96-122
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NW corner Grant and Second
UtiIily aadI Jcx:aIiaD
B. NahIft 0I1ftJI'It
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EMERGENCY Repair - 3'x3' cut in aSDh~lr
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C. A!tadI four (4) copica ol.. cqiDccred dmriq IboIftq dle JaciIIima, CIIaII.... "'ill . - ollila waIL na dIniq IUII__.. ..... of die
I'"~ war* to a:iIaiq IIIIface ... .-... .....IIId '-t-o~ - .. WIla -w--- .".. ClJ' ",;-, .... dlniql-.-. put of tIIiI pamiL
D. AU MIIIt sIIaB caafOJ1D to the Cily'1 Gcaeai r~ S&IDdud ~ ~iJi- .... SIadud ea..auaiaa DaaillIar PabIic WOIb
~ me GcDcraI Permit r.....itLw Iiaed Cl8 the meaa side; ad tile SI*iaII'RMIiaaa _111II pcnai&. UIIed below. ,..... to abide by
tbeIc coaditioas aDd pnMIiaa& may ~ ill jab 1Iud.... _1m fClllfcials 01 PaidIfuI hA~ -- SunDc& ... ... deparii1L (See GaaaI
Pamit Coaditioas 1 - '-)
Eo A DCJIII'duDdabIc 8ppIicaIiaa fee -- .. 1 "1 GiI -n"':....1Ii ...
Name ol AppIic:aDt
Addn:a
San Jose Water Company
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1221 South Bascom Avenue, San ,Tose. r.A qSl?R
II tbiI wart beiDI daae ." me 1'""t'-l'J oncr . tIIeir on naillaMz7
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Complete aDd .ttKb Warbn' r--r--~ ... OliwillllCflDr 1IIfmaI~.o- fOlD.
1bc AppticaDtfPcrminee bcft.by -.re- bf dbiq tMir....... to dati pamiI to ba6d dIa ClJ' of.-..."....a. ita ama:a. apma ad "-41 1--- fnc. rate
ad IwmIaI holD UJ'f daim m claDaDd fm damIpI ~ fftIm tM wart ClIMI'DII bJ GiI pamiL
1bc AppIicat/permittee bcreby KtDowIedpa _ tIIcf.... rad aDd ~ baCIa tile flail.... bICt ol dIiI pamil, ad tllcfwiD WOIIIl their
caaU'lClOl(I) of tile womsatiaa.
Dan (EMERGENCY VERBAL) 2/8/96
(Apptic:at (Pamiaea) .../1ip 0...
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NOTES: -ALL WORK SHAU. CONfORM wrm 1HEA'lTAaIED. APPRQVE) PlANS AND ALL APPIJCABlJ! CAMPBEU. STANDARD
DRAWINGS AND CONDmON5.
1HE CONJ'RACI'OR MUSI' HAVE nus PERMIT AND APPROVED PL\NS AT'IHE srIE AND MUST NOTIPY 1m! PlJBUC WORKS
DEPARlldENI' AT LEAST TWO DAYS BEPORE Sl'AKI1NG WOK
NO'IlCE MUsr BE GIVEN TO PUBUC WORJCS AT LEAST ~ HOURS BEfORE RESTAImNG ANY WOK
SPECIAL PftOVISIONS
_1.
Stree& sbaIJ DOC be opeD cut fm tIDlIeq......cII...II....... ~.."".,... alii may be...... f~ .....,..,.;0.. m ~ ba6aL Sudl aIII.!D!!S -;
Jzf merifil21lv ~ bY me lDItlermP m!oI' to f'ftfri!w C
rawmcal may tM: au for 1IIIIicrpowId i~l.&II~ _ =- be zarand iD aa:ardaa= widl tbe UdIiI)' Treacta ~.... SIaDdad DnrwiJlc.
Wort to be aabd by . Iia:tIIed UDd s.uw,ar m CviI P~P- ad hID (2) caP- ol tbe C8I ..... ... 10 tba r.abIic Wma DcpuuDcm
bcfcm: sran:iq ~ "I
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STANnARD
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RP.l'"PnJ'r NO.
PERMIT APPUCA'nON PEE
PlAN alECK DEPOSrI"
SUREI'Y FOR PArIHPUL PERFORMANCE
CASH DEPOsrr
PlAN ama A INSPECI'tON PEE
Nczl DJ~S80.000 109&; AmouDt
APPROVED fOR ISSUANCE
h:PW pERMIT/Rtv.4/94
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TT nITT NO_
CITY OF CAMPBELL
FIELD ENGINEER' S DAILY REPORT
jJWv
PROJECT NO. 9t -' /j 1
REPORT NO:
~~.
DATE: 4-fd ~70
WEATHER: Ft.t'/
INSPECTOR: K. ~51fALL
CONTRACTOR: C0-JhV/\ c...---v
ITEM
DESCRIPTION
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PAGE: I
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