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DATE I cl-7- zAsk <br /> TO: SAN JOAOUIN CQUNTY HIGHW OEPARTMENT O F C E U S E ONLY <br /> P G 8 E C O. JOB 1_ 3 OS'�= ------- REF 0 --------- <br /> APN ------ - ------- CRY / -------- <br /> (APPLICANT NAME) EXP. OWE _/��j�9- <br /> P. 0. BOX 930 VALID J$jlb1�TD��>T _9.�_ DRIVEWAYS: <br /> STREET C ie�'dx___ �0I. <br /> (MAILING ADDRESS) --- - -- -- ----------- <br /> AREA :� ��OUAO I <br /> S T O C K T O N. CA 95201 ----------- <br /> .TYPE �-j2�,�; "_�_ - L=_____ iE ----------- <br /> (CITY, STATE ZIP CODE) FORMS942- 1528 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) <br /> ------------------------------------------- <br /> THE PG 9 E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVRTE. CONSTRUCT RNO/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWAY RIGHT-OF-WAY ON THE____ ______SIDE OF 4__________________________APPROXIMATELY <br /> -A'f'_�!---FEET / £ ___tom__ OF---- -----------------, ------------ <br /> BY PERFORMING THE <br /> FOLLOWING WORK: <br /> INSTALL ❑ DEMOLITION ❑ MAIN i SERVICES <br /> ❑ REPLACE Eg-GAS ❑ SERVICE ONLY SERVICES _�Z_ EA. <br /> ❑ REPAIR ❑ ELECTRIC U.G. AMAIN ONLY <br /> ❑ ABANDON ❑ .COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH__ ----FT. <br /> SURFACE TYPE: y56 NATIVE DIRT ❑ GRAVEL led ❑ PAVEMENT <br /> TYPE OF TRENCH ❑ BELL HOLE BORE--6' OR LESS ❑ SPLICE BOX <br /> ❑ TRENCH ❑ GAS REGULATOR BOX <br /> GENERAL DESCRIPTION: _ JrIF_�2L�4 _RlILIf <br /> i------------------------------------------ <br /> - <br /> --------------------------------------------------------------------------------------------------------- <br /> --------------------------------------------------------------------------------------------------------- <br /> PROPOSED START DATE------ ---------------- PROPOSED COMPLETION DATE:____ --________ <br /> SKETCH <br /> rl, <br /> C <br /> �J- / <br /> I <br /> ------------ --_------------_-------- <br /> P.G. i E. JOB REFERENCE NUMBERS: 9.0.0------------- E. BOUTTE. DIVISION MANAGER <br /> SR ----------- SWO ---- ------ <br /> WO--GM BY __R_ �S�l�&L-_'1------------ <br /> ACCOUNTSUB ACTIVITY _______________ GAS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY --------_------ SUB ACTIVITY CONTACT PERSON PHONE_R 4 Z-LM;:i-O__ <br /> -------------------------------------------------------------------------------------------------- <br /> RETURN TO: <br /> rl ATTN: T/D GENERAL FOREMAN ❑ ATTN: T/0 GENERAL FOREMAN 19L ATTN: CONST. 9 MAINT. DEPT. <br /> 10901 E. HIGHWAY 120 55 E. 10TH STREET P.O. BOX 930 (BLO'G 2) <br /> MANTECA, CA. 95336 `" TRACY, CA. 95376 STOCKTON CO. 95201 <br /> OFFICE OFFICE OFFICE <br /> PHONE: 823-0494 PHONE: 836-0440 PHONE: 942-1401 <br />