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FORM 1 !-'206 <br />FLEVo 7o13-8! <br /> <br />PASSENGER SHELTER WORK ORDER & INSTALLATION RECORD <br /> Greater Cleveland Regional Transit Authority <br /> <br />xs P ,/ <br /> OO ~ z ~J ~z <br /> oo ~ < uo o4 ~ <br /> <br />APPROVED BY TRAFFIC <br />SITE PLAN: <br /> <br />~PERMANENT UNIT NO. <br /> <br />LOCATION (ADDRESS) <br /> <br />MUNICIPALITY * <br /> e c:=, <br /> <br />BACK OF CURB OR EDGE OF PAVEMENT""--,~ <br /> <br /> WORK REQUIRED: D MISC. SITE MODIFICATIONS (DESCRIBE) <br />[] REMOVE EXISTING PAVEMENT AS REQUIRED FOR NEW PAVING <br /> <br />[] EXCAVATE FOR NEW PAVEMENT AS REQUIRED <br /> <br />[] INSTALL NEW CONCRETE PAVEMENT AS REQUIRED <br /> <br />[] GRADE OUT AROUND NEW PAVING AND SOD GRADED AREAS <br /> <br />0 INSTALL AND GLAZE SHELTER <br /> <br />SF@ $,, <br />SF@ $ <br /> <br />= $ <br />= S <br />= S <br />= S <br /> <br />SF@ $ <br /> <br /> TYPE <br />[] GLAZING CREDIT IF OPENING RETAINED FOR AD PANEL <br /> <br />[] ADD FOR SEAT & BACK INSTALLATION, PER POST ATTACHMENT <br />[] ADD FOR HANDRAIL INSTALLATION, PER POST ATTACHMENT <br />[] ADD FOR SCHEDULE HOLDER INSTALLATION <br /> <br />POST 6' = <br />POST @ = <br /> <br /> TOTAL $ <br /> <br />Under terms of Contract No. , and after joint inspection of the site, Authority authorizes contractor to <br />make a shelter installation as described above and in accordance with the Contract Documents. <br /> <br />Authorized by: _for Authority <br />Accepted by: for Contractor <br /> Date: <br /> <br />IOIsTmeuTlON: <br />IWHITE .CMA Ir <br /> <br />I GR£1rN -INSTALLER <br />IYELLOW- FI[~D COPY <br /> <br />IGREEN -P.R. <br />[GOLD - TR~F~ <br /> <br />Page WO-1 <br /> <br /> <br />