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CA 800.642.2444 NV 800.227.2600 <br /> OSA LOCATION REQUEST FORMAT <br /> BEGIN DATE: o-6A_ /� Iff 3 BEGIN TIME: DYGD <br /> YOUR NAME: 6!�� Gip _ <br /> YOUR COMPANY'S NAME: �� � ► T <br /> YOUR COMPANY'S MAILING ADDRESS: x;- lo—le x- s;oa-_� _ <br /> CITY: _..�_ STATE: Ch` _ZIP: 0e, <br /> TELEPHONE NUMBER WHERE YOU CAN BE CONTACTED:(`��6 EXT. <br /> NATURE OF YOUR WORK: V-/� — a�. <br /> WHO 15 THE WORK BEING DONE FOR: Andy ��r4 <br /> FOREMAN OF THE JOB: _&e- %.Ae-1 <br /> HA"r YOU OUTLINED YOU AVATION WITH WHITE PAINT: <br /> WORK PERMIT—CITY,COUNTY OR STATE: ,�!_4 _ if <br /> I ADDRESS OR DESCRIPTION WHERE YOU WILL BE DIGGING: (INCLUDE SIDE OF STREET, FOOTAGES <br /> OR OTHER TIE IN EASUREMENTS.NEARESS INTERSECTING STREET CITY AND COUNTY) <br /> r..�T/� <br /> G 4 c-/fLP�Q 4f 7� !'k u f 7- a p'-eT <br /> LOC REO I 6,Z V-Z DATE CALLED: EXPIRATION DATE: <br /> TWO WORKING DAYS NOTICE IS REOUIRED ON ALL LOCATION REOUESTS.EACH LOCATION IS ACTIVE <br /> FOR 14 CALENDAR DAYS FROM THE DATE 1T IS CALLED IN. <br /> USA OBSERVED HOLIDAYS, NEW YEARS DAY, WASHINGTON'S BIRTHDAY. MEMORIAL DAY.FOURTH <br /> OF JULY, LABOR DAY, THANKSGIVING DAY, DAY AFTER THANKSGIVING, HALF DAY 3EFORE <br /> CHRISTMAS. <br /> CHRISTMAS <br /> DAY. 6'f'_ L. <br /> �� <br /> A'of G,V <br />