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1' WELL/PUMP PERMIT <br /> w&NJDAQinNCwmTY ENYIFgNXaMALHTALTR D>aAMMNT HNEWEMtAK 3eY R-STOCK7ONCA 9SgdJ-126P)468.3Am <br /> NON-REFUNDABLE PERMIT <br /> CALL, 209 M-7697 FOR INSPECTIONS EXPIRES t YEAR PROM DATE IaM <br /> JOEADORW -14,f � Cmf/m A-:,/tn,-.. elr—e <br /> _ np <br /> CRnsRT¢e¢TC_�SCA✓�^_�s�_��;� APNa�C���tO—lJTPa¢ce�Bla�.ure UNY.AreuG'tta+d <br /> O&Tie¢iv`AME Ki .PM/�-CJ'}I Y�NfrHD1GS' <br /> OWNn APP¢¢Etl 1 r ) CM/SrATMP LM.. �,+A�♦ <br /> CONTRrC'rOA a Li tP POONe_ —6.I <br /> C�NYRaCTDR ADDRYffi CmIRrATtav <br /> SmCONIRMTD¢ Pxa+e <br /> StOCDPTAACrO¢AeM[8f Cm/STATLZH <br /> tAOUiSc AL57 OC-61 C3 D40 O(km" NUMMR .. EXHRATKNr Wt¢ <br /> GWq¢ArHK:ALINPORMATrDN: CeaNl¢d" % Y Towusbip_ Raw_____ &,d"_ (r <br /> f lY"4 ❑Lripd"✓Agdsulr"ai Cluk dat ❑Wars Qmkty Mmitoring ❑sal&TM4+Lng/CLamaedsrdm \ � <br /> DPuYW&aaWw� w. —R"ae <br /> Tm OPWem¢ W.11 ❑Rcmunxnt WW DWdl Aiara"muiflcadnn ❑mer <br /> ❑Monitoring Wdi(Y)"S of el4 O Sal&xing(s) oabao,, ❑t3swaeLeinl seb°°p <br /> ❑Out-orsmice Wdi DO"-Of-Service Well Remwai O Croazoommioe Repair <br /> ONewPoaw O ❑ftM Rouir 1!'� <br /> WPrv_CON6T¢oCt¢bv <br /> DrflUag Medied )&ud Roomy OAar Rmy DAlW ❑Cable Ton! aPosh Pa"A �� OWL" , <br /> P-p-ed Wdi DgAh _,R 0kuvadm_ _in diamnar ❑Open Bow ,,+ra /CWrvrd Pack/G.W Riae__,_indimmW <br /> ❑Cordueror in diomcw 1 Cmd¢eauCadr'S Osp& fl <br /> Wdi Cuing Dinma" in ASTM&bed_l� ry OS W Laur.._...._❑Samlam Swd D 0Own <br /> CrmtSed O"b fl ❑Nmt✓`41nOlt(Y9l86og1J-l-0gal uvrrn) OSW Csmm _ aart"hl7plw <br /> VZ*.waee(20-4sdids) ❑MmuANmrcr$P"%lauds``°%. Nmx DSpmem Fi)c DSpew Subaotud <br /> GTda4 Piwraanr Mehra -0Vd C)PMP41 DOiLa DRewNaarl Accelaewr(samc) <br /> Eagim" In=ftODrap Cm00ntr ❑ Whor <br /> DCo¢cMe PetlriM e"d Dimerobns:WWtb—S l.m M1 ttTLick _N O Eos OSave Pipe <br /> O Submasibk ❑Turbine ❑Wb" IIP Pump Sct ftsunuia War" d <br /> I HERESY CERTIFY THAT i HAVE PREPARED THIS APPLICATION A"THAT THE WORK WILL BE DONE iN ACCORDANCE WITH BAN <br /> • JOAQULN COUNTY ORDLNA.NCK STATE LAWS,AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br /> CURRENT AND ACTIVE WITH TWE CALIFORNIA CONTRACfORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE Vmm ALL <br /> WORKERS COMPENSATION LAWS <br /> MINIMU /2/4 HOUR ADVANCE NOTICES*REQUl+py/EfOFORINSPECTIONS r-y <br /> sK'N. gD (�iYr_ IYItTa/ Trr[Jt ].]M Il1V'a DATE �L"3�J✓^1 <br /> r <br /> 94 4rL, <br /> O Ag <br /> �.,( <br /> DEPARTMENT USE ONLY1777 <br /> Appikadm AeerytedRYa '.`Lr._� Arta Ert4+loym IOM..�� <br /> Cutwt laspecam By�+!r'�.'."rz•Cw.1e ^�'�' 'R'� ❑ SPECIAL WtH Permit <br /> Tog inspxdon BY Dve ❑ WAtYLR Received <br /> Cau trucktl Well Owes <br /> COMMENTS <br /> • Cadaa 7A6 � DunSarvle a t¢wifae WaB IOS <br /> slmaawos Clib <br /> wu,n rOneT <br /> >„ <br />