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PERMIT FIELD CI3[]ECK LIST <br />PMN L150109322 LOCATION: IID44 MI ©X of -A W@M.5ikc,6kf01n SUBMITTED BY: A/PD2 DATE: <br />PERMIT FOR: NBO G4EO EMERGO LK® (GRADE): � CORROSION❑ OTHER: <br />IF EMERGENCY, IS WORK COMPLETED ALREADY? YESD NOD (DATE)? <br />• AGENCY(CITYD COUNTYK CALTRANSD OTHERD): 51 fait � <br />• DIMENSIONS FOR EXCAVATION (W x L x D): " <br />• ASPHALT&) CONCRETED BOTHO NO PAVING❑ <br />• SIDEWALK CLOSURE REQUIRED? YESO NOS <br />• BIKE LANE CLOSURE REQUIRED? YESD NOX <br />• STREET CLOSURE REQUIRED? YESD NOK <br />• LANE CLOSURE REQUIRED? YESD NOF -1 <br />• PARKING CLOSURE REQUIRED? YESD NOO <br />• ANY RESTRIPING REQUIRED? YESD NO,® <br />• TRAFFIC SIGNAL LOOP INVOLVED?YESD NOS <br />• "NO PARKING" SIGNS NEEDED? YES9 NO❑ <br />• OTHER TRAFFIC IMPACTS? <br />• OTHER COMMENTS? <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br />1 <br />,ox-r"rd Way <br />wor <br />