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96-270
CIT': OF CAMPBELL DEPT. OF PUBLIC WORKS 70 North First St. Campbell, CA 95008 (<<>8) 866-2150 Fax (408) 376-0958 ENCROACHMENT PERMIT (for working within the public right-of-way) =. ~Llf12 tlo ~ mit No. h-Ref. File 9 '-~70 Application Date //-/9-1'~ Application expires in 6 mos. APPLICATIfN - Application is hereby made for a Public Works Pennit 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 #, . Utility trench location C-~~L rV8t,kJ-~ fEq: CAM~L L. p..V ~ or<CHA/<J1 C ~t B. Nature of work-=f~~( t1 f~ If:; 1.-6PH-t;t3t: C.tJNPU IT -l--f~ 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 pennit. 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 pennit, 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 Gene~ennit Conditions 1 and 2.) E. TIIE CONTRACTOR MUST HAVE TIllS PERMIT AND APPROVED PLANS AT TIIE 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/Penninee~r f r C 'B'fJ L--- Address , Is this work bei g done by the property owner at their 0 The Applicant/Permittee hereby agrees by affixing their signature to this pennit to hold the City of Campbell, its officers, agents and employees free, safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Penninee he eby acknowledges that they have read and understand both the front and back of this pennit, and they will inform their contractor(s) of! e' orena on: ;VolE' 5'fJ6c/J}L /J/20t/)3/d-1l~ III '" " ( FROM S, BAY ENGR. SAN JOSE "'.~ .! a~ ~ - b,~ "'1 Ii ~ ~!I"l ~. ~~ ~ g~J~~ ~R @~i~ G I ~ ~~,~ ~ ~ i ~~~~ to I n di~ si ;q ;~!I ; i u ~ li';!"F I r --- ,1,1 "- ".. V' -\ ~ ~ _\ ~ .~ v.. CJ 1;' ,,, ~ \",,\ ~ ~~... l~' ~ ~:> ~ ~ "':':" (FRll02. 07' 97 14:42/S114:41/NO, 3561750814 P 2 J~ . 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"l~ ~t...~~---- ~ ~ ! ~ IN 8 t: .. r' I: ( ,; I"J ~ ~~ ~l 1m .. h .~ ,. -~ '<: -F:..~-:: I - C-_ --6 -;;:;;:--&, _ ,..' ,.' I 'i'/ i "!:. ' r <', i ..' '~, '" " ,. Ik i; , I " f ~ r- "/'t' ~ ,.. .. ~ I.: ';, (i I f I Gi \') ~ I "1 - I -., i ~, I FROM S. BAY ENGR. SAN JOSE (FRI) 02. or 97 14:42/ST. 14:41/NO, 3561750814 P 3 u . u IS - ,- r;; Cl ....r-... t>:r l:l"~ ~~.., u... u~ 1:1 ITI n.... ~~ iii8 ~ ,'. '"Tg Z ~I~ -0 ~ ~s ~f,;~ c ~ ~: '" ~ I -U;:IJI. 1'1 ~ 7'" J.~ ~Nf- '" u . r J~ 0 ~ .- ..... ... E <.1 -< ~...., - ~'; .. or Z'" r :ii~ ...L ... Z ... Lt' ~lil u .,.., !iI~ 0 ,... -< r ... t ..;po -f 1I .L :. i'. t:! -< ~,"1 ri '" ~ ~-f .", ,., '" ~ri ~ "! ~ ... n . ... ~~ ~ CEN~\lE. ~ @ ~ - - ---",. .. -~ u:! @) @ 19 " ~~ t~ l) SWt.\o'iIILK ~ i 'f.. ~ .. ~ ~ :~ ~ ~ t ~ -vn ...u ~ .... ~"l'~, if, ~th~ ~ ": ;;l e ~ :!: fo ~. ~ !~~f I~ HI\T1V!: uu "'~ ~ PE ~' ~; I' '" J'l~ " . "'v + AJ i~ ~I Ri'J8G r- f'l .' 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SAN JOSE ~ ~ 6~e ~~~c~ n "'''k al:l"'~C ~ ~~,., ~ ,i"I'/fi c.'J " ....~loo' '< -f SliJ~ d2i~ ;c z...~:z: c: ~~ :;~~9,iil n g~ ,.....;'-~r. -t i! ~:~i~ ~ Cl ..g,...~i ~~ l!l~.~~ Z ~~ g~~~~ ~ .S1i~c ~ ;;RRI'" a . o ~" iii n I :;; c: '" ~ -i ; 0 '" ~ ~ rrJ e ;lO ! i :: -i w :p n -t ~1Il ... ~~ <~ ~~ '" .. ~J .01:"'" ;;l;5;6li" ft'~.,..w . 19L. I 1 I rq::j ~l:ol ., NCl ~11l ~~ tv IV ! ./ t: Do ~ . . .. (FRIJ02, 01' 97 14:43/ST. 14:41/NO, 3561750814 P 4 4 "l~:r .J'" t:~ ~"~ ~ ,... ~ .. ... .. + 4 ~ . .. .. ~ I : · : .. : f ( f,~ ~~0.. f .. f .. + , .. . . f to + RPi" .. ( ~ t .. ~- 4 .. ~ .. . . .. .. .. '.' . . + 4 . L t, .t> ~. 4 . ,-''::~i~ ~;~i'- ~:::r. Ii 'j~!Il~ .~~'" ~ ~~~; ~~i':I?~ ;~~~~ ~~~B: I I" AI '1!i1r!i'~ !Iii! r= '.. .. i I ~ p'iil 8 ~ ~ z~"A~ ~C1 l ... ~ - t f .. !;l ~." Iii' 5 i ......~ '= ~ " ,~ I "",. u :i!1!Jl h~ tc." rv . . "t . . . f + f . . ~~ ;;I., ,..,., ll- C'Ou ~~ ~ .. . . . .. . . .. (~~) : . : 4 . ~ .. --t (- . .. t . ~ + .. .. .. .. .. . .. . (. .. . .. .. .. . .. .. f .. .. f . .. . .. . .. .. .. ... ~ eo. I\, 'c;. ,4 ,.....t> . n . "!~ " ~!:!. ."'\.1- \el" Ri mfo1 -f ~ " J !ll 5t ... g N 0; . , r ~ , ,- ... ~ J; " ~ ti. UNDERGROUND SHEET NO. / OF~ CONSTRUCTION DATE /"2, /1 9'" CO., INC. CALCULATEO BY engineering CHECKED BY DATE eontr.clOtS SCALE NQ},jG c./aw/Fi.t1 ~ l ~ [1 .- ~A~~~W- ", AV~, ~ 1._ , r 1 + to or- Z ~ · L ' x G ! +<1' ; e ~I , e. . Nl)~li~ ~ I. T~U;~ C/J,.JT.,,1 +v bL. i,./ ""orclA,.,c.lS \lJ1~W +~ ",~ .J eA....~~\\ ~o CItl.- -n"""> ~\"I~I~1l\'I.. I)~ \~;l,~. ~ ~ t.. w~ \01.11 DI"'l-1 we 12- i'- ON 'J'L o~ 4-"'- :::.\-1 c,4o ~ AT A T;"",cf. , ~. 't.Jo IZ: JA,.J(;6 ..,J,'t..1.,. be.. ~ ~ 'C. '.!J '-' l'\a.: ...I\~" r-le:o 0(4. .. n"1~"'( ~ W. \\ ~c.. U~&. ci . ... 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