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1-irrL l l, H I L UN F UN LNLNUHLHML I NLRM i t <br /> DATE <br /> TO: SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT OFFICE U S E ONLY <br /> JOB !__70 5-�l-6---- REF ! --------- <br /> P 0 8 E CO. APN -------------- -------- CRV ! --------- <br /> (APPLICANT NAME) EXP. DATE_ /'a <br /> P. 0. BOX 930 �J `I�_ DRIVEWAYS: <br /> (MAILING ADDRESS) STREET _ , <br /> vu <br /> (MAILING _�_______ I ----------- <br /> AREA ----OUAO - ! ----------- <br /> STOCKTON, CR 95201 tYPE __-___-____ <br /> (CITY, STATE ZIP CODE) FORMS ------- <br /> 942- 1528 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) ------------------------------------------- <br /> ------------------------------------------- <br /> THE PG S E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATE, CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWAY RI - F-NAY ON T____SIDE OF M ---'--Y_�_____________________APPROXIMATELY <br /> FE W/-Mftf Na OF__ M!L Gc© BY PERFORMING THE <br /> FOLLOWING WORK: <br /> Co INSTALL ❑ DEMOLITION ❑ MAIN S SERVICES <br /> ❑ REPLACE 0 GAS 0 SERVICE ONLY SERVICES EA. <br /> p REPAIR ❑ ELECTRIC U.G. ❑ MAIN ONLY <br /> ❑ ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH---?z------FT. <br /> SURFACE TYPE: ® NATIVE DIRT ❑ GRAVEL ❑ PAVEMENT <br /> TYPE OF TRENCH gl BELL HOLE ❑ BORE--6' OR LESS ❑ SPLICE BOX <br /> ,® TRENCH ❑ GAS REGULATOR BOX <br /> GENEROL DESCRIPTION: _z TTi9 LL (54y - ___A:77-__ 2,30 2/___ Y-- <br /> _ Th-E__/.%ST__---- ----`--------c�:_m- Z/vt1�f��'_--c�,P-------------------------------- <br /> ---------------------------- <br /> ------------------------------- <br /> -------------------------------------------------------------------------------------PAOPOSEO START DATE--------- =��___ _____________ PROPOSED COMPLETION DATE:------- <br /> SKETCH <br /> ____g <br /> SKETCH /,z' I % <br /> r <br /> x- <br /> P.G. & E. JOB REFERENCE NUMBERS: S.0.!0733G Z_9248 E. BOUTTE, DIVISION MAN GER <br /> SR _/ ¢08_ BWO <br /> WO--GM -- BY------------------------ �, !J,©LG�/i.✓ <br /> ----------------- ----------- <br /> ACCOUNT_ ----------- SUB ACTIVITY v_____ GAS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY SUB ACTIVITY CONTACT PERSON PHONE- <br /> --------------------------------- <br /> HONE_239_CoQ z_ <br /> --------------- --------------- <br /> ------------------------------•-------•---------------•------•------------------------------------ <br /> %¢z- /793 <br /> RETURN T0: <br /> 6D ATTN: T/O GENERAL FOREMAN ❑ ATTN: T/0 GENERAL FOREMAN ❑ ATTN: CONST. & MAINT. DEPT. <br /> P. O. BOX 1032 P.O. BOX 330 P.O. BOX 930 (BLO'G 2) <br /> MANTECA, CA. 95336 TRACY, CA. 95376 STOCKTON CA. 95201 <br /> OFFICE OFFICE OFFICE <br /> 7�" 942-509? PHrNE: ° ? PHONE' a01 <br />