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FORM ! 1o206 <br />RleV. 7-I 3-8t <br /> <br />C)ESCRIPTION: <br /> <br />PASSENGER SHELTER WORK ORDER & IINSTALLATION RECORD <br /> Greater Cleveland Regional Transit Authority <br /> <br /> OO ~ Z ~J >Z <br />Z_ OO m <U O O< <br /> <br />APPROVED BY TRAFFIC <br /> <br />PERMANENT UNIT NO. <br /> <br />LOCATION (ADDRESS} <br /> <br />MUNICIPALITY <br /> <br />SITE PLAN: <br /> t ! t ,, · <br /> <br /> WORK REQUIRED: r"~ MISC. SITE MODIFICATIONS (DESCRIBE) <br /> <br />E} REMOVE EXISTING PAVEMENT AS REQUIRED FOR NEW PAVING <br /> <br />E] 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 />[] INSTALL AND GLAZE SHELTER <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 />Sf~ S = S <br />SF~ S = S <br /> <br />POST <br /> <br /> TOTAL S <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 />IIDIsTRIBUTION: <br />i WNITE - c~ i, E <br />Bk, UE -INSTALLER <br />GREEN -INSTALLER <br /> YELLO~- FIELD COPY <br />PINK - F&BRI¢&TOR/ <br /> <br /> . ~.~: .... <br /> <br /> <br />