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r <br /> WELUPUMP PERMIT <br /> SAn JdArK.nCWNTT FxvwOIpJEIrtALHEu.Ter DErARmENr 18G8EMITHA TOn AVENUE-ST0i=MCA952D5-t2m46s-32o <br /> NON-REFUNDABLE PERMIT CALL 209 553-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> r, CT 2v "f�G1q a��,1"I <br /> JOB Aooness �{. Ih.� CC <br /> CRoss STReet APR�D�)" -I Ob-V� PaAOD SO87�LANDUSBA MATT.V <br /> OnnmNAue 1�Jlr Catll Ove peone <br /> ONERApons5, <br /> GJ /-bJ -{�/ L�` n� 1 � mIsTATM. C/t hjtt6e,GW 3a <br /> CowRActoR —Dr r <br /> I'1 1.PNPMeL6,J�..�I�4��• <br /> COMMCTON ADMESs I`Y I V \'1 ClTe STATF/LR�_A_Ulks I l � 0 <br /> SUECOMIU m PKMR1 I,, <br /> SUBCowimton Amiss <br /> l� r, CmFiiATe%LP <br /> LlCensePet D89 011ier NuaeEa G�`) Elw,w DATe 1 <br /> GEo(FAVHICALINm !Ign: CWlel I X Y TowneNP_ RaWii_ Serilon_ <br /> IN,Enom Use )(Daneet Nvgtte WgaticNAgtbA U IlMusbial Water Oualdy Mceiliing Soil Sampling/Charae4erzBm <br /> Public Water Sryeert <br /> nartemllrtom o.ma: em amv v w <br /> Tyea OFWom XNew Well Replacement Wali Well AtluatiorVModlicallm o1wr <br /> MoraoM9Well(s)_Rcfwalls Shc BOM9la) aabe*" Geo Meal aamnlas <br /> Our-0l--SerAm WNI OuS <br /> t-0mm Well Renewal Cr.ii-Cormectia <br /> t Repair, <br /> NPum Pum R ladement Pump Re Ir Rake Well Cash <br /> wEu C.xsmurnax <br /> DNIIn9Method,*Mud R,Amy Al Rotary Auger Cable Tool Push POLd Olha <br /> Proposed Well Depth 9 012 R El .iien J.X h diameter ORn Bohan Gravel Fac Gre"l Site h dimater <br /> CalEuc:ar Cash9_hdtl atw C C;V .r Depfh ft <br /> Wou Casing D'umeler 6 h Thkk.=CCau9dA5TM Shed Steel XPles c Stehitwo Steel Other <br /> Grout Saiil Depth loe R Neet CaneM(9sMbagSfOg wale,) SarM Cement sack mOd)galVRla <br /> XBe ft.(20%adlide) Other <br /> O,oui Pbcemant Method J(Pumpetl Free Feil Olha RMeNard/Aeeelemla(name) <br /> E6PEdiAL Installed BY Driller PumP Contract., mor <br /> Ca mb Patfutal Olmensi.ne:WMb_fl Lm flTh6it__in CMiety 6.a St.va Pipe <br /> PueF Sto m M. Tuft. Ober HP pu.PSeiR Sbntlhg VliaLevel R <br /> 1 HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE 1N ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES STATE LAWS. AND RULES AND REGULATIONS, I ALSO CERT0`Y THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT 1 AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATIO WS. <br /> MINIMUM OTICE REQUIRED FOR INSPEC IONS-PLEASE CALL(209)953- <br /> TITLE <br /> 209)963-TITLE V)"k))fi hh1�� DATE <br /> F <br /> Lu> N ° <br /> �Lu UW <br /> '� 2 <br /> d"! OI OZ pW <br /> dED Q �j� <br /> Lug <br /> x <br /> A TMENT BE ON <br /> APpllatl.n Ax-otad I Arae F1nPioYAw IDR <br /> Grad hspeHbn By Dab 'I SPECIAL 11 PeNTlIt Y <br /> Pump hgec 13Y Dale . J WANED Received <br /> Bal Boring bepetli.n BY Del e ons Well Oepth R <br /> COMMENTS � <br /> CPE Be Receiwl Cheek#/ Amount Perv:B Im01w0 WNI10I <br /> Cod. Info Cash tm>d Deb Service is <br /> Irmc,7 <br />