,_'-'e -CRrxt• HP «JTO Sd _'1 Sla ,nra Yre'e:Le.yl R <br /> I HERESY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAQL9N COUNTY ORDINANCES. STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTPY THAT MY REQUIRED LICENSE 96 <br /> CURRENT D ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS P€N9ATION LAWS, <br /> MINI R CE NOTtC'E REQUIRED FO )NSPECTlWiS-PLEASE CALL(209)953.7697 <br /> SsuED TITLE An <br /> h PA <br /> Roo <br /> CE;"ZID <br /> MAR � 1 ?019 <br /> NVIROUIiy COVN <br /> LTH�E�MR�EN� <br /> 0 <br /> APpratar: L `JR TY ENUSE,ONt Y <br /> 08 (/LJa `I / - <br /> AopaBy <br /> c-rpioyr198 ��Sa "t- <br /> Grout L,,,spec+,on By Dere SPECIAL Wall Permit <br /> P:cmp inspection By I DatL - WAIVER Received <br /> Soil Sprig 1rmpecaw ey Date 3/ Constructed We!!Depth h <br /> COMMENTS r <br /> PE SC Ra -1 Atttetat Permt Invorcea Wadlcle <br /> Codes YHo Rrursiltsd D� Stmle Rtgue4t 9 <br /> 77 <br /> t <br /> I <br /> I <br /> tw Asa....re a.la-a #JELL'~�* <br />