HomeMy WebLinkAboutNEW DRILL APP0 L 'a
W
ERSFIELD FIRE DEPARTMENT
BAKPrevention
OIL WELL SAFETY kh
Services
wlRl
2101 H Street
APPLICATION
Bakersfield, CA 93301
�-3979
Phone: 661 -32c Fax: 661-852-2171
DRILL NEW OIL WELL
=n conformity with provisions of pertinent ordinances, codes, and/or regulations, permission is
hereby granted to:
COMPANY NAME
LOCATION OF WELL: SECT -ION TOWNSHIP RANGE NAME OF LEASE
TELEPHONE # TYPE OF ORGANIZATION (CORPORATION, PARTNERSHIP, INDIVIDUAL)
Violation of pertinent ordinances, codes, and/or regulations will void this permit.
ISSUED 0 DENIED DATE
Au c, te,
APPLICANT NAME (PRINT: i APPLICANT SIGNATURE
1+7T
----- -------
APPROVED BY
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2075 (Rev 031/08)