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DATE <br />APPLI <br />'Y A <br />CRT Jj$N <br />/ 7,__ <br />FOR ENCROACI-ENT <br />TO: SRN JOAQUIN COUNTY HIGHWAY DEPARTMENT <br />P 0 & E_ CO. <br />(RPPLICRNT NAME) <br />ZZ (o F_ - YD S E M I TE— A ✓E. <br />(MATITNR onnoceci <br />VYI A n9'E- C -A LA.— 5S3..3_G <br />(CITY. STATE ZIP CODE) <br />2v9- 9L(z-_ o83 <br />(RRER CODE - TELEPHONE NUMBER) <br />PERMIT <br />OFFICE USE ONLY <br />JOB #_Z_3 b��--.------ REF #--------- <br />RPN----E---- 3-�-` -- ----- -C- <br />RY # --------- <br />EXP. DR <br />VRLID_.L!OU--T <br />��a ORIYEWRYS: <br />STREET . <br />----------- <br />AREA Graf_'_ ---QUAD S_LG _ 1 _____------ <br />TYPE --------•--------- 9 ----------- <br />F ORM S„_ <br />NOTE--------------•----------------------- <br />THE PG & E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATE. CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br />HIGHWRY RIGHT -OF -WRY <br />ON THE--- A) /S _____SIDE OF ____A1:02_1_14La n'D A c/E ________APPROXIMATELY <br />------ <br />LIDO--- FEET <br />----------FEET / MILE <br />/b <br />--____-- <br />GArTG� 21) <br />OF------------------------------------_. ---------------. <br />BY PERFORMING THE <br />FOLLOWING WORK: <br />❑ INSTALL <br />❑ <br />DEMOLITION <br />[] MAIN & SERVICES <br />❑ REPLACE <br />❑ <br />GAS <br />SERVICE ONLY <br />SERVICES EA. <br />❑ REPAIR <br />❑ <br />ELECTRIC U.G. <br />[] MAIN ONLY <br />❑ ABANDON <br />❑ <br />COUNTY PUBLIC WORKS <br />PROJECT TRENCH <br />LENGTH ------------ FT. <br />SURFACE TYPE: <br />❑ <br />NATIVE DIRT <br />[] GRAVEL ❑ <br />PAVEMENT <br />TYPE OF TRENCH <br />BELL HOLE <br />[] BORE --6” OR LESS ❑ <br />SPLICE BOX <br />❑ <br />TRENCH <br />C] GAS REGULATOR BOX <br />GENERAL DESCRIPTION: <br />------------------------------------------------------•--------------------------------------------------- <br />Soar- wb <br />1;iL A)EU-7 FL&_r_TEt <br />------------------------------------------------------•-------------------------I-------------------------- <br />------------------------- <br />PROPOSED START DATE____`!_?_ <br />- <br />------------------------•-------------------------•----- <br />9 ____ <br />PROPOSED COMPLETION ORTE: <br />-- ---- -------- <br />`/ 21 9S <br />SKETCH <br />S�E< A rrAe— E S /6E-1 ZI4 - <br />�l, <br />G7 CD J•.n <br />I m <br />-J <br />O <br />------ -------------------------------------------------------- ------------------------------------- <br />P. G. & E. JOB REFERENCE NUMBERS: E. BOUTTE, DIVISION MRNRGER <br />SR ____--- ____ BWO ___________ Jinn 40F_LrvTLE14, <br />WO --GM _�_`/� 385 _ <br />RCCOUNT___ zi!__________ SUB ACTIVITY GAS / ELECTRIC GENERAL FOREMAN <br />ACTIVITY SUB ACTIVITY CONTACT PERSON PHONE__`_�Yz <br />-------------------------------------------------------------------------------------------------- <br />RETURN TO: <br />2 ATTN: T/0 GENERAL FOREMAN <br />ffJcfai �7 m(•.:J /.2o <br />MANTECA, CA. 95336 <br />0 F F ' C E <br />❑ ATTN: T/D GENERAL FOREMAN <br />P.O. BOX 330 <br />TRACY, CR. 95376 <br />OFFICE <br />❑ RTTN: T/0 GENERRL FOREMAN <br />P.O. BOX 930 <br />STOCKTON CA. 95201 <br />OFFICE <br />