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96-271 CITY OF CAMPBELL DEPT. OF PUBUC WORKS 70 North First St. Campbell, CA 95008 (408) 866-2150 Fax (408) 37tH>958 ENCROACHMENT PERMIT (for working within the public right-of-way) Permit No. X-Ref. file 96-271 Application Date 11/21/9 6 Application expires in 6 months APPUCA TION - Applic:ltion is bercby IIIIIIe far a PlIbIic worts Permit ill II:llOrdIIII:c wiIb CIaIpbeU MIIIIicipII Code, ScaioD 11.04. (ApplWcioa ellpins ill 6 DIlIIIbs if lbe permit is DOt iuued. ApplicMion Fee is 1IOIH'dIIIIdIb1e.) S/S of Apricot, 400' W/O Bascom A. wort IIIdnu or IIXl , UtiIily lI'aICh Ioc:aion EMERGENCY Main Repair - 2'x2' cut in asphalt B. NIIure of wort C. AlIacb four (4) copies of l1li qineered plans IIxIwiDIdIe Ioc:DIII 8Dd ClllaIl rJldIe wart. 8Dd faar (4) copilll rJldIe ~ ~I Em- rJI wmt. TIle ..... IbI1IIbow Ibc reIIlion of die proposed wort ID CI.isIiDc IUrfKe 8Dd IIIIIIcrpuuDd illlpto._. WhcD IIIppftMIlI by die City &ap.r, IIid pa. ba:aaI&lIa,.n of Ibis permit. D. All wort shall conform ID Ihe City of CampbdI Scaadard ~ _ DcIaiII far PlIblic worts CoaIaucboo; die 0cIIenI Pamit r-'__ IiIIed 011 die rm:ne lide; 8Dd !be Special Provisions for Ibis permit, IiIIed below. FIiIure ID mide by dIae CCIIIdiIiaaa IIId prmiIiIIIII may IIIUIl ill jab Ibul-dowa raJ/or farfeiIure rJI FIiIbfuI PafOl'lllllllCC Suraies _ cash deposits. (See 0cIIenI PmDil C"""irinqs 1_ 2.) E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT THE SITE AND MUST NOTIFY THE PUBUC WORKS DEPARTMENT AT LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBUC WORKS AT LEAST 24 HOURS BEFORE RESTARTING ANY WORK. NamcofApplicant San Jose Water Company T~ 279-7979 (prim) Address 1221 S. Bascom, SanJose, CA 95128 24 HOUR EMERGENCY TELEPHONE NO. Is Ibis work bein& done by the propc:ny owner at their own nsidelx:e? Yes No TIle Applic:anllPcrmiacc berc:by acrees by atrWnc Ibeir lipaurc ID this permit ID bold tbc City of CIaIpbeU, i&s oftian, .... _ cqIloyas free, __ bIrmIca from IIIIY claim or demand for damaaes I'llSUIlina from die wort covered by this permit. TIle ApplicalllJPmniace bcn:by acknow1edaes Ibal tbcy have _ _ IIIIlIcmaod bocb die froat _ bIct of Ibis permit, IIIId !bey will iDform Ibeir ....d~I) of die information. Accepled Jane Leinberger (EMERGENCY VERBAL) (ApplicaDllPermiaec) (lip) 11/21/96 DIfe .-- " " '..-,., - -... ... -- .". ~~fi~,1~4.~.~.~j~~~~.,< _3. Work 10 bullcedby alicerJled LmclSur\leyororCiYllED.P-lIIdlW4(2)CIlpieaGftJleQlt...&elltto1be:~WIIID~ Wori:.... wuL.... > _4: .:mrS::::':::~~4:Z..dC::=-:Z;;'~=s:~~~~~~HIlI'~~~.<iDquiry.. _5. . .' ,.- ..",',". . , . "." ."" SEE PUBLIC WORKS FEE ScHEDULE POR~FEEll/ <..............................................................................~. <.......<..............> > ....~..........: U<:ElPrNQ. ).:.(..:..,i - . ............... ......... ..... ..HHH H. . H~i' ii1!12l;/,i:~iii%!'jiii; _ PERMIT APPLICATION PEE . .. . .. .. . .. .. PLAN CHECK DEPOSIT . ... ......... ... ... ... ...<.... ..H... .H. ... SECUJUTY FOR FAlTHFUL PEJUioRMANcEILA& WA'l'lDUAUnn.. ..H .. < CONSTRUCTI CASH DEPOS411.. .... . . . ... . ... ......... H H... .H...H. ... ........ ........ . ............. ON _..................................................................................:.,'.-.,.:......... . ... '--' - -. --- . -- _.".-..-.----..... ,',.--.......--........ ....,....-...-.-... , . "..,. - ".----- ...-..--..............-.,..-......-... .'..-..... ........ "',"" .., -",", ',-' ....-.-.......-.-.-... '.-....,. .,-,-..-,-,..,-.-.,..........-,-...'...',.....,.....-...,'.........'-..... PLANCHECK&JNSPECTlONFEE. .. ... ... .... ...............H. ....... ......... APPROVED FOR ISSUANCE... ... .. ~ .... .... W....... .. ..... ..... ............. ...... >. . ... .. . ... for cay Euaiaeer .- -' ," -. -..... -' - '. ----... .. - - . , , "', - . , ".-' . . ., ." -. .".. ..".. .---., ,.... ..." -. ,._-, . ,""0'_"""', . ..."..." ".... .., , .._. ..",......."., ..- ...-.., ,... .. .,...- ....--." ,,--...,..- - ..., . ., . '" - ,...., "....- .. --. .., ,,- , .... -. -. .,. - - ,., .,. .... .. ,... "..." ..", ,.,..- -- -.. . .... .... ,.,..,.. ..- ..., ..- -, -.. . _...,.... .._ ". d.. ".__... ,...,..,.. ..... "......-. ... ...-----.....-, --.,.. .. , ,,- ",.. - - --.. ..- -.. ,. .-- -.. --- ""...-, . -.-.. ---.-',".. .. ,..." -- ,.... ,. -- ....- , .--.. "..- ,.... - ..-. .-. ..l/~i!(;.....'...... /....... .............. . .':';"'--: 9