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OTE iAft <br /> Q <br /> TO: SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT OFF C E USE ONLY ' <br /> JOB #_Z_-3es z_(o <br /> P G & E CO. -____-- REF # _________ <br /> APN ------ -- --- -------- CRV # --------- <br /> (APPLICANT NAME) EXP. DATE �?� �________ <br /> P. 0. BOX 930 VRLID11 7/��_TO_____________ DRIVEWAYS: <br /> (MAILING ADDRESS) STREET �Q_CC?6 'eT _d_z`• X __-________ <br /> S T O C K T O N, CA 95201 AREA S --------QUAD ,VS_ I ___________ <br /> (CITY, STATE ZIP CODE) TYPEd_ c� � oc�______ I ........... <br /> FORMS. 942- 1528 NOTE -------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) ------------------------------------------- <br /> ------------------------------------------- <br /> THE PG 8 E. CO. HEREBY APPLIES FOR PERMISSION TO EXCAVATE, CONSTRUCT HND/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWAY RIGHT-OF-WRY ON THE_E/6�- __-SIDE OF __/_�/_C��.9Tc_.___/_Q__((_ _ <br /> _ _______APPROXIMATELY <br /> MILE�L11� OF_- fv? <br /> ---=-- r� �-------S - 7_QS <br /> FOLLOWING WORK: T_ �!, BY PERFORMING THE <br /> ® INSTALL ❑ DEMOLITION ❑ MAIN 8 SERVICES <br /> ❑ REPLACE ® GAS ® SERVICE ONLY <br /> ❑ REPAIR ❑ ELECTRIC U.G. SERVICES _ __ ER. <br /> F-1ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH <br /> ONLY <br /> TRENCH LENGTH______�___FT. <br /> SL1FACE TYPE: �, NAT,IVE DIRT ❑ GRAVEL ❑ PAVEMENT <br /> TYPE OF TRENCHBELL HOLE 0 BORE--6" OR LESS ❑ SPLICE BOX <br /> n TRENCH ❑ OHS REGULATOR BOX <br /> GENERAL DESCRIPTION: _Z�N___STigL� �.�?_5 _.5 �//(" ,: /) j �� E„ ,��jy1O�/T <br /> ----------------------------------- ---------------- <br /> 5T'. <br /> Z7 2_2 Xis/lf�T G ---/3 fjs c lz;r,__ c--),F__ <br /> ----------- <br /> Sc7zV/CC- 7-0 --'-- - ----- <br /> ---------------- - <br /> PROPOSED START DATE______ _ __ ______________ PROPOSED COMPLETION DATE: <br /> SKETCH <br /> _�j5 <br /> -------------------------------------;--------------------------- <br /> P.G. & E. JOB REFERENCE NUMBERS: S.0. #LZf22�Z 7 E. BOUTTE DIVISION MANAGER <br /> SR _x.31¢ BWO 4-4-�� <br /> --- ----------- <br /> WO--GM -------------------------- BY <br /> ACCOUNT__J2-' -----------________ SUB ACTIVITY ____� ___ GRS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY _______________ SUB ACTIVITY ______-________ CONTACT PERSON PHONE___ <br /> --------------------------------------------------- <br /> RETURN TO: `7�Gz _ /7 93 <br /> ❑ ATTN: T/O GENERAL FOREMAN ❑ ATTN: T/O GENERAL FOREMAN ATTN: CONST. 8 MAINT. DEPT. <br /> 10901 E. HIGHWAY 120 55 E. 10TH STREET P.O. BOX 930 (BLD'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 />