92-137
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CITY OF CAMPBELL
DEPT. OF PUBLIC NORItS
70 North ri~t st.
ca.pbell, Cl '5001
(401) 1"-2150
Perait Mo. 9 ~ - 13 7
"'C!ROA~ PERIII'l'
(for workin9 in the
public dlJht-of-vay)
Iawed ~/9 2/
Perait in. 12 .-.
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Appligation Date 3//7/9 Y
Appligation expina in , _.
APPLICl'l'ION - Appligation 18 banby ..d. for a Publio Worb Pera1t in accordance with CUpbell
~i::::la:::.S:::~1;04. (:l~~on ~~:.-~~;. IIOIltU (~Uo'1~ ~ r V J D
utility trencb looation r<OB"
8. Mature of work I A\~ '1'oep...f'ST
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Il\l?IALlAll0t0 'WOeL :
(J A J "gin",,"
Attach five (5) oopi.. of a drawiftIJ ahOlliD9 th. location, utant and diaanaiona of the work ni
'l'h. drawinCJ ahall ahow the relaUon of the propo.ed work to axiatiftIJ wrfaca and uncIarvround
iaprov..enta. lIhen approved by the City _ineer, ..id drawinCJ becoMe a part of thb parait. ~
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'l'h. General COndiUona for all peraita are U.ted on the raveree aicla. 8pacial ProvIaiona for
thia penait are U.tacS below. railure to abide by th..e condiUona and provi.iona ..y re.ult
in job .but-dovn and/or forfeiture of Faithful Perforaanca 80nda and oaah depoaita. (...
General COndiUona I and 2).
E. An appUcatIon f.. auat accmapany thia application. 'l'hi. la aon-refaDdable.
N... of Applicent ~(0 ~c~W {\;'1.\::.2- <::::[Jl'0\'"PJ'..~..J'-; 'hlaphonal '2.1 '='] -1 g 4-1
&4dr... \'2.'2-1 ? Bf-'..':::L.{:::)M I"--\JE''-. Sp....I~: ~~'C"""'F. C~c~S(2 A
Ia thb work beiftCJ done by the property ovne; at their own rul~7 ---:I" ~
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Th. Applieant/Penaitte. bareby al)l:'8.. by affixing th.ir .iqnature to thi. perait to hold the City of
Caapball, it. officar., aCJent. and uployaa. free, .afe and baral... fJ:Oll any olaia or duand for
da..g.. r..ulUnCJ froa the work covered by tbi. peralt.
COIIplet. and attach Nork.~' COIIpan.ation and COntrector InforaatioD foz.a.
'the Applieant/Paraitta. bareby acknowledga. that th.y hav. read and uncIentand both the front and
back of thi. penait, and that th.y will infora their con ctor(a) of the inforaation.
ACCEPTED FDW It-.) l NEU....o A::::. FNb <C 3/17//2..
Applicant (ParaUt..) print/819ft Data
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NOTES I ALL NORIt SHALL CONFOD WITII 'l'HB A1"l'AaIBD, APPROVED PLUS UD ALL APPLICAIILB CAIIPBBLL
STANDARD DRAWINGS AND CONDITIONS.
'1'HE CONTRACTOR MUST HAVE TIllS PERIIIT AND APPROVED PIMS ARD Eft IID'r 1fI'1'II '!'1m P.W. DSPBCTOJl ON
THE SITE AT LEAST '1'If0 DAYS BD'ORJ: 8'1'AR'1'DIG 1IOU.
HOTICZ MUST U GIVEN '1'0 PUBLIC WORD AT IA8'1' 24 BOUR8 8UOD U8'rARTDIG an 1fOIUt.
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SPECIAL PROVISIONS
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street .ball not be open cut for und.rp'OUftd inatallationa. IU.niauII aata ..y be allovad
for connactiona or exploration bol... 8ucb cut:a ..at: be .DeCifieallv aaarav.cS bv tha
Inanect:ar.
Pav...nt ..y be cut for uncI.rvround inatallationa aDd -.t be raRorad in accordance with
the Utility Trench R..toratioD Standard orawiftlJ.
Work to be .taked by a lieen.ad Land 8w:vayor or Civil _inaar aDd ~ (2) copi.. of the
cut .baet. .ent to the PubUc Work Deptartaent before atartinCJ work.
Th. bou~ of work an liaitad to ouuide the boura of 7-9 .... and 3-1 p... for any work
affactinCJ a tr.ffic lane. L 1 }", ~ \ 'L "..."..., _.1
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II'l'AIfDARD
AMOUII'l'
UCZIPl' NO.
I'ZIDIIT APPLIQ'l'IOB ~
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PI.AR CllBCI: DDOSU
80HD FOR FAI'l'BlUL PBRFORIWICZ
ClSB DEPOSU
'500.00
(loot or arG. Eft.)
(4t OF .-0, '500 IIIII)
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4- - L.C:::l-G\. '<-
Oata
PLAII CllBCI: i DSRC'l'IOIf ~
$100,000 - $500,0 ft,
APPROVED FOR ISSUANCE
f: PNPElRMIT
Revised 4/91
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MeM~ANDUM
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CITY OF CAMPBELL
To:
Joyce Cosce
Fire Department
Date:
March 26, 1992
From:
Chuck Gomez c-s ,u.--
Public Works
Subject:
PERMIT NO. 92-137 SAN JOSE WATER COMPANY, HAMILTON PLAZA
MAIN AND HYDRANTS INSTALLATIONS
----------------------------------------------------------
Attached is a copy of the permit application and plans to
install main and hydrants off Robway Avenue for your review
and comments. I would prefer to have the hydrant at Robway
to be placed either north or south of Robway just in case
there is a need to enter and exit through Robway. Please
let me know.
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f:92-137
Il:CEIVl:D
APR 10 1992
Public WorksJEngineering
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