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FORM ,~-206 PASSENGER SHELTER WORK ORDER & INSTALLATION RECORD <br />REV, 7-13-81 <br /> Greater Cleveland Regional Transit Authority <br />'DESCRIISTION: <br /> <br />s v <br /> o~ < z ~ ~z <br /> OD w < o <br /> <br />APPROVED BY TRAFFIC <br /> <br />PERMANENT UNIT NO. -..- <br />LOCATION {ADDRESS) <br />AT OR NEAR: <br /> <br /> ~t~ <br /> <br />MUNICIPALITY <br /> <br />SITE PLAN: <br /> <br />BACK Of CURB OR EDGE O~.i~VEMENT <br /> <br /> WORK REQUIRED: E'IMISC. SITE MODIFICATIONS (DESCRIBE) <br /> <br />D REMOVE EXISTING PAVEMENT AS REQUIRED FOR NEW PAVING <br /> <br />r"! EXCAVATE FOR NEW PAVEMENT AS REQUIRED <br /> <br />r~ INSTALL NEW CONCRETE PAVEMENT AS REQUIRED <br /> <br />D GRADE OUT AROUND NEW PAVING AND SOD GRADED AREAS <br /> <br /> INSTALL AND GLAZE SHELTER <br /> <br /> TYPE <br /> <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 />Under terms of Contract No. <br /> <br />SF@ S = S <br /> <br />SP@ S = S <br />SF@ S = S <br />S f ~· S : S i i <br /> <br />POST @ = <br />POST ~. = <br /> <br /> TOTAL $ <br /> <br />, and after joint inspection of the site, Authority authorizes contractor to <br /> <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 />DISTRIBUTION: <br />WHITE -CM&E <br />BLUE -INSTALLER <br />GREEN -INSTALLER <br />YELLOW- FIELD COPY <br />PINK -FABRICATOR <br />BLUE - ADVERTISER <br />GREEN <br /> <br />Page WO-I <br /> <br /> <br />