HomeMy WebLinkAbout- Miscellaneous - 12/13/2018 I Of
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Roadway ork Notification Form Page: 1 of T
Start Date:,ZZ� Start'Time: � End Date:j/ .,. �....___._. end me: 3 �
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Construction:No. Bridge Inspection, El Maintenance Crew
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permit project: No. � � Other:
District: / City/Town: d.
Roadway: /l'� urn >r Direction: NB SB EB WB OTi-TER
From: To: 1,11115lle 16/
(F.eII i arinteraectiq Street) (Eri(N or Interjecting Street)
Bridge No.: ,�'tJ_ over
(Roadwrcry) (Roodway,Watemay,Railroad,Other)
Ramp Closures:
Exit From, To,
(Roadway&Ditution) (Roadway&pirmtioa)
Brief Description of Work: (Attach second sheet for multiple lane closures or additional information)
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P,4-vx-e11n e S/" H �A c to c�s_c S y1�9
S =Shoulder L=Travel Lane nbJj./e,1-
O Open ( _ -
W X = Closed , rr
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Contact Person: - L /' ' s't _ RAd.io IU:
Cell Phone: % - Office Phone` - ,
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Recommended: �Approved: Iastc:
1
TOC Pax lqo:617 310-4789 or 617 W-4799 TOC Ernall�TOC(6lmar4ters.com 5111ov smar1rave1or.s,xrm