96-168
CI ry OF CAMPBELL
DEPT. OF PUBLIC WORKS
70 North First St.
Campbell, CA 95008
(408) 866-2150
Fax (408) 376-0958
ENCROACHMENT PERMIT
(for working within the
public right-of-way)
it No.
". - _cf. File
qlo-/~
Application Date
Application expires in 6 mos.
5-3- fC:.
APPLICATION - Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code, Section 11.04. (Application
expires in 6 months if the permit is not issued Application Fee is non-refundable).
A. Work address or tract # ,,1/(;r/h J/~~ 0/ CQ/??,o6~// At/~. t:?/""//"OX. /PtJ f'"'~
Utility trench location .A//~ V/7h!?/'? A.v~.
.,
B. Natureofwork EXcav<:?~on re?v/rt:"c/ To rt:"-ro~re.- ~x/'s,( pr.l"rnory ,c"e?C/hiy"
C. Attach four (4) copies of engineered plans showing the location and extent of the work, and four (4) copies of the preliminary Engineer's
Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by
the City Engineer, said plans become a part of this permit.
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction; the General Permit Conditions
listed on the reverse side; and the Special Provisions for this permit, listed below. Failure to abide by these conditions and provisions may result in
job shut-down and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.)
E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT THE SITE AND MUST NOTIFY THE PUBLIC WORKS
DEPARTMENT AT LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBLIC WORKS AT LEAST 24 HOURS
BEFORE RESTARTING ANY WORK.
Name of Applicant/Permittee PaCth c;qJ f Etecrr/c
Address /CJ?~O #. g{.q~~y Av~. Ct.l'p~r?f;Q_ G.
Is this work being done by the property owner at their own residence? Yes
Telephone ? Z.5 - Z / .? C,
9.5(')/4-
v--- No
The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, its officers, agents and employees free,
safe and harmIess from any claim or demand for damages resulting from the work covered by this permit.
Date
1_':'11' ',. ~
, ... .
:) 199f
Non:,
-(RENCH ocr A J L
P.G.& E to Trench and Backfill in Franchised Area to
Re-Route Existing U.G. Facility to avoid New Structure
I ( 12" ~ I
Min.
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36" Q ~E BACKFILL
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4" Min. Sand Bed
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OlrrBACK
S-rfAKHOUSE:
EXISTING PRIMARY SPLICE BOX
\J CUT AND RE -ROUTE 4" CONDU I T
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_ ~ __ ~ EXIST" CURB r REWYED _ 'XI ST. GIS l IN, / ~ ~, ~) ;::::::~T::::::~~~UIT
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CAMPBHL AVfNUE
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A - p... UVEO j OR CONSTRUCTION.
~ City of Campbell
PUblic \'\Iorks Permit No. LJb- / foB
COfl' ,;J( 'Of n,~,:.r,:t f?(!iI>":'< --hf..lSC IP/ans
,r i h(- i,,;l ~;:i'{~ r}'uJ>u-','f ');!1.'trc.JctL)n.
CITY PERMIT SKETCH
OUTBACK STEAKHOUSE
CAMPBELL AVE APPRO X 150q E/O UNION AVE.
CAMPBELLq CA.
PACIFIC GAS AND ELECTRIC COMPANY
SAN FRANCISCO, CALIFORNIA
!
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H-16-17
INSUL DIST = 3
VOLTAGE CLASS = B
81M
OWG. LIST