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c:rrY or <::AKPBZLL
DZPl' . or PU8I.%C WORltS
70 North r1zw~ st.
ca.pbell, CA f5001
(401) 1.6-2150
Pe%W1t Ho. q 1- 13 1
X-Ref. fUe
AppU.c:a~ion Da~e 3 - ! 8 - 91
Applic:aUon upiru 111 6 110..
mr~OA~ ~
(ft:Jr work1nq in tn.
public ri9bt_~_.y)
1..ued ....~9/91
Pez'ai~ upu.. 111 12 _.
APPLtCA'1"%OH - Applii:a~ion 18 bertlby _d. for a Public Wora hr1Ii ~ 111 accordance vi 1:11 ClUIpball
Municipal COde, Section 11.04. (Application upirea 111 6 ~tba if pullit not pulled)
Work addrua or Ua~ . Union Avenue, N/O Bascom Avenue
A.
II.
utili~ trancb location
.atun of works Install utilities as indicated on attached sketch. SD#G99788
C. Attach five (5) copi_ of a dravinq abow1llq 1:11. loca~ion. extent and diaenaiona af th. work
Tbe dravinq aball lIhow 1:I1e nlation of the propoaed work to exiatinq aurface and Wldervround
iIIprav.-nta. When approved by the City EnCJ1I1eer, aaid dravinCJ beccmeII a part of thia pu1Iit.
D. Tbe GaIIenl COnditiona for all permita an 118ted on 1:I1e revene aide. Special Prov18iona for
1:I1i. permit an li.~ed below. Failure to abide by theae conditiona and prov18iana _y nault
111 job lIhut-down and/or forfaitur8 of Fa11:bful Performance Banda and ca.h depoaita. (S_
GaIIeral Ccmditiona 1 aDd 2).
Z. An application f_ ...t aCCOllpaJly thi. application. Tb18 18 non-ntundable.
H... of Applicant Pacific Gas And Electric Company
10900 N. Blaney Avenue, Cupertlno, CA 9501~
Adc!~.
'l'alapbones
725-2114
1. thia work beinCJ done by th. property owner at 1:I1eir own ~idmK:al --3-
COmplete and attach Morken' co.pan.lIt!on UKl COiltrac'~!'i1: Infonlaci"'ft foma.
· -J...C-i...I '! I D
-KrAR 181991
'!'be Applicant/Pu1Iit~ hereby eCJAU by affixinCJ their ailJDatun to th18'perti_~...ff-....l!i~r'
~ . ~~~"I~
ca.pbell, it. officera, aCJenta and .-ployee. fne, .afe and harale.. f~ any claia or deaand for
dauCJ" nau1tin9 fro. the work covU'8d by 1:I1ia permit.
Tbe Appiicant/Penaittee beRby ac nad and uncientand bo1:b the front and
back of 1:I1i. parsit, and that 1:I1e ctor( of 1:I1e info~tion.
ACCEP'l'ED
e
3/15/91
NO'1'ZS: ALL 1IOlUt SIIALL CONPOlUI Wl'l'Il TIlE AftAamD, APPJtOVZD PLAIIS All!) ALL APPLlc:ABLZ CAKPBBLL
STAJlDARD DRAWINGS AND COIfDl'l'IOlfS.
TIlE CDH'fRAC'l'Oa MUST RAVE '1'IIl8 PDIII'r AND AP1'1h.14ZD PLAII8 All!) IIUS'1' IID'1' 1f1'1'B TIlE P.W. IIISPZC'1'Olt ON
TIlE srrz H LZUT 'ftIO laYS DrOD S'l'ARTDG 1IOJUt.
NOTICE MUST D G%VDI '1'0 PUBLIC 1IOJUaI H LUST 24 IIOOU UI'aIIB RD'1'AIl'1'IJIQ AIIT 1IORJt.
SPECYAL PROV1:SYOHR
V1
-'
street aball not be open cat for undarC)round inatallationa. lliniaa cuta MY be allowed
for coan~iona or axplontion bol_. Such cuta !mat be aa.ciU~llv aaarove bY ~.
In.".et:ttr .
pav..-nt _y be cut for undarqround !natallationa and -.t be ~zwd in accordaDca vith
1:I1e Util1ty Trench Rutoration Standard DravinCJ.
Work to be ataked by a licen.ed Land surveyor or civil BncJinaer and two (2) copi_ of 1:I1e
cu~ llheeta aant to the Public Work DeptartJlent befl)n atartinq work.
Tbe bOUZ'll of work an liaited to outaide the bOUZ'll of 7-f .... and 3-t p... for any work
affect1nq a ~ff1c lane.
~z.
~3.
V"4.
_5.
'.-1\
S'l'ANn1RD
U(!!:YP'l' Ift).
AMOmft'
PDKI'1' APPLlCA'l'IOlf PD
PLAJI CBBC1t DUOSIT
BOND FOR FAr.rBPO'1. PDFORKUrCE
$100.00
$!JOO.OO
(loot OF ERG. 1ST.)
$ \~,cc:>
.
,
.
.
~
q
(no.oo)
'--'
CASH DEPOSIT ('200.00) (4t OF BOIID, $500 lID)
PLAJI CBBC1t , IIISRC'l'ICH PD ($0 - $100,000 lot,
$100,000 - '500,000 f', ~$!J ,000 and aboVe 7t, $100 KIN)
APPROVED FOR ISSDAJlCE _ ~
for City ..r
(SEE ODD SIIZ)
........
l l!:O..e.o
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Date
r ~e
TIME
Wii P.l
10 c... :>
OCT 14 '92 04:26PM CORSTRL PRVING 408 2595772 I
_ (r "stQI Paving Inc-I
FROM THE
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Visual Organizers Inc:. (i) '987
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IECEIV~iIJI
OCT 1 5 1992
OF
Public W orbf Engineering
NAME
JOANNE DEVLIN
COMPANY
Coastal PavinR~ Inc.
ADDRESS
851 N. IinS!: Road
CITY San Jose.
STATE California ZIP 95133
PHONE ( 408) 988-7550
FAX ( 408) 259-5772
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ADDRESS
CITY
FAX (4~ ) 319, ~5 ,.)
STATE ZIP
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o PLEASE CONFIRM RECEIPT OF THIS FAX BY 0 PHONE 0 FAX.
1110.""""
CITY OF CAMPBE._L
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70 NORTH FIRST STREET
JAMPBELL, CALIFORNIA 95008
TELEPHONE 866.2150
PUBLIC WORKS DEPARTMENT
HAS BEEN REFERRED TO
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ADDRESS: !jdtf /70 3/J ' Lj DEPT.: fJW
PHONE NO.: · 37/-0 <If / J. / . DATE: /O,,j-- 7;;;J..
YOUR COMMUNICATION REGARDING e-j0 ~J~<L~~t .
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