96-232
CITY OF CAMPBELL ENCROACHMENT PERMIT
DEPT. OF PUBUC WORKS (for working within the
70 North First St. public right-of-way)
Campbell, CA 95008 /}
(408) 866-2150 Issued V--- / f- f/? Application Date 9/12/96
Fax (408) 376-0958 Permit expires in 12 ~~ Application expires in 6 months
APPUCATlON . Applicadoo is bercby aU far. PlIbIic Worb PInDit ill au.......... wiIb CaIIIpbeII MlIIIil:lpII Code, Secdoo 11.04. (AppI~ apira ill 611Kl111bs
if die permit is DOl issued. Application Fee is -.nIuDdab1e.)
?ermit No.
X-Ref. file
96-232
B. NIIUre of worlt
EMERGENCY Main Repair
C. Aaadl four (4) copies of an qiDeered plans abowiDIdIe IocIdoII and ClIlal oldie wart. and fGur (4) copira oldie pntimiDary 1lIrP-r'l IiIci.-c of work. The
1'1- IhlllIbow lbe rNlion of lbe pnlpOled wort 10 aisIiI!a IIUlfKe and lIIIlIIrJrouDd illlptCMalCllll. Wbea Ipproved by lbe City EaIiDIer, IIid pIaD becoaIea . pmt of
Ibis permit.
D. All worlt lball conform 10 lbc City of CaqlbeII StaodIrd SpecificIIioas and DcIIIiII far PlIblic Worta CoaItructioo; lbe o-aJ PInDit O-~ Iisled OIIlbe _
lide; and lbe Special Provisions for Ibis permit. Iisled below. FIiIurc 10 Ibide by dIae CllIIdiIioas and proviliolll Day RlIlIIlID job IIJul.dowD raJ/0I forfciIuR of FUbfuI
PerfCll1lllllCe Sureties and cash deposits. (See GcoenI Permit Coadilioas 1 and 2.)
E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT THE SITE AND MUST NOTIFY THE PUBUC WORICS DEPARTMENT AT
LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBUC WORICS AT LEAST 24 HOURS BEFORE RESTARTING ANY WORK.
N_ of Applicant San Jose Water Company
Address1221 S. Bascom, S~~~se, CA 95128
T~
279-7979
24 HOUR EMERGENCY TELEPHONE NO.
Is Ibis worlc beiDa done by lhe property owner . lhdr own rrsicleDce?
Ya
No
The Applic:antlPcrmittee hereby IIreCI by Iff'IXina lhdr lipIrure 10 Ibis permit 10 bold lbe Cily of CaqIbcIl. ill offian, .... and ~Ioyea free, life and barmIeu from
any claim or demand for cIaoIIaa rrsulq from lbe wnrIc !lOYeI'ed by this permit.
Tbc ApplicanllPenoiaee hereby ICknowkdaa lbal tbey haw reed _ lIIIIknwId bocb lbe f'roat and !lIdI 1lI( IU pII1IIit, and lbey wW iDrorm 1beir COIIrIClOI'(I) of lbe
information.
Aa:cpled
Jane Leinberberger (EMERGENCY VERBAL)
(Appl~) (lip>
9/12/96
DIIc