95-249
95'::2"49
an OF CAMPBELL
DEPT. OF Pt1BLIC WOJUCS
'JD Norm FbsI St.
r",.."....", CA 9S(XII
(a> 866-2150
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At-..I' '-0. 10/31/95
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ill 6 IDGDlbI if tile permit iI DOl iIIucd).
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A. WOlS adcIra& en tJIlet #
Victor & Hedeqard Intpr~p~+iAn
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Utility treDdl Jacatiaa
B. Nature of wad:
EmerqencY 2x2 cut in ~~ph~'~ Main Repair
C. Attacb four (4) capieI of.. eqiDeaed dIniac .... tbllac:8Iiaa, CIIat ad dl... '.. ollila WIt. De dmwiq IlIaD .... tbI -- oflt)c
j)&~ worK to cmaiDlllDfIce aad lIDCk...__ ~Q-J If' -.. WIIaI......(Md." tbI 0lJ Ptlp-. .. dDwiq beI:aDeIa put 01 tIIiI permiL
D. AIlllOJt shall caafOllllIO tbc Cty'1 GeDen1 r-Itic_. 5audud ~ ~Q\-- aad SIDdud ea.naaiaD DaaiII far PabIic Worb
~ tile GeaaaI Pamit Caaditic.- ...... CD tbc .......1iIk; ad tIIa Special ~c..~ tar dIiI pamit. 1iIIed below. PIiJme to 8bidc br
tbae c:caditioal aad JlftMaic- may I'CIIIit ill job "en ud/OI fOlfciaala of Pai&bfu1 PafarmuI:e SuIeDeI aad CMb dcpaIiIL (See Gaenl
Penait Coaditioal 1 aad 2.)
P. A DOIIIftfuDdablc appiicatica fee 1IIUIt... 1 lit tIaiI~' .tio-
San Jose Water Company
Name d ApplicUt
Tf~ 279-7825
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1221 So. Bascom Ave, San Jose. CA 95128
II this wort bciDc doDe ." tbc t"'~ CRrDeI' at tbcir Oft nIIideaIz?
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Compicte ud.ctKh Worbn' CcmpaIIaIioa aad o.a.aar IJ..._....... fCllmlo
'Ibc AppticaDlfPerminec bcreby -.re- br aftIIiq tMir IipaI1lI'c to dIiI pIIIIIir to bald 1M 0lJ oll"'a~!Ia CIftIcas, apll1lI ad Ulfl ,- fnc, ale
ad !wmlaI fJOlII allY daim or cIcmaDd for dImapa ..u&Iiq fI'DaI tIIa wart CllMftllI ." tIaiI peIIIIi&.
The AppIicut/perminec hereby KtDoIriedpI tbat tber b.Ift tad ad ~NI bDda tile flail .... bMt of this permit. aDd tber wiD illfOllll tbeir
CIllQtractor(l) 01 the iDformatiaa.
~m Jane (emergency verbal)
(AppUcuI (Pcnainec) ptim/rip
10/31/95
Data
N01'ES: -ALL WOJUC SHAll. CDNFORM WTIH 11m ATI"AaIED, APPROVED PLANS AND AU.APPUCABU! CAMPBELL SfANDARD
DRAWINGS AND CONDmON5.
1HE CONl'RACI'OR MUSf HAVE nus PERMn' AND APPROVED PlANS AT1HE SITE AND MtJSf NOllPY 'mE PUBUC WORKS
DEPARThlENI' AT I..EAST TWO DAYS BEPORE SI'A1l11NG WORK.
NanCE MUST BE GIVEN TO PUBllC WORICS AT LEASI' 24 HOURS BEfORE RESl'All1lNG ANY WOJUC.
SPECIAL PROVISIONS
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Street shall DOt be opeD cut for 1IDderp.-d ....,."..ao-. MiaiaalllD CDtI may be aIkJRd far ~~CIIII or apomiaIl boIcL Sucb c:vtl.!!D!! -;
be mecific:aJJv m&mM!d bv tile I!mIeemr tmor to caninE. C
hYemeat may be: CUI for UDlicrpouDd ;................... aad m_ be reIIDI'Cd ill ~ willa dac UtUity TI'aIldI R...A...u.... SIudad I>mriJI&. t:l:
WOlS 10 be aaUd ." . IiccDIed Lud Surve,or or 0vi1 P"&i- aDd two (2) c:apia of tIIa ad .... - to tb& Publk Worb DcparlmeDI t'f"
bcfon: s&aniDI I . (':
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STANDARD
~MOUNI'
RPl"'P1"PT NO.
APPROVED FOR ISSUANCE
h:PW pERMTI'/Rev.4/94
USA phone (800) 642-2444
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ssoo.oo
(1009& OF ENO. EST.)
(4CJrrOF stJREIY, SSOO NIN)
SN3l)(1n 14CJrr;
'" S200 miD)
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PERMIT .APPLICA nON PEE
P1AN CIBCK DEPOSIT
SUREI'Y FOR pArIHFlJI. PERFORMANCE
CASH DEPOSrT
P1AN CIBCK cl INSPECIlON
Nen S30.~S80.000 109&; AmouDI
/0 3J: s-
ate
(1&lC atbeuide)
* *
nCKET NO.
CITY OF CAMPBELL
FIELD ENGINEER'S DAILY REPORT
ITEM
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CONTRACTOR: CU1I4MAAI
DESCRIPTION
PROJECT NO. q ~ - ~~
REPORT NO:
DATE: II 11~ q)'
WEATHER: -:;, r'
INSPECTOR: K. ~:s1fALL
C wfAJ
G4J Val
OIL 4
PAGE: I
OF I