Laserfiche WebLink
Pa��ific Gas ii r, <br /> I� Field Pavirriq �"orm <br /> r_ _— Permit Exp ration Da <br /> Date: , �- <br /> I -- <br /> Street <br /> Address: 2- <br /> Foreman Name: 1'`�� � ( i LJ ft ,�, �C) Cross Street: c!_et-, N 5 <br /> PM Number: y�y��97� _ _ City/County: <br /> Concrete W x L Depth <br /> -� <br /> Ro3civrey inches <br /> Sidewalr, _inches Color:Y/N Aggregate:Y 111 Dacorative!Sfaniped:Y/tJ <br /> Sidewalk _—inches Color:Y/td Aggregate:Y/N Decorative/Stamped:Y 11.1 <br /> Driveway _irch_s Color:Y/N Aggregate:Y/fJ DecorativelStamped:Y/Pd <br /> Driveway _— inches 'Color:Y/IJ Aggregate:Y/N Decoratve/Stamped:Y l ha <br /> Curb Ramp Dcmcs:Y/N <br /> Curb If Gutter.Y 11`1 <br /> Va ley Gutter ;f <br /> Do:reis ea Size:i.L4 I t5 <br /> Asphalt W x L Depth Adjust/Replace <br /> Asphalt " <br /> � ina�es Manhole Frame <br /> f"ul PY Fi!Iinc�he, ea <br /> _--- es Sider,alk Gas Valve Box —ea <br /> Asphalt/Concrete Combo ower ' Secondary Electrical Box ea 13"x 21 17'x 30 24 x.36 <br /> G ir,d ---Inches V3!veFrame e <br /> _ ..a 15° 1 23'' <br /> Asphalt Fabric — <br /> Valve Cover ea 30'x 3 0' _ <br /> 32''x 32" 48°x 43" <br /> Asphalt Berm!Curb !; ---- <br /> Saw Cut Depth Other W x L <br /> Asphalt r inches Place Paver 1 Stone I Brick In Concrete:Y/Pd <br /> Concrete If inches Traffic Marker Dots ea Reflective;Y 111 <br /> Seal W x L Plug 1 X'Gas Prospect Hole r1ea Concrete Aspha!t <br /> Slurry/Fog/Sand C� <br /> Striping Width Notes <br /> Paint If inches <br /> Thermoplastic If aches <br /> _traffic Legend ea ^— <br /> Double Center Lane !f <br /> 3tvi"Scotch Lane' If 4' S" 12'Cross.valk <br /> A,a' <br />