HomeMy WebLinkAboutP_Pre-Inspect_106326323_V1_170710Job #:
Date:Address:
Jurisdiction:City / Zip:
Right of Way Permit?Customer:
Est. Start Date:PM / Insp:
Est. Duration:
Existing
New Const
&
&
&
Fuel Line Length:
Mtr Loc:Fuel Line Diameter:
PLAT MAP:203 082
'N S of CL
OR/08
'E W of CL
'E W of CL
ASPHALT
106326323
6/19/17
Renton
1 day
Kevin Haibeck
1025 N 36TH ST
Renton / 98056
Building
206-604-5448
206-651-1234RICKY DHALIWAL
'N S of CL
LK WASH. BLVD N 3'X5'13' 'S of CL
Install 55’ of 1-1/8” PE complete service (12' scat stub; 43' plat extension) and set A425
meter W/REGULATOR 7400191… 2600 EFV
N 36TH ST 'E of CL644'
PRE-INSPECTION REPORT
WORK DESCRIPTION:
CUST PHONE NUMBER
Work Location
PHONE NUMBER
Size of Cut Surface Type
SPEED LIMIT
MPH
Service Information
Diameter Meter EFV
N
FLAGGERS #
OFFICERS #
TROLLY LINES
TRAFFIC SIGNAL
BUS STOP #
ARTERIAL
METER HOODS #
NO PARKS #
Commercial
Residential
Multi-Family
New Constr.
Stub
Extension
Cut & Cap
Altered Commercial
Altered Residential
Replacement Service
Main Maintenance
Service Maintenance
Valve Maintenance
Leak Repair
CP Work
Pothole
Extension
Compete Serv
5/8"
11/8"
11/4"
2"
250
425
630
1000
1800
2600
10,000
Bollards 2.5" #
Bollards 4" #
FUEL LINE PERMIT NEEDED
Template Bar
YES NO LAKE WASHINGTON BLVD N N 36TH ST
1025 N 36TH ST
WORK
AREA