95-280
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a1'Y OP CAMPBELL
DEPT. OP pUBLIC WOJUCS
"70 Nardl fbIl St.
~I\, CA 950lZ
(<<8) 866-2150
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95-280
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In front of 225 RO!'lF> rrmrr
Utility trCIIdl Jocatiaa
B. Nataft d wort
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D. All MDt IbaI1 coaform1O 1M Oty'1 GCDaaI r..-~ SIudud a-a.... l'iorliliv- ud SIudud o..nx1iaD o..iIIlar PabIic WOIb
CcaIaw.1iaa: tbc GeaaaJ Permit ~~ ..... CD 1M ....1IiIk; ad _ SpIcial PrcMIiaM for dUI paIIIit. IiIud bear. PIiIIn 10 abide by'
Ibac IDIditical ud prov__ JIWf rauk ill jab 1Iau&~ ud/or fClllflialm 01 Pai&bful hJQ. - 5uraieI ud QIb ~ (Sea Gcaaal
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E. A DClIII'CfuDdabIc qp6catiaa fce -- .... 1 .., tIIiI -n r M"
Name 01 AppticaDr
Adctn:a
San Jose Water
TdepboDc 279-7825
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1221 So. Bascom Ave. San JO!'lP-. CA 9S128
II thiI WOJt bciDc daDc bJ 1M tn~ OI1lIa' at tIaeir ClIIIIII'IIiIIaa?
Complete aDd .ttadl WortaI' Cc:lIIIpaIIatia ud 0:laaIIl:Iar blona---- fOl'la
The AppIicur/permince bcreby..... by db:iq dIeir IIipaaIft to d&iI paIDiI to bokItIIe Q1y 01 r..~ ita CIftkas,........ fAIl' ,.All"" ale
IIId Jwmlca from ..., daim or dcmaDcI for dImIpI....umc f1aD . WDdt caRI'Ild by thiI penIIiL
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The Appticurtpermittcc bcreby KkDcJIrIed&a dIat tiler... ad aDd ~.... badl tbc fJaDI ud bKt d dIiI permit. aDd ""'wiD iAfona tbcir
caatractor(l) of tile iDformatiaa.
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Jane (emergency verbal)
(AppUcut (Pcnainec) pam/..
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12/19/95
Nares: -AU. WORK SHALL CDNfORM Wl1H 1HI! A1TACIED. AI'I'IlOVED PJ..ANS AND AU. APPLICABl.E CAMPBEll. srANDARD
DRAWINGS AND CONDmON5.
11m CDNI'RACI'OR MUsr HAVE nus PERMrI' AND APPROVED PLANS AT1HE srre AND YUsr NOTIPY nm PUBUC WOlUCS
DEP.AR.ndENI' AT LEAST1WO DAYS BEfORE srAKl1NG WOK
NonCE MUsr BE GIVEN TO PUBUC WOIUCS AT U!ASl' 24 HOURS BEfORE JmSfA.R11NG ANY WOJUC.
SPECIAL PROVISIONS
_1.
_2.
1
Street IbaI1 DOt be opeD cut for ~o-cI __I"~ MiDimum CDlI may be aIJoRd far ~..-v- or apkntiaa bo6cL Sudl aatl must -;
~ mecific:allv mmoYed bY tile ,_ mar to c:uttiM. c
hvaDCDr may be: all for UIICicrp'DuDd i...........- aDd 111_ be Iaa=d ill ~ wida tba Utility Trax:Ia ~ SCaDdud DrniJIJ. t:l:
wort to be sta.kcd by . IicaMd LIIId SuIYcyur or QviI P"p- ad twO (2) capiIa ollbe cut ..... IeDI to the hblil: WoriI:I DcputrDalr tr.
belon: . wart.
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PERMrr APPUCAnON PEE
PIAN CHECK DEPOSIT
SUREl'Y FOR PAlllIPUL PERfORMANCE
CASH DEPOSIT
PIAN amcx .t. INSPECIlON
Nut $31),000-$80.000 l()91O; AmouD
SI'ANDARD
6MOUNT
s ;)J S", 66
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."-"""'T NO.
APPROVED FOR ISSUANCE
h:PW PERMIT/Rev.4/94
USA phone (800) 642-2444
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(aec ocher side)
* *
nCKET NO.
CITY OF CAMPBELL
FIELD ENGINEER'S DAILY REPORT
PROJECT NO. <:1'>- 2/0
2- ;2. S' !? 0 NJ..
Ci.
REPORT NO:
-
DATE :
/16 16
WEATHER:
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DESCRIPTION
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