95-256
an OP CANf'8EU.
DEPT. OP pUBUC WORXS
'7U Norm AlII SL
r...."...n. CA 9S(XB
(<<8) 866-Z15O
J!NCRQACWENI"JUMD'
(tar...... widIiD die
pIbIic _4...,)
..... /1- 7 -95
.... apiaa iD U ... /11 uJ
...... No.
x,.w. fie
95-256
~~... flu DMe 11 / 7 / 95
AIV' .'.. apa. ia 6 ...
APPUCA'DON .. AppIit'-rinII illIaebr....... far. PabIic WadII Permia .. .. ~-- wkII r....,..... N '..q-a CcIlk. Seaba lUM. (Appa......... apra
ill 6 maadll if tile pamit iI DClt --).
all
II ·
:.I Cl
Q
:0 II
... 101
II II
en.::
~~
c: II
= 101
C III
101 ~
ClIl=
101 III
III
~ =
= II
:::l III
,i:l
....
.... CD
~ C\l
c:..c
:I
-
c: .
Q Q
....z
~
lIS ~
~ III
lIS..ill
u u
M....
II~
-
~
= ...
- III
,i:l
~ II
.... =
.... c:
C\l
~ C
Q
.......
o ~
= ='
u
CD....
~l.-
....
... ~
~ =
e~
II....
g.
CD CO
~....
.c: =
... ~
=
Ill....
~
o III
:J'::
~
...
=-=
II =
II =
=
1oI~
II II
~....
j~
~
II 0
.c: c
~
c:
oW III
o II
,i:l
",
- CD
~ C\l
~.::
C-'
0<
....en
...=
u-
II
lD ~
...
... II
II'"
~<
A. Wmt addn:ll or trKt #
S/E Corner Hedegard & Carlyn
Utility aadllocatiaa
B. Natuft d watt
...
c
2x2 cut in asphalt ~ main repair
,
S
..
..
.
..
..
t
C. .Aaadl four (4) capia daD cqiDcaed drniac.... dlelacalicm. alai .... diJII '.. at ilia wan. '1111I *-iq IlIaD ...... ...... of die
I"I~ wort to a:iIdDc IIIIUcc .... .-.. .......cI i-t-..-- '" ... WIIaa ........-1 by .. ClJ PAIi- -, aid *-iq becaDII . put at tbiI pamiL
D. AD 1IOIt sbaII caafOJ'lll to tbc City'1 GIDenI r___~ SIudard ~ ~.... SIaIIdaId ~ DeIaiII far PabIi: Wmta
~ tile Geacra1 Permit r---ltV.aI ...... at &be swaa aide; .... die SpKial r..... lex dill paIIIit. IiIIed below. ,.... to Uide by
tbac alDditiaal ad ~ IUY rault ill jab 1Iau&.... _Iar fCllfciaanl d Pai&btuI Pe.Co. - s...ea. ad ~ depaIiIL (See Geaaai
Pamit CDaditiaall _ 1.)
E. A DClIIRfuDdabIc qplic:atioa fee mUll ... I~.' dIiI '91'1=- &'~II
.
.
..
..
..
Name of Applicant
San Jose Water Company
TdepIcar 279-7825
.
...
[
,..
~
....
....
Addn:a
1221 So. Bascom Ave. ~rln .l"nc::~ 1'::> Qr.;l ?Q
II tIliI1lIOIt bciDC daDc by tbc propcny 0II'DCr at tbcir ClIII'Il nlidacd
Y.
No
Camplctc ucIanach wortcn' 0:laIpcaaaIia0 aDd CaIItndar 1Ilo..III-..... fcxma.
The ApplicUltpermincc bcrcby -.re- by db:iq tbIlir......... to dIiI penIIiI to bold" ClJd,..."...... c:dIeea,..- aDd ullllar- free. ale
aDd IwmiaI from uy claim or dcIDaDd far damapa I'aIIiIia& fnlID tbc warE cavaed by dIiI pamit.
The AppIic:aDttpermincc bcreby acbowIedpI dIat tbcr baft read ad 1JDd-.... badl tIIc flail ud bIct at tbiI pmai&. ad tbcr will illfOftD tIIcir
CClDtractor(l) 01 tbc iDformatiaa.
(AppUcut (Pcrmiacc)
Jane (emergency verbal)
pliDt/lip
11/7/95
Aalepted
0.
NOTES: -AU. WORK SHAU. CDNFORM wrm 1lD! A1TACfED, APPROVED PlANS AND ALL APPUCABl.I! CAMPBEll. SI'ANDARD
DRAWINGS AND CONDmON5.
1HE CONI'RACI'OR MUST HAVE nus PERMrI' AND APPROVED PLANS AT'lHE srI'E AND NUSI' NOTIPY nil! PUBUC WOJUCS
DEPARThIENT AT LEAST TWO DAYS BEfORE SI'AR'11NG WORK.
NanCE MUST BE GIVEN TO PUBUC WORlCS AT J.BASl' 2A HOURS BEfORE RESl'AKI'ING ANY WORK.
SPECIAL PROVISIONS
_1.
_4.
Street sbaII DOC be opeD cut for ade.........cII_I..~ MiDilDum aatllUY be aIIoRd for ~ ar apIoratica bakL SudI C1IU must ~
~ merificalJv ~ bv the I!ISDCCtOJ' mior to cuniDE. C
hvt:meDt may b4: cut for IItICicrpouDd i...I"'...... _ IDUIt be ftIIlOI'Cd ill IalDIdIDce wida die Utility TftIIdI ~..... SIadad Dmriq. ==
Wmt to be Il&kcd by a Iic:nIed Lud s.uw,ar ar Civil p~&i-.... two (Z) ccp. d tIIc all ...... IaIt to &be Public WolD OepuuDcIlt tr:
before staniDc wort. C":
C
3:
"0:
,
tr:
,..;
tr:
C
==
><
_1.
_3.
SI'AN'DARD
.6MOUNr
S)..ll)' I c> Ci
S -----
S
RPrPYPT NO.
a
PERMrI' APPUCAnON PEE
PLAN alECK DEPOSIT
SlIRETY fOR PA!IHFUL PERfORMANCE
CASH DEPOSIT
PlAN CHECK III INSPECIlON
Nat SJO.()(ll).S80.000 10%; AmouD
--
C":
....
,..;
><
-
s -
s7~c.>. 1# ~
-'
a
7>~
APPROVED fOR ISSUANCE
h:PW pERMIT/RevAI94
USA phone (800) 642-2444
c- odlcr side)
* *
("r
":I'l'Y OF CAMPBELL
T
S/E ~YJIl ~ i ff~&~".r,(
~ O'L-J.. Cr;. v- / y '"
PROJECT RO. 9 r- - z.r-(,
REPORT BO: ~
DATE: 1}6/fb
WEATHER: /? b ,'-e,
CONTRACTOR: .( e;L~ JCcre tJ~ f-- Cu. ~SPECTOR: ~ ,u _ --d_ ~~
I OVY~J /1-. ~~
FIELD ENGINEER'S DAILY REPORT
rrEM
DES CRI P1'ION
.s fj/Q e-I-
ro.~"'r
ttv-.! b ~ e-.. 'L () ~ / / e- IJ./ /1 L t....,..J ~ e ~~
ve.f1It1r-eJ .
II-C k~ .b.() ~'" s ~ Ale d.
(/Q/~
w
((}.I' k W
.4-c. .
cc:
PAGE: I
OF I