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APR 1 v.7 WELLIPUMP PERMIT <br /> SµdO+WNLLf1URn ENNROxumR HMMDEP"MINT $00 EMT MAIN SME" SiOLRTOH CA$9202 (100IMeJA70 <br /> NON-REFUNDABLE PERMIT QALL(2....63d691rORINSPECGONS EXPIRES t YEAR FROM DATE ISSUED <br /> AJe ApadM 13G'iS E. Ht 61Iu+M� B$ .. . .--- err/m'e <br /> CRoee SM49T C CS-(E" ST• _APH alrrr�„j},y� �FNREELgRE j•;,.,y;„,_L,uM uaa AaMcxtwxa__��_, 's <br /> OwIU NANE T�cotT.rd (t�(eGLaJle1(R �,Z.tpN i(�nt•CTl�1b PNLwe-xlv-626-GZ2 __ }p! <br /> OWNEmAboe,w* _Iq iJO iL{gib Qq QMGt�I✓k'] CTrvnrgrVCr A't�A+1t'r+I}fa r+-l$ � <br /> C(11RA,eCR111 KG Y' 'iN �Ci Q5 ��' S -Vk'+�4dIiL_� S,A—�`fZ�1-S�J <br /> �� / <br /> PaTRecinR Aomeu 63�j"'T(''SD. C'fk(iL'� «. drvnTAnmP N1 0 e�'� Q3 EI`{'•T <br /> SWCDM11MprpR le'0�e t/ti' . u�..�r3 1�Cawik� •ro, R 16-aa_I._roo <br /> eL�fgIRRAttde ADgIMp R�E^(�/� Gf�t'�K- .7Lu ECITEISTTAATemr S-AC{ZtMFJI-+C/O�1C)'N- `�5e3g- <br /> Lx;Mm L1 C-07 ural (10.00 DeRN <br /> OeP1MFeCALIwdNWnOM: C"41"Ny% Y YaaraeMp_ Raspm_ Seclen— <br /> SRE.NSIpL�I ODomemtic"Ate OkllgONVAgnddtural llndinuw f WLlMOoaliry MMuolkp e1 Sa/BemplpgfCMredMEelAn <br /> I I P.MIC Web,Svalem <br /> AMaa.e can OA�wr�, <br /> TYPE Or WORN N Naw Well a Rap,, MM WW1 I YM 0061 M.odlOullon S{OLhv V V r a LTL/ M4hX <br /> r Men"0mg W'ee(%L I of were II Sag BoJ"gjw a (1 anudw ai ewaon 1. <br /> 11 Oul-(N-Sella Wel IT OUI 01.5erAM Wel Renawel II CreLL•Conrutllon Repw, <br /> IING:WP"p n Pum Re mamMl U Pum Re it n RNlea Wer Cosby <br /> WILLDau}R11pMI I <br /> DdInng Wthod I I MW Rotary LI Ail Rolery 11 Auger O G61a Tod uah[I PPolnl Y I' <br /> Olhe, yl f otl J l'C'ht<*JT- <br /> P,opwad Well Oeplh t ExavNun In dlemeler Lt Open Basan U OnvN PaUUOmaI Sere MtlIMr4r <br /> ;ICo udo,C,sW9 _Ndlame[er E C0Wd o,C,,vOGpll q <br /> Well Ca.Inp Diameter_b 1ld0nnm/Oeuge/A6TM Sd,ed II Sleel O PMsdc O Skinless plaal II OUmr <br /> 010W SMI Deph q Ii Neel CemsM(04 re,uqp TO per w.,F 0$am GmaM eaot nNVl gel waW <br /> u BeMoNte(2a%molds) [I 01tw <br /> IMW Futemanl 11.1104 11 P.MP44 13 FM Fell II DOM U RIUMMt I AzxwMeW( lama <br /> CIgE1lSL DMMIMd By Il WIM, U PMnp COMredar I.I DUm, <br /> O . MM PedMdl ONnM1oM:.YAdlh q U VL 11 Tlgde In I l Chru EOR vlllavelelpm <br /> PUIe G fifrh.Mnl6isO Tuhlne D OMer_ HP PLS SMS 4 6lrndkV Www Levu q <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION ANO THAT THE WORK WILL eE DONE IN ACCORDANCE WTTHl SAN <br /> .IOAOUIN COUNTY ORDINANCES, TATE LAWS,AND RULES AND REGULATIONS, I ALSO CERTIFY THAT MY REWIRED LICENSE IS <br /> CURRENT ANG ACTIVE WITH Tt C LIFORNA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSAT101 <br /> 11MUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS <br /> Smhee TITLE {KfEAs' F'a1.'S'IF,h'/IG4 VAR <br /> E <br /> qR <br /> I FAN <br /> I <br /> w e <br /> k u <br /> VI DE ARTMENT SE ONLY <br /> Appgnleld*ttjpled By tai'/LJ /2 -{, Co. Arai `I empNYSep <br /> OradMEpedlon By DSI•Tom" SPECAL Well Permit <br /> PUMIAp1;1 By Owe WArm Received <br /> gFfa(' <br /> Soi Boring pedbn By Oefe Oenalmetad Well dpU R <br /> COMMENTS.9I <br /> P[ SC RAMInd Cl Amount Deb Pelm1U In"I"0 me of <br /> CedM 100 B CwR' ReMlfed Servma Re utile <br /> 3 ';8. I 127 <br /> s <br /> Eroaen 0.'. MEI.L NeIPPFMer <br /> eow <br />