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~CROACHMP.JI"I' PnIn'!' Pea1t 110. q;;< - /::2....,.:2-
(for vorlti.ncJ in th.
puJ:ll1c: ri~-of__y) X-bf. fil."l ~ '&..9 .- 'l...t
lHaed {~~/9~ Appl1aaUon Dau
Malit Up 1D 12 _. App11c:aUon apu.. in 6 _.
Al'PLICATIOH - Application ia beraby ..d. far a PUblic Wo~u Pum.~ 1ft aocozodanc:e vitll ca.pbell
Mwlidpal Code, lec:tion 11.04. (Application expu.. in , ~ if puwit not: pu.11ed)
ern OF CAIIP1IEU.
DZPl'. or PUBLIC IIORltB
70 North F~ st:.
ca.pbell, CA '5001
(401) .....2:1.50
A. .o~k addnaa ar b-act: ,
Campbe 11 .Ave. & Centra 1 Ave.
~Ity ~ l~Uan Install utilities nS indicated on attached sketch:
B. .atun at wo~JuMain replacement. meter relocation SD# G92052
C. Attach five (5) c:opi_ of . dravinq .bowinq t:b. location, extent: and cU...neiona of the work
'%'be c1ravinq aball &bow th. nlat:ion of t:b. propo.ed work 1:0 axi.tiDcJ .urtac::e and W1deE'lJZ"OWld
1.apravUleftt:a. When .pproved by the City Invineer, .aid draviDcJ b<<l... a put of tbia ~t.
D. '%'b. Genenl COnditione for all peE'llit:a are liated on t:b. nven. aide. lpecial Proviaione for
tIlia pera,it are li.ted alav. Failure 1:0 abide by tile.. conditione and proviaione MY n.ult
in job &but-down and/o~ forfa1tun of Faitbful Performanc::e IIond8 and C&ab depoaita. (s_
General concutiona 1 and 2).
Z. All applIcation t.. _t: aCCOllp&ny t.b1. application. '%'bi. ia non-ntUftdable.
.... at Applicant Pac i fi c Gas and El ectri c Co. 'l'elepbanel 725-2042
Add~. 10900 N. Blaney Ave., Cupertino, 95014
I. t.b1. work aincJ done by tile property owner at tIleir own ~1Unc:a? --:t- _no
COIIpl.U and attach WorJean' coapen.ation and COntnct:or Infor.-tion foa..
'%'be AppUcant/Pera1ttH bereby aqn_ by aff1xinv tIl.ir .ivnat:1an 1:0 tbi.'peE'llit: 1:0 bold tile City
at
CUlpall, iu offican, aventa and -.ploy... fZ'H, ..f. and baral... fJ:QII any claia or daand for
daaaCJ" ~ul tinCJ fro. the work cavand by tIlia pua1".-
'%'b. Applican P.ra~. bereby acmavladqe. that t:bey MV. n.d and und.ntand both tIl. front and
back at tIli. t' and ey 1 int tIleir contnct:orC.) at tile intor.-tion.
A~.r;u
Dat.
2/24/92
NOTZlII ALL WORK SBAI.L WI'l'II '1'BZ A1"rACBZD, API'ItDVZD PtAIIS AlII) ALL Al'PLICAIlLZ CUlPBZLL
S'l'AlfDAltD DRAIftlIc:s AIfD CDlfDI'nOllS.
'1'BZ COIft'RAC'l'OIt JlUft RAft TIaS PalIII'1' AIfD APnwylD Pr.uta AlII) 110ft Dft' 1Il'fII '1'IIB P... InncroR Olf
'l'D lID H LU8'1' '1'110 Da.Y8 araa IDIl1'DG 1lOIII:.
IfO'l'ICZ JIDS'l' .. ana 'l'O PUBLIC WORD H LU8'1' 24 BOUU araa D8'l'AIl'1'DIG AllY waD.
SPECYAL PROV1:SYOHII
_1.
StZ'Ht 1Iba11 not. ba open cat for uncSerqZ'OUIId inat:allatiana. 1UJIt.. c:ut:a MY a allowed
for conneat1ona OZ' explontion bol... SUcb c:at:a -~ be .-eificall v aDllravad bv tile
In~et:Dr .
Paveaen1: ." be =~ tor und~ 1natalla~iana UId -.t ba ndond ill acccmIaftc::e vit1l
tile ~Ity ftancb RMtontion Standarll Dzav!n9.
Work 1:0 be at:aUcl by a l1can.ed lAnd Surteyor OZ' Ci'YU Dlq1Her UId t1IO (2) oopi_ ot tIl.
cat abAt:a Mnt to tbe PUblic Work Dep~ bafon at:artin9 warJt.
ft. bcn1n of work an 11a1tec1 1:0 GUtaida the bCNn at 7-1 a... UId 3-t p... fOZ' any work
attact:1nlJ a ~f1c 1aDe.\~ It ::TT\ L\.\'-t ~L.C::>C.~T 'OU ~~C-
"'5\-\-~L ~ t""::>L \FD~ Tc") T\-h~ PU":::.us::., <;;;'pe-C-'\"F-\~T\O~'S.
h .t-t D e.c:> J....)'S.l\U) GO", l DoL) ~e:.J:-tE~0 L.E- "FOt2-
Pt""2-C>_,~-r ~-,-1. \T~OLV~.,C:ll.J..:)G C::;:;T~~CA~
~2.
_3.
_4.
\/,.
IECEIVIG
FEB 2 5 1992
'.-1 ,
_"":t.1Ift
Jm~IP!' 1m.
AJmmIIP
2.ubUc WorblEngineerinl
PDIII'1' Al'PLICA'l'IOK PIE
PLUf c:aa DIJI081'1'
(Uo.OO)
'100.00
SlOO.OO
. lD~.oo
. -
.
.
. b,-'3.~ ~
Cf
rp
.---.
BOND FOR JI'AI'l'IU'OL PDI'OJUWICZ (loot or IIIG. D'l'.)
CUB DDOI1'1' ($200.00) (4t OF laID, '100 IIDI)
bb~ L.F.
PLUf c:aa " IlIIP!C'l'IOH PD ('0 - $100,000 lot,
'100,000 - '500,000 tt, ~o,ooo and i. 7t, '100 IIDI)
APPINVZI) !"OR IISUUCZ ~ - 4/ LYJ
for City "&
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