HomeMy WebLinkAboutNEW DRILL APP (2)BAKERSFIELD FIRE DEPARTMENT
OIL WELL SAFETY Prevention Services
2101 H Street
JURN Bakersfield, CA 93301
APPLICATION r Phone: 661-326-3979 Fax: 661-852-2171
DRILL NEW OIL WELL
In conformity with provisions of pertinent ordinances, codes, and/or regulations,, permission is
hereby granted to:
COMPANY NAME ADDRESS I
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LOCATION OF WELL! SECTION TOWNSHIP RANGE 1 NAME OF LEASE
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TELEPHONE
TYPE OF ORGANIZATION (CORPORATION, PARTNERSHIP, INDIVIDUAL)
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Violation of pertinent ordinances, codes, and/or regulations will void this permit.
X ISSUED 0 DENIED
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APPLICANT NAME (PRINT)
DATE
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I AJ 6r 5 APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2075 (Rev 01/08)