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HENNINGS BROTHERS fax;209-545-1729 Aar 30 2012 10;10am P0011001 <br /> vrCUUrrUMt' rtKMI I <br /> SAN JoAGuIN COUNTY ErMRDNM(NTAL HFALTN DEPaRTNENI 600 WT IAA IN STREET.STOMMN CA 9$202-1260)"I-3A20 <br /> NON-REFUNDABLE PERMIT CALL 205 953.7697 E0n;.45Fe_7l045 EXFIRE&1 YEAR FROM DAIIT ISSUED <br /> Joe ADORE$6 c /�/� {� �T CIT1•rOp rtt C1/ �q <br /> CRaae S,R[a*L J t CW-F}r-�k�](APN 2j A -n 7 n- PARCEL SIZE tayo Use A�f•Pucnno>4Q0 . <br /> Dymem NANE ,/��L PNOhF R f.S -i q�'L 7Z <br /> OWMERAnDAEae V ~� F.-QS ►.O'. C11w18tr1F1Lr "YCffl'LOT ca q <br /> CONTRACTOR p%a«4 y5' 11$ II <br /> CONTRACTORADDREas C'nM1ATU7La r�GS SL i <br /> gUaCOrTwaCTOq _. _ PHONE I <br /> 3ueC0"ACTO.I AOORi of CiTYrSTATf)IIp <br /> LICENSE 5? iC-61 0.09 Odwf NuInFR <br /> EAPIRARON PATE <br /> GEOCRAPraCAL lNfaRVATt0N: Coordin e% Y TawnalliP_ Ranke Spctlon_ <br /> IIIftoEo[ISE DOMestldPnvalC 9660n1A 11c:V ural 4 Indusaril ;Warer ou8hry Nanitonnq Sal jerroa.ngrCharauariralic� <br /> FuMic Water System <br /> TAMrK.bT C.n.• Y T ...e or. . n. v I <br /> 7YRE OF WORK w Wil Replaeemen;Wd! �:yell WlaraflovHodiRuimn _ O1TI41r I <br /> .7/.ondenep WeN(e) ■OT walla I.I Sal 6annpls) •o•pan-p ' Cederhn'cal fdbe,><P <br /> 72 Out-OfSemicr WCa i DuFOF$ervlDe WCI Renawpl Cma"crineclion Repau <br /> Naw" ;Pu R ccmant L T'um Ra •r Q q.;,e WeACav <br /> WELL CiONaT UC7"w <br /> OnNiny Method ud Rotary -A.r R4wrV C AL(ty -C.U.Tcat tpuan Ao'nl _ OMer <br /> I <br /> Peopmed Wall palm-.-A E-CaVO on—Ali-In dlameter 7 Oyes Boklgm XG+HwI PecJrGrAvei Size in ownwlpr <br /> Conducux CasYla In d'amewr r CUneu=r'aalnp D"jim h <br /> WON Celina o-ameter$n TSI rwsar�Fuge1A&TM 5cned en, 7 S1091 54'(c"Tee C 54'(c"Steel G OmarGran!Seal 0 p(n _1l = Neal CFP+in((94 10 Oapr5-'0 per ww Sand Cemem sac*ma17 gal waw <br /> mc-le(20%solia 01 <br /> GrantPlaeament alhod ,P-mit Ii F19pFill -07W RVAIIACedle(Aar(name) <br /> PEDESTAL in#IJAaa 8 -•Criner •p CDnvaczoi = plhar I <br /> COecmic Pedestal D natanS Wall If Le'gtN it TN�CA in �„Chrksry Bos -Stave pipe II <br /> Su6me'TWa=TurWna :Other HR quip 5N R Sa;Indna YVe4pr.,619E R <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THB APPLICATION AND THAT THE WORK WILL EIG DONE IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCE.9• STATE LAWS. AND RULES AND REGULATIONS I ALSO CERTIFY THAT MY REQUIRED LICENSE 19 <br /> CURRENT AND ACTIVE WITH TFIE CALIFORNIA CONTRACTORS 6TATE LICENSE BOARD AND THAT I Ara IN COMPLIANCE WITH ALI. <br /> WORKERS COMPENSATION LAWS, <br /> AIIN;MLJM 2d HOUR ADVANCE NC CE REGWREO FOR INSPCTION$ <br /> SIONto r"h Ejl��.�- ~Sy jcF'v 'DATE <br /> I4r I <br /> I <br /> I <br /> PAYMENT <br /> RICE <br /> 4V ED <br /> pPR � <br /> o 't412 <br /> I SAN ° ot4MENnM-r <br /> TM v�Q� ENT <br /> #1 Li <br /> _ A TMENT'ISE f N L Y <br /> Application ACOFP1aG BY DaH y AtiA Employee IDA / <br /> Groullrtspect'on By Caw Z SPECIAL Well PCT(Yllt ((( <br /> Pura In9peelron By Daft WAIVER ReceIlved <br /> Sol aoanp in cn B Daw CorwUu en Depth It <br /> C OMNENT$ 9 sSLGI�- <br /> PE 5C Received rl k Amwo DAL• yarmitl Invoice a YAaa IDr <br /> Gloat I.1fa B IiSmltalti SanrlCaR ulSti <br /> 6 <br /> ["1•sae <br /> Maras wF-_A W e i E ey'T <br />