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'C'408 3i9 25i2 CITY OF CAMPBELL 141002/003
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Al'PI.:ICAnC~ ~~tion :i.a ~c it JO&' ~~~ ~ ~!t ~ ~ vi1:a ~ ," "'Il~1
llunicipal e, on 11.04. App ca OIl ____- , 1a IID1: ~J .ii)Uf
A. Work acld1'e.. or 1:ra= t /' 2347 Pollard Court, Campbell
05/03/93
09:13
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DEft. CW 1'UJlJ..1:C .....
7t'. N01"tl1 P1nt st.
c..ph-ll, ~ '50Da
(608) 116r2130
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B. "1:uz'1I a~ ~rk: to clear contact with other utilities as indicated on the attached
sketch.
c. Attaeh ..ven (1) c:cpi.. of an -ViftMn4 d2:1nriDq IIIlc:nribw =- laaa't1oft, ateftt ad .u.u1ons ot
t:hA work. TbAll Ueytq UUl ~ tha raJ.ataaD. ~ 'tba ~4.Ml 1IIOZtt 1:.0 GiIIi:1ft9 lRII:':faca and
und~ tIIp~t8" WhIID approw4 ~ .. C1q _1BMt', uU dhviDg bIII:;;......... . PNt at
'tb1. pezsit.
D. All work aball t;onfClZ:lll tG Uta c:1.q'. ~ COM1U0a8. SAalIBd Claaab.-.tUon h'cw1a:l.cma uad
Sta.nd.ari COnst:z'W::dOD Detail. tor PUbl1c lIOn. c:au1::ra.ctiaf, tba GeMnl l'etm.t: COM1Umw
11111:ecl em the NV*1'H .:l.de: aid the 8pec:ial l'Elwulomw t= w.. pu.it. 1J.Irted ~GV. PallDr8
~ abide by ~. ecmcU.'e1~ns end pravulcma way ZMUJ.~ 1a 1ee. ~ aIdf= ~ei=n or
Fait:hful. Pertonumca SUZ'at:1_ Ud ~ dttpc8ib. (... c:.-:a1. !Ie:It.1t: C!DnlUUrm:: 1 fWd 2).
E. A non.n:tlml:lablla IIpplil:.lltioa f.. IIat ac:callPUlY 'Cb1a app11c;:ac.1on.
.... at 'Appl1caD't Pacific Gas & Electric Company Ihl........' (408) 725-2010
~&S 10900 N. Blaney Avenue, Cupertino, CA 95014
Is. this work being' done by 1:b. prap&rt:y ~ .~ ~ aw& n.1"-? -:tea --J:lO
CampleU aDd .'eta.. lfarku'a" c..:...-wa't:l.cm. aDd ~ mromaUoD roz-.
me Applicant/PUBit'tae bV8by aqrees by attix1Dt tIuIir Utnaaan u au .-a1t t:a bold the c:1.'ty of
e.mpbell, iu officers, ..enu aftd .-play... tzw., ..:te &Id banal_ tzaa any o1d.a OZ' daan4 tor
dama988 ruul t.1nq t~ tbe work c:avend Dr thU pc'Id.t:.
'l'he Applicant/Pezmitt.ee !uIraby acbIovledg_ t:bac 1;be.y ban nacl ad ~ J:K)t:h 'the t=ftt Cd
bacJc; af tb1s t" aDd t ):bey w111 Uatoa ~ ~.) ~ ~ UfoaaUan.
Ac:c:EPT!:!)C/ / c' '. 't.-1,~ (hns frV-t. It (:n 1~()reP1/VV ./' 11/8/96
Applicam (PulI1=a&) pra~/.ign Dau
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S'1'AHDltRD DlWfDlGS AHO CCzmrtt01fS.
'l'KE eoNTRAC'I'OR MtJSt' 1!1.VJ:: 'l'B%S :nma1" .AIfD ~ PI.UlS AT '1'DE srtE AIm IIUS'1' MEET wrm 1.1Ir: P.w.
DsnC'%'OR AT ~ Sr1'E A'l t.EU'1' '1'ifO DUB IEFORE SDJI:!rDG WORK. APl'LIc:azr.r 1IDS'l' COH'D.C'.1" '!lIE DlSPEC'1'OR
1'0 AIaWfGE A FDLD ~G.
NO'1'Ia: HtJS'l' BE QIV!:N TO PUB1.IC: womtS A'r t.l:AS'1' 2f BCJDRS ~ JIES'DRlDl; MY tICRX.
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SPECI~~ ~:trORS
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suaAt llbell not Z. crp-..!: = t:= ,=~...~::;-.4 ~';:a11a'CiaJw. llI...fti~.:uta _y be allClWad
f~ ccmn-=ic:ma or &:ICplorat:1cm hol... 8GOtl. c.u ~ bit _ffl'feal.l.v 1I-1.~~1Id ~ ~A
t~~lI!lI~O~ 'ftr1~~ 'too errt:t:!",.
