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i <br /> ` WELL DESTRUCTION PERMIT i <br /> PumcwArms sm❑Ym M�d <br /> g.JOAyrMCOpIItrENVROKSWAL NIrt-Tx DIPARTMEMT- 690 EMaot SRAEET•aTacK70N CAffROK ATE ISSUED <br /> NON-REFUNDABLE PERW • — - -CALL 208 953-7697F INS EXPIRES 1 YEARFROMDATE IsauED I <br /> Joe AbOReae <br /> —12-92-k '"CA0a Rd• Cl Lra4. I Si O <br /> CRM STREIT K N COSY-070-Z3 116>�1g-iyaMn ueEAPvucAnoM• �- OD <br /> e <br /> Ohne L e - <br /> ••. CIrY15YAtE/A►�.�!* 43v)•n y <br /> Ovid AOWKee 4 z '' <br /> CONTRACTOR -V,12,0 <br /> 0Td3TATFIL��T J. i'J At2N/ <br /> ppNiRaGTOR AO9Raae <br /> WC C57 WELL Ilm1LN0 IJL'EffaefaulrelR SruStrb3 Etv.rRATwrr OATS I <br /> sP„oMe <br /> PERR)RAWN COwflRAC7OR <br /> PWUWATIOM CONTRil AODRlse Null <br /> TrRIP <br /> ' Lirenms Nrarwber Wraffian DatB <br /> a Q$r Well DrOangLicanae Number PJpdm*m Dale <br /> P BRiRw of Ab",Tbbacw end Fimeme-tleen of 1Ogh EX91o51vee Ewml I)n Date <br /> 13 CNP Hazewi MatsfW T-SP--tw E*-- l3rstse Number <br /> o Eon kaquln County Shem"Zorooer Exon—/V PL-11-end Pill Llcanse Number EwmfaIlOA 0819 <br /> I3 Cakkmla Or> dlat Solely Health•&eater Liberlee Number Ewrplatbn t70le <br /> Ory [2Replacernsmwell f7 Caved to 0. itwell p Inadiva 13Tm1 Hi <br /> pehpdeNSuepecmd WMlwafx CeM(e ' <br /> A�eONtf propertyalmwMtlminMWn{Addrame °P <br /> Kil S*RWgl.reem+m]naebl et ed0i prdl> r tom] <br /> .❑ Cpen Iloaam 0 prwe1 Pack. 0 Uwxased 13 4Ner b <br /> VW leg ii ittil 13 Yee D NO Driam 13 No o Yes—R below9reund nrram I Hole Clarrwie Inu1eS <br /> W"COnd,wterCWngO Yes 6 No Gill afemarclor CaaEe7 Rbge Olemeter ar GoMObCfer cwbr9 mchee <br /> ' w"Co"Dlarwu'trr !r)rs Tefal oap0w R Oopth to Wafer R Di l Of Ce" R bp q <br /> Slimmingimmrul loan I Rbpee _n bGe ran.l RlaEerial tom... bbm !�_rtbgsm•,�` _rtnos <br /> ' Wall neons to be by lad the fellawim ramthl frown R b(p fA R bas <br /> I a Mille Kalb .........umber of arts every R and'or - V1 <br /> k O ElplaNes a DebmsTng cord 13 wiM ProiecNfes overt R. 13 wo l prgwmse <br /> a Demnating mrd and 4oeaarra 'Q vt p QMftles gvWY R 13 wWmxd pro0i <br /> 6 tither <br /> Soollnp Aleterlai ❑ NOW Canrawk(pt b baplb-S wa am[er1 D a>dtd Gemara .sedr m&R 9a1 water ❑ eerrtmlte Petlpla <br /> . - ❑ EsaIll pi vatlde)Cl Manu tacturer Spec%30M_% O Specs do Flee ❑ SP"Submi <br /> Plecerre l Method D Pumpetl D free Fall ❑ O"t <br /> final Cereplatian❑ compfets Win Muslim m Cap _ R bas ❑ Cernpil to Existing Surface Pad <br /> 1 HEREBY C6RTrFY THAT I HAVE PREPARED THIS APPLICATION AND THAT TRE WORK WILL BE DOME IN ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY OADRIANCFA STATE LAWS.AND RULES AND REGUILAMM. 1 ALSO CERTIFY THAT MY REQUIRED 1Ji 10 <br /> CURRENT AND ACTWE WITH-THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND TKAT t AN IN COMPLIANCE WITH ALL <br /> WQRKEM O MPMATION Lill - <br /> IIIIIIIi "OUR ADVANCE NOTICE REQUIRED FOR ENSPECTIONS <br /> r OONrRAOTORSaNtMATYRe Trnu — DATE 3/16/torr f <br /> ' Jill �w <br /> ) A - <br /> 09 -�= <br /> l 4 4-7 <br /> - <br /> - a <br /> EPrARTMENT USE ONL' �- <br /> AppllcatlonAcoe�hed oats (6 n - Area 45 <br /> Deemxsdrr lmPKVm Da* ErrwsbyRa lDil <br /> coellAENTS `'� <br /> _ .r• r <br /> ItHiltil Amil Daft Invi lx i wen IDB <br /> r coda bfo 6 Cash RamIBeE Ee1Mr7a R <br /> FAM um W&L DEURUcnim PERMR <br /> 1nrJ107 <br />