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HomeMy WebLinkAboutMinor Mod Permit App 8-25-16WATER TO FACILITY PROVIDED BY B►AKERSFIELD FIRE DEPARTMENT Prevention Services UNDERGROUND STORAGE TANK =X 1501 Truxtun Avenue, 1s� Floor rti rer..q f'.C, ''x�+.�.4Y�w;yi". -� "Vi+•t <3:� 1i:.o»rr�-v n Bakersfield, CA 93301 PERMIT APPLICATION! `' /IRl Phone: 661 - 326 -399 •Fax: 661 - 852 -2171 ,1� TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW ..;y TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Page lofl Permit # ^jam ' ¢ ^�^�, NEW TANK INSTALL/NEW FACILITY , 0 NEW TANK INSTALL/EXISTING FACILITY TYPE OF APPLICATION: 0 . MINOR MODIFICATION OF FACILITY CHECK ONE ONLY 0 MODIFICATION OF FACILITY $ROPOSED COMP{_ETTON DATE . STARTING DATE/ EXIS1ING'FACILITY PERMIT # FACILITY NAME C C� C V� �'` �^ - JP t cJ FACILITY ADDRESS CIP V4 0 CODE ! 3 � Cr <- VC APN # TYPE OF BUSINESS PHONE # TANK OWNER °'� ZIP CO Y ADDRESS - .. !:AA . TCC COAfR�ACTOR ` :: � • ZIP CODE .ADQRE�S AV ?HONE RSFIELD BUSINESS °LICENSE WORLfMANS CnrNC- o INSURER . BRIEFLY DESCRIBE THE WORK TO BE DONE: ,,. f S J v CO3A4 i n .. tea-- 1/1-/) r _ WATER TO FACILITY PROVIDED BY