HomeMy WebLinkAboutP_Pre-Inspect_106333184_V1_171219Job #:
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
2
N S of CL
N 5TH ST E W of CL WELLS AVE N
106333184
12/5/17
RENTON
434 WELLS AVE N
RENTON, WA 98057
(253) 395-6935
206-817-8622SAM WONG
From main# 67E406... Install 70' of 1-1/8" PE complete SCAT svc (46'
scat stub w/2600 EFV; 24' scat extension) and set A250 MSA… Install (2)x 2.5" Bollards
1 day
252' N S of CL 16'
WELLS AVE N 3' X 5'252' N S of CL
OR/08
E W of CL
N 5TH ST E W of CL16'
3' X 5'
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
434 WELLS AVE N
PLAT 207.082
WORK
AREA WELLS AVE N N 5TH ST
CL
2 x bollards