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STATE CiOCTr .:UT <br /> 997 11t24AM J N S CONSTRUCTION N0,l% P.6/6 <br /> l�. of WAMMOCCUPATIO>iiAL s HEALTH No: 9T 0 140 <br /> • PERMIT <br /> Permit Issued To <br /> (insert Employers Flame, Address Wd Telephone No.) <br /> FNa. Headquarters -- <br /> J N S Construction Dam 2/13/97 <br /> 9200 E, Shaw Region 2 <br /> Clovis, CA 93611 <br /> District 5 <br /> (209) 299-1746 Tel. (2091 445-5302 <br /> Type of Permit T1-ANNUAL TRENCH/EXCAVATION <br /> Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to theabove-named employer for the pro*te <br /> ° described below, <br /> state ContractoPs Ucense Number 621875 A Permit valid th h December 31, 1997 <br /> Description of Project Location Address City and <br /> • 2ti 3/97 12/31/97 <br /> Various Statewide <br /> This Permit is issued upon the following conditions: <br /> 1. That the work 1s per!ormed by the same employer. If this is an annual permit the appropriate District Office shall be <br /> In writing, of dates and location of job site prior to commencemont. <br /> 2. The employer will comply with all occupational safety and health standards or orders applicable to the above projects, <br /> and arty other lawful orders of 1h8 DlvW*n. <br /> 9, That if any unforeseen condition owees deviation from the plans or statements contained in the Permit Application <br /> Form the employer will notify the Division Immedlately. <br /> 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may <br /> be cause to revoke the permit. <br /> 5. ThIS permit shad be at or near each place of employment as provided in 8 CCR 341.4 <br /> Recehmd From Received 8y tnves"ated by Sammy Engineer tate <br /> Nei Bob Low <br /> ❑ Cash Amount Date Approved by �- �,V�v <br /> $100.4 2/13/97 Permit Unit [)ate <br />