NV5 Daily and Staking Grade Sheet 2020-12-23REQ
a
N
, Inc.
42-829 Cook Street, Suite 104
Palm Desert, CA 92211 ��
f'el: {750}341-3101
Fax:(750)469-408G
ST FOR
VEY
AKING
emote: This form must be fared to NV5"s office a minimum of 48 hours''in advance of requested
staking to allow for office calculations. All work needed must be' included in fax; if not
included, client mush not expect NV5 Survey Crews to commence work.
Information to be completed by NHS. All other information to be completed by client.
E Q U EST FROM:
COMPANY NAME:
DATES
TIMEV
'REQUEST REEWED BY:
*JOB �
ATE:
*TIME:
NAME:
`X"i'PE OF S`Z'AKL'riG REQUESTED (CURBS, SLOPE STAKING, SEWER, ETC,):
'FL t It t�- � r,
ik7D-)0
TO BE STAKEDPER:
CL-=.7-1
DRAwliNG No.
�63
SHEEN' NO.
AREA TO BE STAKED (USE STATIONS IF APPLICABLE):
FR -,f F i�+�_-'t,A1u�oRK �Yt4otv
LATEST REVISION DA'TEIc1
OFFSET DISTANCE: WHICH SIDE? (Right or Left looking up station):
t (;�!A -
U &t!
SFECUIC Iti'STRUCTIQN (Be specific —mark up and fax portions of plans for;darity):
CONTRACT INFO:
IS WORK REQUESTED YNLD IN CONTACT? YES NO
DATE AND TIME REQUESTED FOR SURVEY BREW TO BEGIX WC
DATE AND TIME SURVEYORS ARE ABLE TO SCHEDULE CREWS: