88-101
r
"""'\ -u ~
Or.>. .r", . .
g ~ · &J J 't
- -~_M
. :.J ~ n .
u' :J .n n
...nCVl.....n
N. ...... .. .....
.:..~:J:!"g
f... _0
. ...... n n ....
-:r:J. N
~~-~~
. . :.J , ,-
On..-,....o
..... :;) ,-. "".....
"' "
(\ ......1"\,.....0
tc" n O::r
.C.._".
nvanc:::
>-V.6C)
:.c 0).)( 0
Q"'O ,:) ........ 0 .:
~ .. ..
O~;r<rt
~ l~ :: ~ L
" u ,_"
.IJO~l
'1 . :l n
.. ..
-;J I)
rot .:"
- :.a :l (...
{) 0 II .
X~ n _
. .... r-" (I
n,... :.r
...... t-: t-.
~ .. :J ..
Q ~ (..
..
- ~ '1
:J
~.:.
..
..
-ViO'WJ...."
l'n_O:1,...
::-J.<"1j;l.a
N n - :J
- · '" . r- Ii
,.... ~ .. :;I~
o"j" U II
~",:JJa~a
()O t"""rin.
...... ". n "
~ ,-.. ..., f"
;::;;'~~'<
uo. '-7
'1 .= I-..~ ...
;J ... )of ._...
.- f, n 0
.. .., II- :J
.. ,-" .: 0
... ,., ..... n
Vlr-nn
.. at;S rr
::t ;u. .
.. n..
'--n:r~
o ... u ~_
... " ;l .. H
. "... n ::r
. 0... -U a
~ 0 . n
~..&A ~.~ ~ :~
.......
n
Cln' Of CAK..bl:l.L.
D~~T. or VUbLIC WOK~~
70 Nocth rlrat lit.
Campball, CA >>~oo.
I.Obl 1lt.~-21~O
%f-/o /
~
VERBAL
'j
rUbl.lC WOK~S P~kKIT
rrnrvO"f'KTf{'ll11--rl{ e
P~bljc rl~~t-ot~wayl X-keto tlla
luuad /)u?Ic!?<S' Application Date 1/S/8Z
racalt .iplr'. In I~ .0.. ..pICaa ~
A....L.ICATIOH - Application ia haceby .ade toc a P~bllc WOCk. ~.c.lt in accordanc. wlth Ca~p~all
KuniCipal C~d., k.ctlon 11.0..
Pecait Ho.
c;.
C'
j.
'(
I
"
~. WOlk addc... oc tCact .
899 Rob i n Lane
ex Sunnyoaks)
1'.
C
Utility (CencI. lOcation
II. Natu'e ot WlICk; .
emergency main repair
u.
C.
Attach tlve I~l copl.. ~t a dcawin9 .howin~ the location, extent and dl.enaiona of tha work
The drawin~ ahall .how the calation ot the propa..d work ta aXlatiog aurtaca aod underground
IlIIprOVclllcnta, Whan appral/ad ~y the Cit)' 1:0910ae(. aAld dcawln'J bacom.. a pACl 01 thla pce.ll.
The Gencr.l Condltlona for ell per/Aha .rc l1Ulld on thll revarlie .ide. SpcCl.1 plOl/l.lonll tor
thl. per"lt aCe 11.ted below. tallurc to .bide by theae candltlane And pcol/llIlon. a4Y rellule
in lob .hut-down alld/or torleit~le ot "aithtul PerforlllAIICe bond. ana ca." dej>OlIll.. IS"c
GonerAi Conditione 1 alld 21.
'L
D.
c'
;..
'(
t. An appllCAtion t.e ~u.t accompany thii AppliCAtion. Thi. 1. oOIl-cutundAble.
, .
y
NAlIle of AppliCAnt
Addre4iu
San Jose Water Co.
