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' OCT 051995 _ <br /> DATE <br /> TO: SAN JOAQUIN CQUNTY HIGHWAY DEPARTMENT OFFICE U S E ONLY <br /> � <br /> P G S E C 0. JOB �M_7 4S_z: ------ REF / <br /> APN ----- - CRV 0 ___------ <br /> (APPLICANT NAME) EXP. OATE_�? ! <br /> VALID__/_ ! �TO_!���� DRIVEWAYS: <br /> P. O. 80X 930 sTREEt �'''r�°^� �►�� <br /> (MAILING ROORESSI -- ------------ I ----------- <br /> AREA _-ST_K=Y-----QUAD Vis_ I ___________ <br /> STOCKTON. CA 95201 TYPE ik/A2b wee c <br /> (CITY, STATE ZIP CODE) FORMS li:�_!_w <br /> 942- 1528 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) -""'-- --""-- <br /> ------------------------------------------- <br /> THE PG & E. CO. HEREBY RPPLIES OR RMISSION TO EX VRTE CON T UCT RHO/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIG W Y RIGHT-OF-WAY ON THE- - ---SI OF _ N�--- T- --APPROXIMATELY <br /> ----- --- <br /> ----FEET / MILE _ OF------- - -- --- �[-i------ 4�_. BY PERFORMING THE <br /> FOLLOWING WORK: <br /> INSTALL ❑ DEMOLITION ❑ MAIN a SERVICES <br /> REPLACE ff GAS ❑ SERVICE ONLY SERVICES _____ EA. <br /> ❑ REPAIR ❑ ELECTRIC U.G. ❑ MAIN ONLY <br /> ❑ ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH------------FT. <br /> SURFACE TYPE: ❑ NATIVE DIRT ❑ GRAVEL ❑ PAVEMENT <br /> TYPE OF TRENCH ❑ BELL HOLE ❑ BORE--6. OR LESS ❑ SPLICE BOX <br /> ❑ TRENCH ❑ GAS REGULATOR BOX <br /> GENERA S R PTION: _ _ ___ ____ ______ _____ _ _ _ <br /> oi <br /> ---------------------------- <br /> --------------------------------------------------------------------------------------------------------- <br /> ---------------------------- --- -------------------------------------------===-- --- -_ -:-------- <br /> PROPOSED START DATE____�� � � ______________ PROPOSED COMPLETION OATE: z�,4i7- 5________ <br /> SKETCH <br /> Cn <br /> v <br /> --- ------------------------ c�, -------- <br /> ---- <br /> P.G. i E. JOB REFERENCE NUMBERS: S.0.072 _14 E. BO OIYI IO NAG <br /> R 8 <br /> Sites-GM _��,_� 0------------ BY - ---- ------1 - ------- <br /> ACCOUNT___-L�Z�______ SUB ACTIVITY _ ___-- GAS / ELECTRIC GENE A RE <br /> ACTIVITY ____-------_--- SUB ACTIVITY _______________ CONTACT PERSON PHONE__ ----! <br /> -------------------------------------------------------------------------------------------------- <br /> RETURN TO: <br /> ❑ ATTN: T/O GENERAL FOREMAN ❑ ATTN: T/O GENERAL FOREMAN ATTN: CONST. i MAINT. OEPT. <br /> 10901 E. HIGHWAY 120 55 E. 10TH STREET P.O. 80X 930 (BLO'G 2) <br /> MANTECA. CA. 95336 TRACY. CA. 95376 STOCKTON CA. 95201 <br /> OFFICE 'OFFICE OFFICE <br /> PHONE: 823-0494 PHONE: 836-0440 PHONE: 942-1401 <br />