96-130
'""
ary OP CAMPBELL
DEPT. OP PVBUC WOJUCS
'7D NardI fbI& SL
r..~ CA 9.5O(Il
<a) 86W150
l!NCRQAaIMI!NI' ft!DID" .'
(b............ .... ~. ..
pIbIic ~...,) ,v
_ 3/f:, (I;"" ~
.... apa. .'u... ~/
... Ma. 9o=r3il -
x.Jtaf.1iIe
..-
.\j." .....0. 2/29/96
.,...~ AI. ~ .... ia 6 ...
=
u .
:.I CI
- Q
:. u
.. ...
u u
:n.c
'CI~
CI u
:: ...
Q U
... ...
ClIlC
... U
U
Cl =
C U
= U
"Q
...
... CD
"" fa
:..c
:I
-
. .
; 0
~z
.A
a ...
. u
a~
J U
.....
,....
-
APPUCAnON - Appo!w..... iI berebr..... tar. MIir: WCIdaI Penaia m...... wtda r.....,..... ~ . 'paI 0.. s.aa. 11JM. (AJIP........ apireI
ill 6 IDODdII if tile permit iI .. iIIued).
A. Wom IIddras or aw:r #
Intersection of Union Avenue & Anriror
Utility aadI JocaIiaa
B. Nahan ol.art
..
c
EMERGENCY Service Repair - It, , yLl' roll+- I ~ :l ~~I Ck't-
,
,
c
(
5
~
t
t
.
t
t
C. .Aaad& four (4) c:apiea ol.. ~ dmriac.... _ ...... CIIIIIIt'" "1- '.. ollila walt. ". ......1IIaII.. _ ___ ollk
I""~ .art to ClI:iIriq IlIIfIIac ... ....... ..............- - - vn- .......~ ." _ aty p~, aid .......e.a:... pili 01 tIIiI pamiL
D. AU wart &hall c:DIlOllll to me aty'1 GaIeat r..-It"-, .5aIDdud 0aaIInidiaa ~....' - ..... SIadaI ~ DeaiII tar PlIbIil: WOlD
Cc...uucDoa: me GeaaaI Pamit r......... ...... CD _ _1idlI; ad 1M Sf*iaI ~ far tIIiI pIIIIIi&, 1iIIed...... PUae to abide by
Ibac caaditioa& ud proviIiaaIzuy I'CIId& ill jab lluaa4lMi .-jfor fCllician 01 P.abfuI hJo. -- ........ ~ cIepmi& (s. Geaaal
Permit Qladitioa& 1 aad 2.)
P. A ~Ic IIppIic:atiaa (ee 1Il1IIC" 1-'" tIIiI *fJf" ....lo...
Name 01 AppIicIIDt
San Jose Water Company
T~ 279-7q7q
~
~
(
c
Addrca
1 ?? 1 ~nll+h R;:::::a C::,-.,.....nl n't7.o.Y"In"
C:::3n
T,.....C"",...,
.
r"7\ OE:::l?Q
II tbiI wart bciq daac by tbe PJ'OPCft7 0IftIa'.. tJaeir on ~7
Vea
No
~
'-
Compiete aDd anadl WOJ'ten' r~....... ad 0:laInaar L4... --- f~
: ...
. U
"Q
, B
~ ::
~ CI
I
. C
Q
I....
,...
: III
u
I....
I....
....
I'"
I =
I III
I~
I.....
'Ibe AppticaDtlPerminec bcreby ... by db:iq tMir....... to dill palDilto bald ilia a, ol- .' In." da:a. .... ad -41 1--""'_e
IDd JwmJca holD ..,. daim or dcmaIId (or damapI...uiq f.raIII me __ CIMIDII ." tIIiI pamiL
'Ibc AppIic:IIltlPcrminee bcftby ~ _ tbey b8w rad ... ----- badI tile fIaIIada.t of tIIiI penaiI. ad tbeywiil illlOIIIl tbcir
CIlIltractoz(l) of tile uuormaliaa.
Jane Leinberger (EMERGENCY VERBAL) 2/29/96
(Appticat (J'amiaec) pIiIII/lip 0..
Nares: -ALL WORK SHAU. CDNJlORM wrm 1lD!A1TAaIED, APPROVED PlANS AND AU.APPlJCABU! CANPBEU. STANDARD
DRAWINGS AND CONDmON5.
~
e: mE CONBACI'OR MUST HAVE nus P!!RMrI' AND APPROVED PlANS AT'IlU! Sl'IEAND MUST NO'IlPY nm PlJBIJC WORXS
-; DEPARThIENT AT LEASI' NO DAYS BEFORE S1'AKI1NG WOK
Cl'
~ NanCE MUST BE GIVEN TO PtJDUC WOlUCS AT UAST ~ HOURS BEfORE RESl'AKI1NG ANY WOK
III
.c SPECAL PROVISIONS
...
PERMrr APPUCA'nON PEE SZJo.oo
PlAN CHECK DEPOSIT SSODJI)
SURElY fOil pArIHFtJI. PERFORMANCE (J~ OP ENG. EST.)
-" CASH DEPOsrr (4" OP SURElY. :soo NIN)
~ PLAN CHECK .l INSPECIl~N (fIRST SN3O,0D0 14~
.::. Ncn S30,ooo.S80.000 109&; ICrJ~ID"'" S2DD I11III)
t: APPROVED fOil ISSUANCE \,.. _ . _
III for Cily
< h:PW pEllMJT IRcv.4/94 (see acber Iidc)
-
C _1.
=
"C _2.
~ _3.
= ~.
Q
I:
CI
U
III
"Q
=
ra
.c
STANDARD
6MOUNl'
s 3.).5.60
S
S
S -'
S :JjO.uO
RP~NO.
0..
I::
0<
-
'-
&
C":
I-
~
0<
-
sir /9~
Date
* nSA nhone (800) 642-2444
TICKET NO.