95-243
arY Of CAMPBELL
DEPT. Of PlJDUC WORICS
?O North Pim St.
CaapbeD, CA 950lB
(0) 8M-2150
BNCROAawENI' PBRMIT
(for worIdDa witbiJI tbe
public riabt-of.,way) ~
r.ued jJP0~
Pamit apiiea ia 12 ~
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X-Rd. file
95-243
Appticatioa Dete
Appticatioa apr. ia 6 IDOL
10/23/95
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~ g iD 6 IDOIItbI if tbe pcnDit ilDOt iIIued).
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160 Warwick, 100' e/o Radford
Utility tIada ac-tiaD
lwnrk D~rfnrm~~ Fri~~y
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76 x 100' main repair
C AtDcb lour (4) capieI of aD eap.eaed dmwiai IbowiDa tbe Iamtima, atcDt aad dime.... of tbe wad:. 'The drawiq IbaI1Ibow tbe NlatioD of tbe
pnlpOIOd wad: 10 ClliIdDi .m.:c aad ..........ocI hut-~ WIleD ~ bJ tbe aty P~p-~, aid cInIwiJII becomeI . put of tbiI permit.
D. AD WOIt IbaI1 caarona 10 tbe aty'1 GcDcraI CcIDcIitaI, Staadud CoIIItnIl:tDa ~ aad Staadard CoaItrucdoo DetailI for Public WOIb
Coamuctioa; tbe GcDcraI Pamit CoaditioaIIiIted OD tbe revene Iide; aad tbe SpedaI ~ lor daiI pcrmit, lilted below. Pailure 10 abide by
tbae CIODltitio.. aad ~ IIIIIJ nlIUIt iD job lbut4JMi aad/or forfeiture of faitbful PafonDaace SuJetia aad caIb dcpoIitI. (See GcDcraI
Pamit Cc-litlOIIIl aad 2.)
E. A IIClIII'CfuDcIa appIic:atiOD fee 11I_ 4lO(W' \T-"1 tbiI appIie-tinft
NamcofApplicllllt San Jose Water Company TcIcpboDe 279-7825
1221 So. Bascom Ave, San Jose, CA 95128
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Is tbiI WOIt beiDa doac by tbe pmperty 0IfDCJ' at tbdr CJWII JeIideDce?
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No
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AddraI
Complete aad attacb WOJtas' CompeaIatioD aad CODtnctor IDformatioD fonDL
'The AppIicaat,lPermittee beIeby... by atrixiDa tbdr Iipature to tbiI pcrmit to bold tbe aty of c..capho-u, ita ofticeD, apDta aad ClllJllGJea free, 18fc
aad buIIIlca from aay daim or dcmaad lor daIDapI reaultiDg from tbe work c:ovaed by tbiI permit.
1bc AppIicaDt/Pamittce hereby ackDowIcdpI abat dley b8ve IUd aad UDCIcIItaad both tbe fIoGt aad bKk of this permit, aad dley will mOllll tbcir
cmtnctor(l) of tbe iDfonDadOD.
~
Jane (verbal emergency)
(Applicaat (Pamittec) pliDt/1ip
10/23/95
Dele
NOTES: AIL WORK SHAU CONfORM wrm 11IE ATrAaJED, APPROVED PLANS AND AIL APPUCABLE CAMPBELL SI'ANDAR.D
DRAWINGS AND CONDmoNS.
11IE CONI'RAcroR MUSI' HAVE nus PERMIT AND APPROVED PLANS AT 11IE SITE AND MUSI' NOTIPY 11IE PUBUC WORKS
DEPAR.'INFNI' AT lBAST lWO DAYS BBPORB SI'AR.11NG WOR
NonCE MUSI' BE GIVEN TO PUBUC WORKS AT LBASI' 24 HOURS BBPORB RESI'AR.TlNG ANY WORK.
SPECIAL PROVISIONS
PBRMIT APPUCA110N PEE s:no.oo
PLAN alECK DEPOSIT SSOO.oo
SUllB'IY fOR fAll'HF'UL PERFORMANCE (1~ Of ENG. ESI'.)
CASH DEPOSIT (4~ Of SUllB'IY, S500 MIN)
PLAN alECK a. 1NSPECll0N PEE (PIRSI' $0-$30,000 14~;
Next S30.0CJ0.SII0,000 10%; AmouDt pu,r tbaD~~ "*!.F miD)
APPROVED fOR ISSUANCE ~ W=--~
for City .
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_1. Street IbaI1 DOt be opel! cut lor .......o..a.t iDItaIIa&.. MiDiIIlum CUtllllllJ be allowed for CIllIIIIedioqa or cxpIoratioa bola. Such CUll J!!!!!1
be medfic:aDy IIDImMd bv tbc IDIIleCtor mior to cuttiu.
_2. hvaacat IIIIIJ be cut for UDdeIp'OUDd iDItaIIaac. aad 11I_ be latOred in aa:mdaDc:e with tbe Utility Treocb Ramratioa Studud DrawiDg.
_3. WOIt 10 be Itaked by . IiccaIed Laad SurveJor or CMI P..apDeer aad two (2) capieI of tbe cut 1bectl1eIl~ to tbe Public WOIb DeputlDcat
before IlartiDa wad:.
_4.
SI'ANDAR.D
AMOUNT
RPrF.I1'T NO.
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Date'
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h:PW PERMIT/RevA/94
USA phone (800) 642-2444
(ICe other 1Iide)
...
TICKET NO.
CITY OF CAMPBELL
S'J~G
PROJECT NO. 9';--chB
REPORT NO:
FIELD ENGINEER' S DAILY REPORT
o wMM/1 CJt. lJ/(.
CONTRACTOR: CwJJMt1/V
DATE: II}J 9 r
WEATHER: ~,(.
INSPECTOR: R. ~51fALL
ITEM
DESCRIPTION
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