Laserfiche WebLink
� .. l ?b <br /> Pacific Gas and Fieid Paving Form Permit Number: � <br /> Electric Company Permit Expiration Date: <br /> Date: (0--7-t7- <br /> �- Street Address: 532�t Ok-cWtiOd tas <br /> Foreman Name: Ch h S Cross Street: <br /> PM Number: ` 1 ! 7 CitylCounty! <br /> Concrete W z L Depth <br /> Roadway .—inches <br /> Sidewalk -,inches Color:Y I N j Aggregate:Y I N j Decorative/Stamped:Y/N <br /> Sidewalk _inches Color:Y i N j Aggregate:Y/N j Decorative/Stafiped:.Y/N <br /> Driveway ^inches Color:Y I N j Aggregate:YIN j DecorafivelStamped:Y I N <br /> Driveway ^inches Color:Y/N j Aggregate:Y I N j Decorative/Stamped:Y I N <br /> Curb Ramp domes:Y I N <br /> Curb If Gutter:Y/N <br /> Valley Gutter If <br /> Dowels ea Size:#41 #5 <br /> Asphal W x L Depth Adjust/Replace <br /> Asphalt �j 7i inches Manhole Frame ea <br /> i Fill inches Sidewalk Gas Valve Box ea <br /> Asphalt I Concrete Combo —over—. Secondary Electrical Box ea 13'x 24'j 17'x 30'j 24'x 36' <br /> Grind - _inches Valve Frame ea 15' 123' <br /> Asphalt Fabric Valve Cover ea 30'x 30'j 32'x 32'j 48'x 48' <br /> Asphalt Berm]Curb If <br /> Saw Cut Depth Other W x L <br /> Asphalt ) If 4 inches Place Paver I Stoned Brick In Concrete:Y I N <br /> crete If _inches Traffic Marker Dots ea Reflective:Y I N <br /> Seal W x L Plug 1%Gas Prospect Hole lea Concrete j Asphalt <br /> SlurryI Fog 1 Sand L_l� <br /> Striping Width Notes <br /> Paint If ^Inches <br /> Thermoplastic If _inches <br /> Traffic Legend ea <br /> Double Center Lane If <br /> 3M'Scotch Lane If 4'j 8'j 12'Crosswalk <br /> CS <br /> _- Nj ' - <br />