96-163
em O!~ CAMPBELL
DEPT. OF PUBUC WORKS
70 North Farst St.
Campbell. CA 95008
(408) 866-2150
Fax (408) 376-0958
E.~eROACHM[!\i PER.\1IT
(for working within me
public right-of-way)
Iuued 5/3/Cfro
Permit expires/in 12 mos.
Pem:il No. 96-163
. X-Ref. tile
Application Date 5/3/96
Applicalion expires in 6 mos.
APPLICATION - Applbcicm is bercby IIIIde for a PIIbIic Warts Pamit iD .......... willi CaIIIpbeII MlIIIi:ipII Code. Seaioa 1UN. CAppH-l- apira iD 6111Dmbs
Ir lbe permit is IIlIt iuued. Applicadon Fee illIIlIHeftaDdIbI.)
A.WClltlddrcuorllll:ll 512 De Carli Court (x-st Capri)
Utility InlDI:h ka&ion
B. Nallaftofwort
EMERGENCY Service Repair - 3'x3' cut in asphalt
C. AlIIdI four (4) copies of all qlDce...d p-.Ibowlaa lbe Iocadoa and CIIaIl of dII wart. ... four (4) lllIpica fIIlbe pI'CIImil..y ........ ~ 01 wort. 'Ibe
p-. aba1l show the rdaIioD of the pnIpOIed wart co CIiIdD& aurfacc and lIIIlIcrpaUIId .....v--A. WllllllIIppnMld by lbe City...... IIid plan becama a part of
this permit.
D. AU wort aba1l COlIform CO lbe City 01 c..-o SlandanI SpecifIcIdam II1II DelaiIa for PUblic Warts 0......... lbe o.nJ ..... C~ IiIled _lbe maae
.ide: and the Special ProviaioJll for this permil, IiIIIed below. Failure CO Ibide by dIeIe CIOIIdidoaa and pnwiaioaI may .-It iD job ......... and/or farfeil1R of FaidIfu1
Performm:c Sureties and c:ash depoails. (See GcacnI ..... C""C!idcIIII1 and 2.)
E. THE CONTRACTOR-MUST HAVE TJDS PERMIT AND APPROVED PLANS AT THE SITE AND MUST N011PYTHB PUBUCWORlCS DEPARTMENT AT
LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBUCWORlCS AT LEAST 24 HOUIS BEFORE RESTARTING ANY WORK.
Name of AppIicaDt San Jose Water Company T~ 279-7979
24 HOUR EMERGENCY
Addrcu 1221 South Bascom Avenue, San Jose 95128 'I'BLBPHONB NO.
11 this wort beiDa done by the property oweer . Ibeir OWII naideace?
Y.
No
'Ibe ApplicaallPcrmialc bercby ... by aftWnJ Ibeir ......co this penDi& to bold lbe City of ~ ill aftIccn, ..... and ~ ,.., ..... ....... fnlm
Illy claim or demand for damapa resuIIiDa fnlm lbe wart CIMnd by this permit.
TIle ApplicamlPamiaee bereby a-Iedaea lballbey bave .... and IIIIlIencaad boda lbe fnIIIl and bIct 01 dIia permil, ... lbey will iaIanD lbeIr COoA__ (.) of lbe
iDformllion.
Ac:ccpled
Jane Leinberger (EMERGENCY VERBAL)
(ApplicalllPamiaee) prilllllip
5/3/96
DIre
2::J!fI',; "'~ . ........r.ii~~j~;;iifiii~~~;:;;i;j..;;i.11~iiY'!'&ll~>~;;;..lii!
..<'<!:( ...........,. .Ytbi9rE8Jiaier. ..'.... . . .., :.i -...j ....1
.,.. . .,..... . .1': '[iff! .~;.I ...l.;!.. ., .. ... . ....... ....:.:>..>. ... .
\ ..< ....... ......... ... ....... .H.> .... ... ...........j)H . <>>> .... . ... . ..u... ....... .... .....]1
.>., ....... .... ..... .........>. ...../< .i> ............... ...... . .,..... .' . ....i .. ......... ....... .. ... . ... ............. ...... ...........11
J:uonns rev.4/!iIO