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DZPl'. or PUBLIC WOJUaI' or worlt1nq 1D th.
70 Nortb P1zst St. . public r~ ~f-way)
.....,,~.ll. CA "oofEB 2 t:/) ~ r
(401) I16-U50 Q ~ned ~ Appl1caUon Date
~t 1Il 12 _. AppUcaUon ap1n8 1D 6 .,..
Public W ork,/ Engtn._i
APPLICA'l'IOIf - ~l1ca1:1on 1a UZ'eDy _da tor a Public Worb Pusit in aaccmSanc:e with capbe1l
IlUDic1pal COda, 1eat10n U.04. (AppUca1:1on apu.. 1D , ..m:ba if penJ.t not pulled)
X-Ret. tU.
A. Won Mdnae or ~c:t t 650 W. Par.r Ave. Los Ga tos
1Jtlllqo 1:nnaIllocaUon Install utilities as indicated on attached sketch
B. ..tan of wonl SD# G/E11951
C. Attecb fl". (5) copi_ of a dnw1nq uovinq the location, extent and c11aenaiona ot tha work
'f'ba dnw1nCJ IIba1l abov th. nlaUon ot tha p~ work to ax1at1D9 nrtace and undarqroand
~. 1Iben apprcwed by the C1qo En91neer, ..id dnwiDlJ b.g_n a part ot tbia ~t.
D. 'ftl. Genenl COncI11:1ona tor all paraiu an l18ted on th. rev... .1cIa. 'pac1a1 PrDviaiona tor
tb1. parait an lUted belov. P.llun to abida by th... condl1:1ona and proviaiona ..y nault
1Il job abut-down and/or tort.lt:ur8 of Palthful Perforunc:e IIoncIa and aa.ab dapoaiu. (I..
Ganu'a1 ConcI1Uona 1 and 2).
Z. All applica1:1on tea -.t ace -4I&IlY tbia appl1ca1:1on. 'ftll. 18 acm-nf1mclabl..
.... of Applicam: P G& E
~ 10900 N. Blaney Ave., Cupertino, CA 95014
18 tbia work ba1n9 dona by the property ownllZ' at th.ir own naidaaca7 ---:Jaa _no
C01Ipl.te and .tucb Ifork8Z'll' co.pana.tlon and COn~c:tor Intorution tonla.
2al~1 725-2042
'ftl. Applicaftt/Pera1ttaa berUy afrH8 by aff1x1n9 th.ir .ivnat1ln to t!lia'parait to bold th. City
of .
CUpball, ita offican, aqanta and .-ploy... trae, ..fa and baral_. t~ any cl.ia or 1l8UDd tor
duaq_ ~t1n9 traa the work covand by th18 paraJ.t.
'ftla AppUcant/"'nittaa bereby acknovladqa. that th.yUft nail and undaraund bot.b tha tz'ont and
back ot tbl. ~t,'"Jnd tba~ they will 1Dfon th.ircon~c:tor(.) ot the inforuti~. c
--- az...~ &~ -:2 [62-7/ 72-
flfp . ~ . Ii _.' Date /
....... .... __ ...... ..... ... ....... .- IUMO ... ..........CULIl ..........
S'l'AIIIWU) DIA1fIIIG8 AIID caml'l'Iaa.
'l'BZ ~ IIUS'l' 8ft '1'IIU I'DBI'l' AIID APPIlwVZD Pr.AIIS &lID IIUS'l' 118ft Wl'l'II '1'111 P... Dl8PEC'fOR 011
'l'D SID Nt LDft 'ftIO laD araa SDIl'f'DG .-&.
ItOTICZ IIUS'l' .. arID 'l'O PUBLIC WORD AT LZU'1' 24 IIODItI araa DIDIlTDICI AllY 1IOItIt.
SP!:t!YAL PROV1:s:rmm
V
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_2.
.tnat 1Iba11 11ft ba open cat for uncIar;rOUJId 1nat:a11.Uona. 1I1n~ c:uta ..y ba allGVed
for ~ona or axploraUon bol_. I1Icb cata mlft M ~ifieallY aDDftWlltd bv ~.