Pav-.m: 1lIIlY be cut t"02:' WldergrauDd 1uUllad," aa4 Ia8't .. ~ 1D ~ vit:h
1:he Utality ftenI:h ae.t:oradoa standazd DnviD;'.' .
1f01'X ~ be ftabcl by a l1canH4 x.aQd. SUZ'ftrOZ = d:rillDg'iMu aDd bra (2) aap1_ of ~.
cut lIh_ta lMnt; to 'l;ha Pabl1c Work Dapa~ ~an ~ vaEk.
'!'he hOUn of work are ll1zd.ted to ouu1de tae boun of '7-9 a.... ... 3-ti p... fozo UIJ' voz:'k
affa=inq . U'atfic: lane.
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c::lsH DEl"OSIT
P'lAH CBEC1t ~ ~0If
Next $30,000-$80,000 10'
APPRovEc FOll ISSUANCE
$Z1O..00
$Po.aa
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(Ftnt; $0-13D,000 14': $ Iclo. 06
t:baD $aD. aoo n, $ZOO .ba.)
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.
, REQUEST FOR CATHODIC PROTECTION WORK
TO: GAS T&D. X
GAS SERVICE
FOR RECORDS ONLY
'DATE AREA DOWNJ 0 -7 - '1b LOCATION: 2::347 po (,..C-- A fi;l. D LT.
PERMIT REQUIRED? '(~S .
PERMIT # CROSS STREET: POL.'-4RD Ro.
CITY: C. A. "^ .p e' -e LL..
C.P. AREA: 3Y7~-nc-' DATE:-LI - ?, - q C:::,
DATE SENT TO: B. PRl(::) R
CORROSION MECHANIC:
GAST&D W. 1/
INSTRUCTIONS: PLEt\<5 S' e)( Po csE: Gc....S
GAS SERVICE
MAIN I~ LA.. lA.) N AREA.. A p~ Ro)<' {N\A-rr:; L'r
501 6/0 'POW-4R.W c...--r: Ou-J Pc> u..,l\:~,' "
**FOLLOW-UP DATE: QD" At-J .D ATT:4G-l---\ "2 3'2 L-g/ MAb
A t--.-lor;S5 ~
SKETCH:
. (see attachment)
.. ORPE:.~ it:.
ACCOUNTING: WO/OM 2.002..'3 (
ACCOUNT SUBt ACCT
**PLEASE NOTIFY CORROSION MECHANIC PRIOR TO STARTING
A UNDERGROUND CONTACT JOB**
COMPLETED BY:
DATE:
**PLEASE DO NOT EXCEED THE FOLLOW-UP DATE**
***caNT ACTS MUST BE CLEARED WITHIN 5 WORKING DA YS***
RETl'RN TO GAS i\1&C DEPARTI.1ENT, 10900 N BLANEY A VENUE. CUPERTi.'iO
APPROVED F()r~....()r'\,!STi~UCTION.
r '" bell
Pu ilc V.;C"n ..~ CL 90 -~
r: '~,:;,~ /'JVC these pians
fi sit 2 during canst-ruetion.
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GAS T&D:
1. OBTAIN PERHIT
2. NOTIFY GAS M&C BEFORE STARTING HORK.
3. EXPOSE A.~ CORRECT CONTACT OR FAILURE.
fb
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~ DIRT t..AW N A. e:e.A.
o STREET
o SIDEHALK
WALL MAP: :3 t..f 7 3 - A7
CP AREA: .3 ~ 73 - 0 b
APPROVED BY
REV. DATE
DESCRIPTION
GM OWN. CHKD. SUPV. APID.
81M
DWG. UST
SUPSOS
SUPSO BY
SHEET NO. 1 SHEETS
DRAWING NUMBER REV.
GM
SUPV.
OSGN. c::t,T'R
OWN.
CHKD.
Q,K. _=-
DATE I SCALE
1"=100'
CATHODIC PROTECTION EXCAVAiION - 3' X 3'
ADDRESS: :2. ~ l-{ 7 poL-L..A..RD C.:"\..
CITY: C-Atv\PR E:" L-L-
PACIFIC GAS AND ELECTRIC COMPANY
SAN FRANCISCO. CAUFORNIA
m
Pacific Gas and Ele<.. .~ Company
De Anza Division
November 8, 1996
City of Campbell
Dept. of Public Works
70 N. First Street
Campbell, CA 95008
Attention: Randy Westfall
Dear Sir:
10900 North Blaney
Cupertino, CA 95014
Please return the approved permit to Mike Hodson, Construction Foreman,
10900 N. Blaney Avenue, Cupertino, CA 95014.
If you have any questions, please telephone me at (408)725-2010.
Sincerely,
(/ )) Ic'/!~ iAzihn-1 R~
Mike Hodson
Construction Foreman
MH:k1t
Attachments