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hr r L l Lh 11 UIN C UK t- INU NUN I, HML1V 1 f LNM 1 <br /> DATE <br /> i <br /> T0: SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT OFFICE U S E ONLY <br /> P G E CO. Joe r_�3_rz�7r__ ---- REF n --------- <br /> RPN ----------------------- CRV / --------- <br /> (APPLICANT NAME) EXP. DATE <br /> DRIVEWAYS: <br /> P. O. BOX 930 VALio, _�sroa i <br /> -_ <br /> STRE <br /> (MAILING ADDRESS) STREET ---G-_ _-_--_-.__- <br /> STOCKTON, CR 95201 r_ _✓ --- <br /> ___ OURD �!_ ___________ <br /> TYPE <br /> (CITY, STATE ZIP CODE) FORMS 5- <br /> �,/lrl��r_ce <br /> 9 4 2— 1 5 2 8 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) ------------------------------------------- <br /> ------------------------------------------- <br /> THE PG & E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATE, CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWAY R1GKk,0F-WRY ON THE_E��ZSIDE OF _ __r'�1/�f1- f�,��� _____APPROXIMATELY <br /> ----------------------------- <br /> __ EE / MILE Nom! OF__ L I S`= _ ____�R•_ 8Y PERFORMING THE <br /> FOLLOWING WORK: <br /> (D INSTALL ❑ DEMOLITION ❑ MAIN & SERVICES <br /> ❑ REPLACE ® GAS ® SERVICE ONLY SERVICES �_ EA. <br /> ❑ REPAIR p ELECTRIC U.G. ❑ MAIN ONLY <br /> ❑ ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH___S______FT. <br /> SURFACE TYPE: ❑ NATIVE DIRT ❑ GRAVEL ® PAVEMENT <br /> TYPE OF TRENCH ® BELL HOLE ® BORE--6" OR LESS ❑ SPLICE BOX <br /> 0 TRENCH ❑ GAS REGULATOR BOX <br /> GENERAL DESCRIPTION: n!, ( :3' 4 172n=Z_ <br /> ----------------- ------------------------- <br /> _L�9�v�' ori �'/� E•9sr „-5-�1�--�f----�f-- ?��.--�•�n�<�_ <br /> ------------------------------------- - -------------- <br /> _lVfO T/ __ n. 12EC------ -------------------------------- <br /> ---------------------------- ----------------- <br /> --------------------------------------------------------------------------------------------------------- <br /> PROPOSEO START DATE________1E�� :% _ PROPOSED COMPLETION OATE:__- <br /> SKETCH <br /> v � <br /> N <br /> 2 <br /> 5' <br /> 5' <br /> ^' PL f/P Aini <br /> ------------------------------------------------------------------------------------------------- <br /> - <br /> P.G. & E. JOB REFERENCE NUMBERS: S.0./_Q7..3%r.Za`,�Z/ E. BOUTTE, DIVISION MANAGER <br /> SR BWO <br /> WO--GM -------------------------- ByG /{.sx/fc S �C.4- �L:;d/.Y <br /> ACCOUNT---l K?-f-------- SUB ACTIVITY --- <br /> _�-5a------ GAS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY _______________ SUB ACTIVITY _______________ CONTACT PERSON PHONE-- <br /> -----m-------------ft------- -----------ft—--------m---------m-:::-m----- <br /> RETURN <br /> HONE__--_-------•--------------------------•---------------------------------------------------RETURN TO: 9 z 11715 <br /> ❑ ATTN: T/0 GENERAL FOREMAN ❑ ATTN: T/0 GENERAL FOREMAN 19 PTTN: CONST. & MAINT. DEPT. <br /> P.O. BOX 1032 P.O. BOX 330 F- 0. BOX 930 (BLD'G 2) <br /> MANTECA, CA. 95336 TRACY, CA. 95376 STOCKTON CA. 95201 <br /> OFFICE OFFICE CFF I CE <br /> PHONE: oHnNF: 942-s ��-1401 <br />