Yft~ar.
P."aunt _" ba cat for aaclU'lJZ'OUftd 1Ilata11aUona and -- ba nRored 1Il aoaorduce with
the 0t111qo '1'nnob ReRoration Su.ndard DnwiDlJ.
WOrk to ba atUed by . l1cenaed Land surveyor or Ci"U 1n91naar and two (2) oopi_ of the
cat abaata &ant to the Public Work Daptaz'taant batgn atart1nIJ warJt.
'ftl. boara of work an U..ited to outaide the boura of 7.., .... and 3-. p.a. tor MY van
affac:t.1DlJ a Ua1flo 1.... ~L..> ~ r I (T)<;..L:)~ c:;,,\--\bLA-
e-~( 9lr-~ 4!lE:.f.....)'T ~ t-V'>U \.L..)C.\.-Ob~ ~'- -.,
~1...-t. ~ r:.rz.i~ il '; -S l <3s3- ) ~-t-::.. "\'-{O>e:-'Jt..
t:s(:::>~ 0LJb. ~e.-~<'. ~'L-J~l'\'""S.. lU C- \\'"-t G~
c::.h::.\-'1. ~ aE-\-<- ...lO f2..4 -:s... Q\ c-~~Uc
'.-1' ~ &IIODII'I' ft~P'!' 1m.
(sso.OO) Sloo.OO $ lO'SL DC::> q
_3.
_4.
~5.
PDKI'1' APPLICATION ra
PLAII CllZCE DIJIOSn' $SOO. 00
aoHD POJt nrmrm. PDPOJDWfCZ (100' or IIIG. ZI'l.)
caaB DIPOSn' (1200.00) (4' or lORD, $SOO KIN)
PLAII CllZCE , IJISPEC'l'IOR PD ($0 - $100,000 10"
Sloo,OOO - $500,000 It'~" 0,000 and~a 'l' $100 KIN)
APPROVED P'OR ISSUAllCE ~__'!!1 ;;~~
tor C1 n V
(51% C1DIDt SI!Zl
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1 'OS.GO ~
4- - ""L '"'"'1""2-
Date
AUG- 6-92 THU 8:31
ENCON 100 METCALF RD SJ
FAX NO, 4082827587
P,Ol
6Z.7030 'lEV. 8(70
P G ~.E
MEMORANDUM Dote 8 - ~ - 92-
TO__~J\\2~K. GOM ~~-:Z-___._____._..._Localiol'~QTY.-2E.. CAM.P~E:LL Ext. BGLo- ZJ-SO
FROM... ,GAgy CO~~ IN ~ ______Locallon 100 ME..TCAF 12..Q.. Eo. :>. EX1.4.~~~IL
SUBJECT ~r:;.~Ye..~'T c.t-\A~G.e.. ~e. ,0 O_~.~~ "'2..s;.Nc.~. File No.
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FO~ ~50 w. pA.e~ A'JE..
5 P E.. c., A. L eJ2. 0 V \ & \ 0 N S E:,U G,G e-... CQ"" S TO e,ol2..E... ~W_~.ET.
:r.J:'.1~ "'2.~ t~_,.~e.e..,< RO.~_~_Y AND W.O_V~D MA.~.E:.
COO2..\M._C~._ \JE2-'<. .Q\ F.1=-' CUL'- ~,F- NoT lM Po~,~..IA8LE.,
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c..OUJ_.1/ ~F _._~f?~e-~E..~12-J N .T~E- A~E:.-A, .H.E'.: \-\A S
TO Gel N DAN D e A.V e.. ~
o. 4~~-
REPLY
Dote ~ -b-Gt",>
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REPLY BY:
P G and E EXT. NO.
INSTRUCTIONS - REMOVE YELL.OW COpy AND SEND WHITE AND PINK COPIES WITH CARBON INTACT. WHITE COpy WILL BE RETURNED .....ITH
REPI.Y. REMOVE SET F~2.~ PAD SE;FORE USING,