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40 go <br /> OR TE ¢— //- <br /> TO: -SAN JOAQUIN COUNTY HIGHWAY DEPARTMENT OFFICE U S E ONLY <br /> JOB M_7.3.OS __L------- REF N <br /> --------- <br /> P G 8 E CO. RPN --- - ,/z�---�---- CRV / --------- <br /> (APPLICANT NAME) EXP. ORTE_ g l-�!_C_S __ <br /> P. 0. BOX 930 VALID_s��z ,sto_��os-- DRIVEWAYS: <br /> STREET. K��gi'-�'�=------ I ----------- <br /> (MRILING ADDRESS) AREAMPPP_e���0UADiY_W_ I ___________ <br /> STOCKTON, CA 95201 TYPE _____-_____ <br /> (CITY, STATE ZIP CODE) FORMS <br /> 942- 1528 NOTE ------------------------------------- <br /> (AREA CODE - TELEPHONE NUMBER) ------------------------------------------- <br /> ------------------------------------------- <br /> THE PG S E. CO. HEREBY APPLIES FOR PERMISSION TO EX VATS, CONSTRUCT AND/ OR OTHERWISE ENCROACH ON COUNTY <br /> HIGHWAY RI - F-WRY ON THE-�'1�`____SIDE OF __ �� -PR ______APPROXIMATELY <br /> -------------------------- <br /> __ ___ FEET MILE /.�/c ST_ OF__�� � ___ t�'1_6l_ =________1�t'��IUt , BY PERFORMING THE <br /> FOLLOWING G#9 <br /> INSTALL ❑ DEMOLITION ❑ MAIN & SERVICES <br /> ❑ REPLACE GAS SERVICE ONLY SERVICES __z_ EA. <br /> ❑ REPAIR ❑ ELECTRIC U. G. ❑ MAIN ONLY <br /> ❑ ABANDON ❑ COUNTY PUBLIC WORKS PROJECT TRENCH LENGTH__-_3----FT. <br /> SURFACE TYPE: Cl NATIVE DIRT ❑ GRAVEL Ca PAVEMENT <br /> TYPE OF TRENCH BELL HOLE ❑ BORE--6" OR LESS ❑ SPLICE BOX <br /> TRE.Ti1LS77�LLNCH �RS _S�aGAS V/LERTO�� �8Q <br /> GENERAL DESCRIPTION: - ----- ---------- ---------------_------------------------- �r---=-_---- <br /> Kr�es'Tr/ Z--�'�--- -- ---- <br /> -------------------- <br /> -------------------- -------------------------------------------------- ------ ---------- <br /> PROPOSED <br /> --- <br /> -------------------- <br /> --------------------------------------------------------------------------------------------------------- <br /> PROPOSED START DATES=I _':_`3S_____________________ PROPOSED COMPLETION OATS:__j!;E __!�a-7.,5__________ <br /> SKETCH p; <br /> t <br /> sT" <br /> -------------------------------------------------------------------------------------------------- <br /> P.G. B E. JB REFERENCE UMBERS: S.0. E. BOUTTE, DIVISION MANAGER <br /> SR BWO <br /> WO--GM --------------------------/ Z-- BY E� <br /> RCCOUNT_____Z____________ SUB ACTIVITY -------------- <br /> ___ GAS / ELECTRIC GENERAL FOREMAN <br /> ACTIVITY _______________ SUB ACTIVITY -----_--------- CONTRCT PERSON PHONE_9 Viz_is3s <br /> ------------------------------•------------------------ ----- <br /> ------------------------------------------- <br /> 99z_i7rf3 <br /> RETURN TO: <br /> ❑ ATTN: T/D GENERAL FOREMAN ❑ ATTN: T/0 GENERAL FOREMAN ATTN: CONST. 8 MAINT. DEPT. <br /> P. O. BOX 1032 P. O. BOX 330 P.O. BOX 930 (BLO'G 2) <br /> MANTECA, CA. 95336 TRACY, CA. 95376 STOCKTON CA. 95201 <br /> OFFICE OFFICE OFFICE <br /> PHONE: 942-5082 PHONE: 942-5012 PHONE: 942-1401 <br />