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HomeMy WebLinkAboutP_Pre-Inspect_101109064_V1_171130October 17, 2017 EMERGENCY PRE -INSPECTION FORM ()!k( -)'AC)`) Address: SE I&S*r4+ ST Job #: HO%LfO3 City / zip: Date: Customer: Jurisdiction: PM / Ensp CUSTOMER PHONE NUMBER : Work Description RSoAt ua 5EaQlCL IZEPuua JJAVO 14 Construction Method Open Trench ❑ Trenchless ❑ KETCH a v N 7 s 9 Aldi PzAwN ro sc4a Work Location Size of Cut Surface T l2e jS 'NXofCL S & kQZE.WofCL WM SG {2 x 2` F_,nPUT H &c 'N J of CL & IGO'E VO of CL 126'r" Ave sC G` &; F,A0-TH :! 'N/ of CL iws " Sr & _jc2} E of CL W' Aic sS V x 3l GART-0 t S C r co Lul W u; w , � DS K41 ��pe _ 1 _ rn `_, N%i II 163rctI 5 E Q e�pu�9s a� co 160th Ave SE iAt t 156th Ave SE II I m LU 148th Ave SE ob V) \rlp .mac ca P o �a C u� Q s 3SAtI410b! 0 140th Ave SF CD 73t � ai Q LL ams 734AII Ave SE o ar (3) C) I'D Lf) µ r r U �] 0 * U 4 n LU CD 124th Ave SE OLu ro 120th Ave SE co cY C1. *" 116th Ave SE En 116th Ave SE O i oco C [� 3SaAy414Lt r co _ eu w U.l -fulo M z Z z C Lu p a S �(117k Talbot Rd S o lit1 — 4 I f IDUnd Ave SW a � sco a) II - P S 84th Ave S 841h Ave c, � 1 cn apt1� ti r� 0- Oakudole Ave SW i 80tH Ave S � I � V �ti �.. 77th Ave S E,� ® Cl) DI S aAV PaZL rn 72nd Ave S r'LU_: p e