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i�FPL I C(�l I U� f Uig LNC1)0ACHHL (�LI�M I T <br />DRTE • APR 0 51995 <br />T0: SAN JOAOI!IN COUNTY HIGHWAY DEPARTMENT <br />P 0 & E CO. <br />(APPLICANT NAME) <br />P.O. BOX 930 <br />(MAILING ADDRESS) <br />STOCKTON. CA 95201 <br />(CITY, STATE 11P CODE) <br />942-1528 <br />(AREA CODE - TELEPHONE NUMBER) <br />OFFICE USE ONLY <br />.108 1--------------------- REF /--------- <br />APN----------------------- CRY /--------- <br />E.XP. DATE -------------------- <br />VAL10--------- TO------------- ORIVEWAYS: <br />STREET--------------------- X----------- <br />AREA--------------OURO ----- I ----------- <br />TYPE------------------------ X ----------- <br />FORMS ----------------------- <br />NO1E------------------------------------- <br />THE PG t E. CO. HEREBY APPLIES I. -OR PERMISSION TO EXCAYRTE, CION T UCT AND OTHERWISE ENCROACH ON COUNTY <br />HIGHWAY RIGHT -OF -WRY ON THE Nb_04 _tA�SIDE OF __M _� � _----.__ __ Q� _ �Vt=__--_APPROXIMATELY <br />-�---FEET / MILE _-.�--- OF -------- <br />G------ --����t-b BY PERFORMING THE <br />FOLLOWING WORK: <br />❑ INSTALL ❑ DEMOLITION ( MRIN 8 SERVICES <br />REPLACE GAS ❑ SERV'ICE ONLY SERVICES --- __ [A. <br />E] REPAIR [ ELECTRIC U.G. ❑ MAIN ONLY <br />E3 ABANDON E] COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH_�o 7____FT. <br />SURFACE TYPE: ❑ NATIVE OIRT <br />Cl <br />GRAVEL <br />PAVEMENT <br />TYPE OF TRENCH BELL HOLE <br />❑ <br />BORE --6' OR LESS <br />❑ SPLICE BOX <br />TRENCH <br />❑ <br />GAS REGULATOR BOX <br />GENERAL FOnEMAN <br />GENERA DESCRIPTION: <br />-___L•Y1�ci31____5rs i-T�C_1. __ _____________.. I___________.____-________--___ _____- <br />_ <br />PROPOSED START DATE________ L� ____-------- PROPOSED COMPLETION DATE: <br />-__ <br />SKETCH <br />� A-uA&Aa) <br />....................................................-- <br />P. G. 9 E. JOB REFERENCE <br />NUMBERS: �� �S7 .. <br />----------------- <br />R. C/G O, <br />-------------- <br />0 1S( <br />cp nut)/ <br />/' <br />_-Lz L �-_--___ <br />ACCGUNT___41-1-- <br />SUB ACTIVITY _ �' Z ____ <br />GAS / ELECTRIC <br />GENERAL FOnEMAN <br />ACTIVITY _______________ <br />ACTIVITY <br />.................................... <br />SUB ACTIVITY _____-________- <br />............. .......................................... <br />CONTACT PERSON <br />PHONE -------------- <br />......� <br />RETURN TO: <br />❑ ATTN: T/0 GENERAL FOREMAN <br />P.O. BOX 1032 <br />MRNTECA, CA, 95336 <br />OFFICE <br />rr . . <br />❑ ATTN: T/0 GENERAL FOREMAN <br />P.O. BOX 330 <br />TRRCY, CA. 953)6 <br />OFFICE <br />ATTN: T/D GENERAL FOREMAN <br />P.O. ?OX 930 <br />STOCKTON CA, 95201 <br />OFFICE <br />