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FORM 11-~06 <br />R£V. 7-13-81 <br /> <br />DESCRIPTION: - -- <br /> <br /> z w <br /> OD ~ z ~ >z <br />z_ OD w <w o o< ~ <br /> <br />APPROVED BY TRAFFIC <br /> <br />SITE PLAN: <br /> <br />BACK OF' CURB OR EDGE Of PAVEM~N <br /> <br />PASSENGER SHELTER WORK ORDER & INSTALLATION RECORD <br /> Greater Cleveland Regional Transit Authority <br /> <br /> LOCATION (ADDRESS) <br /> <br />LITY <br /> <br /> WORK REQUIRED: OMISC. SITE MODIFICATIONS (DESCRIBEI <br /> <br />[] REMOVE EXISTING PAVEMENT AS REQUIRED FOR NEW PAVING <br /> <br />[] EXCAVATE FOR NEW PAVEMENT AS REQUIRED <br /> <br />[] INSTALL NEW CONCRETE PAVEMENT A5 REQUIRED <br /> <br />[] 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 />D ADD FOR SEAT & BACK INSTALLATION, PER POST ATTACHMENT <br /> <br />[] ADD FOR HANDRAIL INSTALLATION, PER POST ATTACHMENT <br /> <br />[] ADD FOR SCHEDULE HOLDER INSTALLATION <br /> <br />SF@ S = S <br />SF~ S = S <br />SF@ S = S <br />SF@ S = S <br /> <br />POST <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 />IDISTRIBUTION: <br /> WHITE -CM&E <br /> BLUE -INSTALLER <br /> GREEN *INSTALLER <br /> YELLOW- FIELD COPY <br /> PINK * FABRICATOR <br /> BLUE - ADVERTISER <br /> GREEN -P.R. <br /> <br />Page WC>I <br /> <br /> <br />