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Field Paving Formr'~l{'iI/,iii"i;;I.':iI/l/il:Till:1 11""flir:;:/11I/{1i/1/1' <br />D~le:.\\W\l~ <br />Foremon Noma:Cc.,r\o.;,SolO <br />PM Nllmber:.41.~~~~Cf_~2~-Z;:_':7~_ <br />Permit MlJ:nber:_ <br />Peimil Expiralion 0010:_ <br />Stre~IAdclress,777-::;-,pe.w Cr.:>lIe <br />Cross Streel:.Mc.ke&SOVl I'\ve. <br />Cily/GollnLy:Sk~C 1£+0""" <br />I <br />1i <br />I <br />In Clincrele:YIN <br />Reneclive:YIN <br />Conctele 1Asphall' <br />WxL <br />(-_-lea <br />ea~:::::::~ea 13'x24'117'x30'124'*36' <br />ea 15'123'1--1L-_.Jea 30'x30'132'x32'14B'x48' <br />Notes <br />PlaCe Paver I Sionei Briel<~ <br />Trame Marker Ools .ea <br />Plug 1Y"Gas ProsPacl Hole ea <br />Color:YIN I Aggregale:YIN 1 DecoralivelSlamped:Y IN <br />Golor:YIN I Aggregale:YIN 1 DecoralivclSlampcd:YIN <br />Color:YIN I AgglEgaie:YIN.I DearriltiveISlamped:'V I N <br />Coloi:Y f N.'Aggregale:YIN 1 DecoralivelSlainped:YIN <br />Other <br />AdJusURejllae.e <br />Manhole.Frame' <br />Sidewalk Gas ValVe Box <br />.Secondary Eleelrical Box <br />Valve Frame <br />Valve Cover <br />_.over <br />inches <br />Depth <br />ll2.inches <br />_i.nches . <br />Width <br />I _inches <br />I inches <br />ea <br />II <br />.11 ,4'18'112'Crosswalk <br />WxL Depth <br />._inr)les <br />inches <br />_indIes. <br />_inChes <br />._Inches. <br />D6mes:YIN <br />f Guller:YIN <br />I <br />ea Size:1141 115 <br />VIi x L Deplil <br />..lliinChes <br />Inches <br />i/iJ <br />i <br />I--- <br />f---- <br />I <br />I <br />CD <br />I~1C"llfII <br />.WxL <br />Roadway <br />Sidel'",lk <br />Sidewalk <br />Driv~wciy <br />Driveway <br />CurhRamp <br />{;urb <br />Valiey Guller <br />DOI'ials <br />Asphalt <br />Asphall <br />Mill &Fill <br />Asphall I Conerele Combo <br />Grind <br />Asphall ~ebri" <br />Asphalt Berm I Curb <br />Saw Cllt <br />Asphall <br />Conerele <br />Seal <br />Slurry I Fog 1Sand <br />Strlpln9. <br />Pai~l <br />Thermoplastic <br />Tra[nc.Legand . <br />DoubJ~,Cenler Lane <br />3M 'ScolCh Lane'. <br />Gone"rete <br />[J <br />MckeSSon Aile