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Anaheim FAXED TO Company Name 939-0815 BY UC Irvine Field Phone 2004-576393 Annual Permit Number Issuing Region DOSH DISTRICT OFFICE ON Office Phone 949 824-6982 Issuing District Specific Activity Location Number of Employees Nearest Major Cross Street Starting Date City County Anticipated Completion Date High Voltage Lines in Proximity Orange INSTRUCTIONS No Yes The appropriate item s must be completed and signed by a person knowledgeable about the project for each activity covered by a permit ...

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