Laserfiche WebLink
Field Paving Form••Pacific IJil.S am/ <br />~e~~::i~i~f/~ <br />Foreman Nam;:(;V~~-_ <br />PM Number:-.J2b=L~~~3~_ <br />ConGrale W j{I-D~ptli <br />Permi!Number:-_-- <br />Pemill ExpiralionDale:_ <br />Sireel Address;1'136 (;.1D:th_S_'T~.'~_ <br />Cross Street:"B ~ <br />.city/County;5'\oC¥--WfJ <br />CD <br />10Concrete:.Y I N <br />Re~e,!iVe:YIN <br />Concrele JASPh~ll <br />I-_-Ieaea I!---lea 13'x 24'117'X30'124'X36' <br />I-----lea 15'I'23'.1---1.'-_.Jea 30'x 30'132'x~2'[48'x4&~ <br />O\ijer Wi<!,. <br />Pla.cePaver ISione I Brick ~ <br />1raffic Maiker Dots .ea <br />PIU91y,'Gaspro~pecIHOle ....ea <br />Not~~ <br />j3g,L Hok ,,,,~n,,,"'+t-{~'13_b_._ <br />Adju~tlR.epiace <br />Ma.nhlileFrame <br />Sidewaik Gas Vaive Box <br />.Secondary .Eleclrical.Box <br />VaNe Frame <br />Valve:C6ver <br />C.o!or:YIN I Aggiegate:YIN I.Decoralive/Stamped:YI It <br />.Cblor:YIN I Aggregate:YIN I De.90ralive!S.lamped:YIN <br />.Coioi:YIN IAggrega)e:YIN i pec<iralixe(Sta)nped:YIN <br />Color:Y IN IAggregale:yiN IDecorative/siamped:Y/If <br />4'IB'lit.Crosswalk <br />_inches <br />-'---inches <br />Dept" <br />~iilches <br />_.inchi$ <br />Width <br />_..Inches <br />_.inches <br />._.I~ch~s <br />_inches <br />_._inches <br />Domes:YiN <br />Guller:y IN <br />a <br />a Size:1i4I #5 <br />W"XI-Depth <br />i:.-inc~es <br />_._..inelies <br />_._"~over_' <br />_inChes <br />If <br />II <br />e. <br />If <br />If <br />c:'5' <br />II <br />II <br />II <br />e <br />.Roadway <br />Sidewalk <br />.Sid~Wi!lk <br />Driv~i'lilY <br />Driveway <br />CUlbRamp <br />curb <br />ValJeyGulier <br />Ooviel~ <br />A.phal\ <br />~MiII&Filr <br />Asphalll Concrete Coni.oo <br />Grind <br />:AsphaliFabrio <br />A.phall Berm iCurb <br />.S.weljl <br />~~""::>po.crele <br />Seil\ <br />.SIUffYI Fog ISand <br />Striping <br />pEin! <br />1tiermoplasfic <br />1r<lffio LegenD <br />po~oleCenlerLane <br />-3M "9c61~h~~ne~ <br />..!. <br />J <br />.1 <br />, <br />..: