HomeMy WebLinkAboutP_Pre-Inspect_887034146_V1_170927Right of Way Permit?
First Poss Start:
First Poss Comp:
YES ❑ NO
PRE -INSPECTION REPORT
Address: S65 me
City / zip: ON
Customer:
PM / Insp: Phil Trulson
Est Duration:
escri tion /Scope of Work
Plat Map:
"MY
]NSP PHONE NUMBER
253-324-0339
New Construction:
❑ YES n NO
vvc�rK �vca�ryrl
Size of Cut Surface Type
of CL
Plat Map:
"MY
]NSP PHONE NUMBER
253-324-0339
New Construction:
❑ YES n NO
vvc�rK �vca�ryrl
Size of Cut Surface Type
of CL
&
of CL
fio
of CL
&
of CL
of CL
�'`
&_.._......
of CL
❑
PWAGER5V
MPI I
❑ ❑ #
❑ER HOODS #
❑
SPEED LIMIT
LJ
E]ARTERIAL
ZARKS #
❑
Commercial
❑
Altered Commercial
❑
Leak Repair
Service Information
❑ Template Bar
❑
❑
Residential
Multi
❑
Altered Residential
❑
CP ]Mork
Pipe Size Meter
EFV
❑ Bollards 2.5" #
-Family
❑
Replacement Service
❑
Pothole
❑ s/B" ❑ 11/4" ❑ 250
❑ 1800
❑
New Constr.
❑
Main Maintenance
❑
1=xtension
❑ 1/2" ❑ 2" ❑ 425
❑ 2600
❑ Bollards 4" #
❑
Stub
❑
Service Maintenance
❑ 3/4" ❑ 630
❑ 10,000
❑ Fuel Line Permit Needed
❑
❑
Extension
Compete Sere
❑
Valve Maintenance
El 31/8" ❑ woo
Fuel Line Length:
❑
Cut &Cap
Mtr Loc:
Fuel Line Diameter: