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" ::r . 0 III "Cl .. ::I 0 .. 0 ~_In~Srr ....Q. " N cr,"'Y OF CAMPBELL. I C I' V I ~BLIC WORKS PERMIT DEPT. OF PUBLIC WOij~t l~or worKing in ~ne 70 North First StAlJ.\rt 1 81988 public right-of-way) X-Ref. file Campbell CA 95008 ~ ~ (J u (408) 866-2150 PUB Issued / La eo Application Date /-/o-,j>'? Lie WORKS Perllli~ tl pue in u mos. expires in I) mos. APP~I~ATION - APP]i~~~~~rebY aade for a PUblic Works Permit in accordance with Campbeli~ Municipal Code, Section"It~~'~u Pend t No. ? J1- I 0 , >-3 o tl: tr r C ~ "( r- tr t-' tr C A. Work address or tract , Various-El Patio 1114 SOfl41E97550 B. Utility trench location Nature of work: Rebuild overhead facilities to improve SVC. Reliability 0: K C. Attach five (5) copies of a drawing shoving the location, extent and dilllensions of the work The drawing shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer, said drawing becomes a part of this permit. D. The General Conditions for all permits are listed on the reverse side. Special Provisions for this permit are listed below. . Failure to abide by these conditions and provisions may result in job shut-downand/or forfeiture of Faithful Performance Bonds and cash deposits. (See General Conditions land 2). E. An application fee must accompany this application. This is non-refundable. Name of Applicant PACIFIC GAS Ai'l"D ELECTRIC COHPANY Telephone: 973-8930 AddressloqoO N. Rlanev,Ave. Cupertino Is this work being done by the property owner at their ovn residence? ___yes no Complete attached Workers' Compensation and Contractor for.s. '"' :r tr :l' 't '1: r- t- '- :t> z '"' this permit to hold the City of from any claim or demand for have read and understand both the front and ntractor(s) of the information. January 14,1988 Ullte NOTES: ALL ORK SHALb CONFORM WITH THE ATTACHED, APPROVED PLANS AND ALL APPLICABLE CAMPBELL STANDARD DRAWINGS AND CONDITIONS. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AND MUST MEET WITH THE P.W. INSPECTOR ON THE SITE AT LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBLIC WORKS AT LEAST 24 HOURS BEFORE RESTARTING ANY WORK. SPECIAL PROVISIONS .... C 1. o t'_ n o :::::: '1:) r-< trl >-3 tr t 2. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts must be specifically approved by the Inspector. yavement may be cut for underground installations and must be restored in accordance with the Utility Trench Restoration Standard Drawing. Work to be staked by a licensed Land Surveyor or Civil Engineer and two (2) copies of the cut sheets sent to the PUblic Work De~t. before starting work. The hours of work are limited to outSide the hours of 7-9 a.m. and 3-6 p.m. for any work affecting a traffic lane. 3. 4. 5. tJ ... .... ;J t' PERMIT APPLICATION FEE PLAN CHECK DEPOSIT BOND FOR FAITHFUL PERFORMANCE F. P. (CASH) DEPOSIT (R-l) ($3S.00) $ $ $ $ 1/,811$ c;p RECEIPT NO. STANDARD $50.00 $500.00 (100' OF ENG. EST.) (4' OF BOND,$500 MIN) AMOUNT ~. C!!:C/ cp ( I- .... ... ($200) PERMIT FEE (7' OF F.P. BOND ~~, .,N) $ L-~~. ou 9 \ - -z.. 1- ;e~ uat APPROVED FOR ISSUANCE f: PWPERMIT aevised 1/81 CJ ~ ! I ~ () :\s- ~_ ) ~ ~ r::t Qv '. ' -T l-:t:J"< ] ~ ':'. . ~~ ,~ > f ",k", ;8 ~I-...r UI ~ '"" ~ ~V\ 0 ~ 'Z:' ~ '" ::l ... R I ~ " J 031' '", <J ' '" , ~ ~ '" N a- C\< ,"'" '.~- ~ ~ 8 :: -. \J . 'g'~'"" .'-S' ~ " : " " <<( "~~~.,>"~"".. '...l to,' '-----' -''', ,~" '~@l ~, M ;;; '- .. ~ ~o'. ~ 1 1 ~ ~ "u ~ ~~~<.. : ~~. h :~__/ ~0~ --..:::.'< -If@: ~ '~~ ~ ~ ""''''''>:,:;,....:; '" ~r rB ~ ~ ~ '" ".) >"~'S " ~ ~ " '".. "''1 ~ '>"('" "-I ~ ~I /... v ' ", <'.' '0 '.0' ,~~ ^ c ~ "'.. '''''''>';::~'::%<'''-O -~~/. I ~~ 'd ,-", '~~<I ~ ~, <~' "'~~~@'g ~~ :~~~~@ ~ u '~ .. ~~.. ~"_"t~1i I~c~ o<:-",,~..;i -<1 ~ ~/ r H ~ i' '1~ ~~~">""~1" ti~~:~:~~1~5::! . ' / ~ ~ , , . " , , ,,",.M " "'" , - "~'O · <- "'. 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