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HomeMy WebLinkAboutP_Pre-Inspect_101112354_V1_180612October 17, 2017 EMERGENCY PRE -INSPECTION FORM 1 j lA3,5q Address: 31SiO4-1 /VC- %n s% &� Job #:x%61 ? ! city / Zip: 7� Date: Customer: .rP ✓U . I�f 1 � CUS iOW8 PHoU Nu vEn Jurisdiction: PM / Insp: Work Description c.e_. !;Tel Construction Method DRi p -31 IR ag 3 - [ ��-o�a Open Trench Trenchless SP S AkY K CW b r� j Z 7' [-ro G��[�r i �l►e� Work location Size of Cut ��i' Surface Tyne rgSS 21&S of CL T16ST— & ,'EW 3f CL_ T 'NSofCL & 'EWofCL 'N S of CL & 'E W of CL