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t <br /> AP?LXCAT!C1q POP PEP.MIT <br /> tm,vC aEA T3 SERVICES <br /> '0545 I'3 SM! JQApuly. (2C1lD;�,63-3 20 <br /> p 0 5 ^A61� STT'=T017 <br /> r CA 95201 <br /> _ ECta�ar,Letn to -'-°l.t�'a.cl:T.e) <br /> Applause Is b.r.by WAS to�Joaquin couaty for. <br /> 01WAoatum Is aro. Is epeollecicr3 V%tit Cam Joaquin Coto%rsir±lto Co strue 9 m//or Install <br /> the Rules hereinam described. nie <br /> Jcte�tiim C-V"E�+wAa Iloe.ltb C'm-"coo, <br /> JO Address 0% <br /> Cny�a,-4'i!e Lot Slse/Acreage <br /> Owlttlr.Name le <br /> GLOphone <br /> Conuactd <br /> }r Address01.L, <br /> -_ — License Ho.d C ` %U.bP: � FvZW_VC4L ❑ WELL fl,i, •Y••- <br /> Phone VPr � neQ vM <br /> P"JVP <br /> IN,yTALLAT*N ❑ UE�TI+�CTiON C Out of ervice ,loll <br /> 018TANCE TO t2ARI!3T: "PTI:'YdSRty <br /> SYSTEM REPAIR ❑ OTHER O Ibmitorirtd veil O i <br /> / SEWEt9 LINE,3 1 <br /> -- DISPOSAL FLO._ PROP. LINE <br /> y F"�.rAJEfAT!+!; 1 <br /> lJSTtbfRLt AGRIC WELL <br /> _ _ OTHFR W%L PITS/SU,1PS <br /> z INTENDED LrPlx PF!0ALC1q/StW A CrJNPDTtCP1CT10N VPECtG@CA?07JtlR <br /> 3 <br /> n Ind O�^�a,^.•ar ."'+ O PRont�°5 � Cr:r.M Vb'elt Lrcavction <br /> _ Ob,of Wen C.anp I <br /> i fl Oonteetle/tPtiv.00 O rJsesrr!Pc?h. <br /> I'1 FtdtPc n fdlahre nO r elm Typ. Cid- Speeificattono <br /> 1 I Onial.Nepa O.pth of Grout!Seal Type of Grout <br /> --Ai'pres.0" 1 1 S. tern "IM4 tv Seat Itima'Sert by <br /> R.OMr Wolr Oen. 0 Tof <br /> was Ottesmuetdert � M P sono work Dote_ Y� <br /> O kilo a 1 asst ter —�.. 'krl ULI"t-rico&flepth <br /> �4M? 9233er Iflttersa2 b Degttt Il <br /> V SEPT, iA"7s':.: fM;1'}?},dItiTALLATI+^5` R€PAIRIA00n.tjid I I ©tc5'fR1CIC141 I T (rf a;,us a otam <br /> r !` y 1_-1 too 11 <br /> I " A t"Ihinfeel.) <br /> puW a Dowel to <br /> Inam4ftttdars"MM-42: f'Icr' � Ct'�er»ret�!-_ Pg' it+i }d enter N ZUO Poet,l <br /> Ntrrrth�r 6r!nr trr Other-` Rv <br /> SEPTIC TAKY. r�4 Tye/per /� ayC x1= Weter k+ble d3pth <br /> PKK.TROATY-4W PLT.0 C�prlty INo,C,onnortmonts <br /> clow"to f.~. We" /?A/ , malhod of Ohnout <br /> Found.Mon._I h � Preto"Line 11V <br /> LEACNINQ LUVC Lt! No,8 Lane+t!t of r se�?f �o <br /> y FILTEf1 Ko O C:tt�non to ray.0 Foundatim �oteA len¢th/nS:e _ /;s O f <br /> Property circa <br /> ME-PACE PITrS <br /> OISPC+SAL PQNDg X- /-i' 58M - ,r SURPDietwoo to rxtm —V ! _ <br /> Pdmmbar_ ' <br /> Foundom 'rcxrtp Litt _`'> <br /> enify <br /> I horttb�y ereguI Tie 1 Ream t+Kr raK t an+tM irrt ant°tient the work evil!lra ctcrro;n;ccc*rt;r,^•ai s�:;n drn Jomtluir:cnumy crditunco>,state lows,trrtd <br /> n�Ce+ td r.ptr9at#oate oQ ttto C!m Jra tr�u;ft Ctwm"1' <br /> ►lora.aabtafr or Iieeeeerfe!t: .rt1'S c uaEsirs n tit tae tho f <br /> «^0�my ony Iseaon In txY;a mttruxs�.to;x qty tttet M ttw!aprto MMC-.of the wmrtl fa which INS permit h+.toed.1.Rat not <br /> '4 tltn 9 �63ct to wo zmen's ca! rteatitr,IPrr3 04 a"^^a�Ma."Contr.rtor'e halve or ouD eIs mKit' <br /> rtPD "!tPr;ay 11 n tars F?�r:cm�s^e of Hep"A'Or vd�rM chid fcrtra;2 is t, kV e�nittm re <br /> tort Otwa.of Ca'f aeras." 1'cwatra..a3 m wvvoy twoons sub'iect to workman's r�n^penos. <br /> The rpoicent cels fcr eA IbQuIrW KVft-tlorte.CodWete draw"on rtttere.aide. <br /> t Ll9rMd d��y►91�.r <br /> TTom. Date: I <br /> RTAn�,r.,r„Fnla rte,_2tt:'v <br /> F Apdlomtlott Aetxpted by <br /> Date � f/ <br /> PIT or OMT Irt.poetlon by Date <br /> Additlpta rtra <br /> Cor .rtta: m <br /> Applicant - nature a_1 copies to: Sao :omquin County Pvbllc Health 3ervicee <br /> ravironotontal IE6111" Permit/Servicaa <br /> w48 PI uoSa Joagvla, S �) "rx 9^+.`f�, St-n, CA 9530.1 <br /> FEE IF10 AMOUNT DUE AMOtlW i R[MIT7sp C` <br /> 9y j GATE ►E11MIT'NO. <br /> .im w� INV. <br /> J <br />