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I— L i Ute L IN r UM tAUNUhLr1I'lLN ! 1-" LNN 1 I <br /> DATE <br /> 10: SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT OFFICE U S E ONLY <br /> G & E C O. JOB i--------------------- REF i --------- <br /> RPN ----------------------- CRV i --------- <br /> (APPLICANT NAME) EXP. ORTE---------------------- <br /> P. <br /> __ _______________ <br /> P. 0. BOX 930 VALID----------TO------------- DRIVEWAYS: <br /> (MAILING ADDRESS) STREET ---------------------- I ----------- <br /> STOCKTON, CR 95201 AREA ______________QUAD _____ I ___________ <br /> (CITY, STATE ZIP CODE) TYPE ___ __________ I ___________ <br /> FORMS ----------------------- <br /> 942- 1528 <br /> ---------------------- <br /> 942- 1528 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) ----------------------------------_-------- <br /> ------------------------------------------- <br /> THE PG & E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATES CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWRY RIG -OF-WAY ON THE N¢��Tfi/ SIDE OF 4-r 1\&-14 "�'4F' t< • APPROXIMATELY <br /> SZ�J L►✓� , h/L.3 Y `i e,�,! JEf,vt�/f f------- r-�i�✓�BY PERFORMING THE <br /> >> ,v <br /> --------------- <br /> FOLLOWING WSJ K: <br /> ® INSTALL ❑ DEMOLITION ❑ MAIN & SERVICES <br /> ❑ REPLACE GAS SERVICE ONLY SERVICES EA. <br /> ❑ REPAIR ❑ ELECTRIC U. G. ❑ MAIN ONLY <br /> ❑ ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH---I_e------FT. <br /> SURFACE TYPE: R NATIVE DIRT ❑ GRAVEL ❑ PAVEMENT <br /> TYPE OF TRENCH BELL HOLE ❑ BORE--6' OR LESS ❑ SPLICE BOX <br /> TRENCH ❑ GAS REGULATOR BOX <br /> GEN �� ---- _� -r'SAL L _till � Ec_f �Y ` ______. <br /> _--- - ____ 2 ------- <br /> Eyv �:4�c%►f <br /> ---------------------- -------- ---- - - --- -------------------------------------- <br /> PROPOSED START DATE_ -_ :_ -------------------- PROPOSED COMPLETION DATE:_�__�_=_r�_�✓____________ <br /> SKETCH <br /> Y � � <br /> 3 <br /> Iry <br /> c I � <br /> le <br /> 5 <br /> -------------------------- <br /> P. G. It E. JOB REFERENCE NUMBERS: S.0. E. BOUTTE, DIVISION MANAGER <br /> ! Q , -r. . �y,,c <br /> - �- ---'------ <br /> -------------------------- 6,f ='-------------------------------- <br /> ACCOUNT--t ---------- <br /> '----------------------------- <br /> ACCOUNT__t-_______-_ SUB ACTIVITY GAS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY --------_------ SUB ACTIVITY --------------- CONTACT PERSON PHONE_9 :� � yS1z- /993 <br /> -----------------------------------------------------------•---•---------------------------------- <br /> RETURN TO: <br /> ❑ ATTN: T/O GENERAL FOREMAN ❑ ATTN: T/O GENERAL FOREMAN ATTN: CONST. & MAINT. DEPT. <br /> P. O. BOX 1032 P. O. BOX 330 P.O. BOX 930 (BLD'G 2) <br /> MANTECA. CA. 95336 TRACY, CA. 95376 STOCKTON CA. 95201 <br /> OFFICE OFFICE OFFICE <br /> PHGNF: a47--i 7 rHC`� . °'. <br />