HomeMy WebLinkAboutP_Pre-Inspect_106328837_V1_170824Job #:
Date:Address:
Jurisdiction:City / Zip:
Right of Way Permit?Contact:
Est. Start Date:PM / Insp:
Est. Duration:
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Fuel Line Length:
Mtr Loc:Fuel Line Diameter:
ASPHALT
Kevin Haibeck
267' N S of CL N 5TH ST WILLIAMS AVE N
N 5TH ST E W of CL WILLIAMS AVE N
106328837
8/15/17
RENTON
430 WILLIAMS AVE N
RENTON, WA 98057
(253) 395-6935
206-769-3033HUYEN CHI LE
Residential Conversion Service: Install 79' of 1-1/8" PE complete svc (46'
scat stub in ROW; 33' scat extension on property) and set A250 MSA; 2600 EFV. … CP work:
Install T/L wires on both IP and HP mains (see notes below)
1 day
267' N S of CL 9'
WILLIAMS AVE N 3' X 5'267' N S of CL
3' X 3'
OL/03
ASPHALT13' E W of CL
N 5TH ST E W of CL16'
3' X 3'
ASPHALT
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"
1-1/8"
1-1/4"
2"
250
425
630
1000
775
1800
2600
Bollards 2.5" #
Bollards 4" #
FUEL LINE PERMIT NEEDED
Template Bar
YES NO
10,000
N/A
New Construction
Existing
430
WILLIAMS
AVE N
PLAT 207.082
WORK
AREA
N 5TH ST
CL
CATHODIC PROTECTION (CP) NOTES
Install two T/L wires on both the IP and
HP. Bring them up in the same hole
preferable as close to the curb as you
can. Mark T/L wires with red tap with IP
and HP please. You can call me ( Bill
Johnson ) 206-571-8519 and I can bring
some rubber tags for each.