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10/17/200009: 00 2094683"13 FIFTH FLOOR PAGE 14 <br /> SERl4CE REQUEST <br /> Typo of austsesc or Property FAC4LSTy lA* SERVICE RcUUfiST <br /> FAS STATION <br /> OWNER J OPERATOR <br /> .1 S N CENTER LLC Mr. Mark Yekta thLL�GPARry❑ <br /> FAtnm NAME <br /> SuFADORESS <br /> 6425 PACIFIC xe.xan. A sWea <br /> Mailing Address flf Different from Site Addressh <br /> Ctr( \ STATE LA <br /> DANIVT1 I F CA 95202 <br /> PRONE O1 rA APN9 LANOUsEAppucA=Ns <br /> (925) 988-0300 <br /> PHONE �*- 1505 DMTRW .- y, _ - Lerxmia CoM <br /> ' CONTRACTOR f SERVICE REO]UESTOR - <br /> REQUFSTOR ED-LM PARTr 0 <br /> I Fl AND YIAI Fl IS <br /> 9d$NEs$NAME PHONE# flr <br /> W. A. CRAIG INC (707 1 6912922 <br /> MmAGAooma FAX$ <br /> 6940 TREMONT RD.. _ <br /> U04692 292 <br /> cry STATE ZIP <br /> nTYnK1CA 9562A <br /> BILUNG ACKNONf[:EDGEMENT: L Mta undars4ned property or business ovmer,operator or mxhoomd agent of same,adrlow"o dtar as sde mdbr pNt spedfl <br /> Pt Lc MEu,TN30v=S e^.W6tLYHIPMA:F1Ea-iH Dwzoox hwfty charges aswaaled with this project oracduW wW be baled fo ms Ce VV business as WaUffed on I=t m. <br /> I aiso CB?*Mist I have,prepared 11b amka&w and V=the*Wk to be pfd vZ tadnne am aanrdanee vMh as SAN Jamm C.1NiY Ordvffs a Caefes.SlmedanL%STAte an <br /> FEUERAL taws. <br /> APeucnxT&OKATURa: DATE <br /> PROPERTY l BUSINESS OWNER ❑ OPW3ATUR f MANAGER ❑ OrMAU7ROti®A0W O <br /> ffo A w a=fwauswc.An.prgq/Qf* wr*xAw fosgn A,ff*&Vr Tin$ <br /> AUTHORIZATION TO RELEASE ffir-M fAnam Whim appT®ble,I.Ate ormer a operdw of V a pmpemy beat d M Mie abam site sddnsss,hereby autltodw Mce mlease e <br /> any and U resub,geoteMnieW data motor&MMnmwWSita anasUnem kftn Uon to Me SAN JOAMAN COUTM PURUO NEXTR rR'RYM ENV RONNE1TAL HeaTN OURPON as scoi <br /> as d is 2vaa2ble and at the wine time R is pwAded to me army represert2aft <br /> TYPE OF SERv>tE REGUESTEO' <br /> OOYYENT$: <br /> kVMOR'S SIGNATURE CONTRACTOR'S SIOywTUW <br /> .APPROVFp eYt EYpt^m"t,, DATE <br /> AUnM TO: EMWtGYffd': OATS <br /> Dale Service Completed (If already compiebm* SEmcECohe -- -:, 'Pie <br /> Fee Amount Amount Paid Payment Date <br /> Payme tType Invoice Check# Received 8y. <br />