TclephOne:
111 thI. woCk l.leln\j dOlle .by the property own.r at thelc o..n reiiidencci _'fCII no
Complete att.C~.d WaCker.' COlliPC'UIAtlon and Contractoc loclla.
Thc Appllcallt/"cr~lttcc hcrcby agrllC. by afflxing thelc .1~IIAtore to thi. Per~lt to IIo1d the Cley ot
Cal.llpl...:11 , 1(6; otllcu., 4'Jent. and ..Iplaycc. tree, .Ate and 104clllle... {rom .n'i Cl.llll or OC"'AfIU for
dAlIlll9". U:.U1tlll'J lrolll the wlHk COI/"rlld by thi. vc:rlldt.
'J'lIc ApplICAnt/p"n'Ht"e hcreby aClI.nowledye. that the~ hAl/e reAd and under.tAnd both tllC tcone and
baCk ot th!.' I'ellq!c A'.a that they "'ill IntoC/ll ctle:lr COfltlAceocllil 01 the InformAtion.
ACCEPTED
KPPIlCAnt IYermltt~e,
IIltn
NOTtS: ALL 'WOUl< SIIALI. COtUOkl1 WI 'J'1l Ttlt A'M'AClIED, Al'PkOYI:D PLAN':> AND ALL. A~PL.J CAbLt CAI1PULL.L.
STANDAkD Dl{AWINGS AtlO COIWI'l'ION:;.
TilL CONTkAC'J'01I I1UST IIAY~ TillS HkKIT AND APPROY!::D PL.AN:'; AND MUST I1UT WITH THl:: ".W. JNSPl:CTuk ON
Tilt: SITE AT L.~A:';T 'I'WO DAYS I1l::YOUt: STAln'JNG WORK.
NO'l'JCr I1U:;'1' Ul:: CIyrN TO PUbLIC WORKS AT LEAST 2. HOUkS btYOkE UE.:>TAkTING ANY WOkK.
5~~CIAI. PIIOVrSIONS
..,
l.
-
Street .IIA11 not be: op.:n cut tar under9roond 111'[411.tion.. "inl~um cut. mAY b~ al10wcu
torconncCtlon~ oc explOration boleb. Such Cut. ruuut b~ ~reCltlcQlly QPrrov~d by III~
11I1.peCl uf .
l'aVl!me"llr.4Y Oc cut for ~ndac'jco~,u.l inlltAllllt ion. And ..uat bc reatored in ACcordanCe "'an
the: Uelllt~ TrenCh ItclitorAtion StAnd.rd DrAwin'l.
Worll. [0 o~ IltAked by a liccn..ed LAnd Surveyor 01 Clvll t:n'jinee:c and t",o 121 Cople: ot [n~
Cut .llel:llI IIcnt lO lhe I'Ut.dlC WaCk Dept. 1:>I:tor~ .tAftin') work.
The hourll of won ACe lllll1ted ta o~t..ide the: hour. ot 7-!; A.I.II. and J-li p.ll. luc Any 100(11.
Atlecting A (rAtjlc lan..
'l;
I'
(I:
2.
U-
l'
).
-
-'-
..
-
~.
-
l'J
C
r,
u;
lit-I)
I~)~.OO)
STANDJ.kU AKOUN'r
~~O.oO ~ s"(? () 0
~~OO.Oo f
1100' 0.. tNG. I!ST.l ~
In 01' bOND.~~OO HINl ~
I h or 1'. P . bONO
n~.oo I1INI ~
kt:C~ NO.
iEkHIT ~VI'L.IC~TION rEK
PLAN CI1t:CK DEPOSIT
bONO 1'0lt I'AITIII'UL PEkl'OHIU.NCE
... 1'. (CASU I Dt:~5IT
PERIUT ....Et:
APPROVED I'OR ISSUANC!:: ~A )
--ra~""r
r'.
I
r-
r,
~:
InOO)
Ilbfi;r
( tll
r;:Jt-
@
II"/!/)
{: J'WPt:kI11'r
kevll1.d 1/b1