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DATE 4 - 7 f5 <br />TO:. SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT <br />P G & E CO. <br />(APPLICANT NAME) <br />P.O. BOX 930 <br />(MAILING ADDRESS) <br />STOCKTON. CA 95201 <br />(CITY, STATE ZIP CODE) <br />942-1528 <br />(AREA CODE - TELEPHONE NUMBER) <br />OFFICE USE ONLY <br />JOB I--------------------- REF I--------- <br />APN----------------------- CRV I --------- <br />EXP. DATE ----'.- <br />VALID --------- <br />ATE____' <br />VALID_________ TO_____________ DRIVEWAYS: <br />STREET --- - - <br />---------------- I----------- <br />AREA--------------QUAD ----- I ---------- <br />TYPE------------------- <br />FORMS ----------------------- <br />NnTF <br />THE PG & E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATE, CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br />HIGHWAY RIGHT -OF -NAY ON THE s5/7_t__ _SIDE OF G4L /- _ ____________APPROXIMATELY <br />EE ' / MILE 4�t _ OF�E S� f�'J kr-`�vc.� _, BY PERFORMING THE <br />- �5 ------- <br />FOLLOWING <br />--------------------- -------------- <br />FOLLOWING WORK: <br />® <br />INSTALL <br />❑ <br />DEMOLITION <br />❑ MAIN & SERVICES <br />❑ <br />REPLACE <br />® <br />GAS <br />SERVICE ONLY/- <br />SERVICES EA. <br />❑ <br />REPAIR <br />p <br />ELECTRIC U.G. <br />❑ MAIN ONLY <br />❑ <br />ABANDON <br />❑ <br />COUNTY PUBLIC <br />WORKS PROJECT TRENCH LENGTH____ :?_____FT. <br />SURFACE TYPE: (8 NATIVE DIRT ❑ GRAVEL ❑ PAVEMENT <br />TYPE OF TRENCH ® BELL HOLE S BORE --6" OR LESS ❑ SPLICE BOX <br />TRENCH ❑ GAS REGULATOR BOX <br />GENERAL DESCRIPTION: 1 6� S2_7&V/c- 447- .54-/ 4�LL/A/ <br />���iC©x' /iviATt L <br />---------- _ Ee9.ST _ ��'--- �1_�'i�,,�T __� _---GW_�'":-.._--- <br />--- <br />�l©RTh� ce o,� GALL IN Jv, S�,ev/cc rc3 c4�`,___---- <br />F------------------------------------------------------------------------------�_--------- <br />�i---_S'dr1Tf� T ---- 0; off------------------- <br />--4---------------------------------------�----------- <br />PROPOSED START -RTE_ _Zfo _ �'S_____________________ PROPOSED COMPLETION DATE• _ B _ZS- ys __________ <br />SKETCH <br />Nil <br />ill <br />1 <br />------------------------------------------------------- <br />P. G. & E. JOB REFERENCE NUMBERS: S. 0. I o?3/5 Zo6 77 <br />SR /¢528 __ BWO E. BOUTTE, OlY1SI0N MANAGER <br />_g9z<!-- <br />WO --GM -------------------------- ByC,f/i4N� C', O GL 4%_-1iA,_ <br />ACCOUNT_ e.4 Z12?__________ SUB ACTIVITY __ a�� �_GAS / ELECTRIC GENERAL FOREMAN <br />ACTIVITY _______________ SUB ACTIVITY _______________ CONTACT PERSON PHONE ---------------- <br />---------- <br />------------------------------------------------------------------------------- <br />RETURN TO: <br />❑ ATTN: T/D GENERAL FOREMAN <br />P.O. BOX 1032 <br />MANTECA. CA. 95336 <br />OFFICE <br />PHONE: 942-5082 <br />❑ ATTN: T/0 GENERAL FOREMAN <br />P.O. BOX 330 ' <br />TRACY, CA. 95376 <br />OFFICE <br />PHONE: 942-5012 <br />® ATTN: CONST. & MAINT. DEPT. <br />P.O. BOX 930 (BLO' G 2) <br />STOCKTON CA. 95201 <br />OFFICE <br />PHONE: 942-1401 <br />