Laserfiche WebLink
PERMIT FIELD CHECKLIST <br /> <br />PM#: 45582562 <br /> <br />LOCATION: 19475 N Tracy Blvd, Tracy LAN ID: NRD2 Date: 12/27/22 <br />PROJECT TYPE: New Business☐ Leak☐ Corrosion☐ G4E☐ Emergency☐ Other☒: GPOM <br />• If emergency, is work completed already? Yes☐ No☐ (Date)? ____________ <br />AGENCY: City☐ County☒ CalTrans☐ Other☐: ____________ <br />EXCAVATION DIMENSIONS (W x L x D): 4’x4’x4’ <br />PAVEMENT REMEDIATION: Asphalt☐ Concrete☐ Both☐ No Paving☒ <br />• Sidewalk Closure Required? Yes☐ No☒ <br />• Bike Lane Closure Required? Yes☐ No☒ <br />• Street Closure Required? Yes☐ No☒ <br />• Lane Closure Required? Yes☒ No☐ <br />• Parking Closure Required? Yes☐ No☒ <br />• Any Restriping Required? Yes☐ No☒ <br />• Traffic Signal Loop Involved? Yes☐ No☒ <br />• No Parking Signs Needed? Yes☐ No☒ <br />• Other Traffic Impacts? ____________________________________________________________________ <br />• Other Comments? _______________________________________________________________________ <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br /> <br /> <br />ROW <br />ROW <br />EP <br />EP <br />7' <br />3' <br />2285' to Whitehall Rd <br />4' x 4' bell hole