HomeMy WebLinkAboutNEW DRILL APPi-4
BAKERSFIELD FIRE DEPARTMENT
OIL WELL SAFETY
Prevention Services
N
2101 H Street
,qn- PINK
APPLICATION
Bakersfield, CA 93301
Phone: 661-326-3979 Fax: 661-852-2171
DRILL NEW OIL WELL M,
In conformity with provisions of pertinent ordinances, codes, and/or regulations, permission is
hereby granted to
COMPANY NAME i ADDRESS
CS /Wjq -CMlk! QAA►6 3. P
LOCATION OF WELL: SECTION TOWNSHIP RANGE NAME OF LEASE
�4+) C, El
TELEPHONE # j TYPE OF ORGANIZATION ;CORPORATION, PARTNERSHIP, INDIVIDUAL)
Violation of pertinent ordinances, codes,, and/or regulations will void this permit.
ISSUED 0 DENIED
APPLICANT NAME 'PRINT',
k77
APPROVED BY
DATE * Of
is APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2075 (Rev 01/08)