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PERMIT IT FI E]LD CHECKLIST <br />PM#: 45752587 LOCATION: 705 S GERTRUDE AVE <br />LAN ID: MRDE Date: 6/29/23 <br />PROJECT TYPE: New Business El Leak® Corrosion❑ <br />G4E❑ Emergency❑ Other❑: <br />• If emergency, is work completed already? Yes❑ <br />No® (Date)? <br />AGENCY: City❑ County® CalTrans❑ Other❑: <br />EXCAVATION DIMENSIONS (W x L x D): 4X4X4 <br />PAVEMENT REMEDIATION: Asphalt® Concrete❑ Both❑ No Paving❑ <br />• Sidewalk Closure Required? Yes❑ <br />No® <br />• Bike Lane Closure Required? Yes❑ <br />No® <br />• Street Closure Required? Yes❑ <br />No® <br />• Lane Closure Required? Yes® <br />No❑ <br />• Parking Closure Required? Yes❑ <br />No® <br />• Any Restriping Required? Yes® <br />No® <br />• Traffic Signal Loop Involved? Yes❑ <br />No® <br />• No Parking Signs Needed? Yes❑ <br />No® <br />• Other Traffic Impacts? <br />• Other Comments? <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, <br />NEAREST CROSS STREET, CURB OR LANDMARKS) <br />R <br />i <br />