HomeMy WebLinkAboutP_Pre-Inspect_106325843_170628_v1Job #:
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:
Kevin Haibeck
N S of CL
CL
106325843
6/6/17
Renton
11631 SE 163RD ST
RENTON, WA 98058
(253) 395-6935
425-761-2708JAN GARDNER
Install 50' of 1-1/8" PE complete svc (12' scat stub in R/W; 38' scat
extension on property) and set A250 MSA; 2600 EFV… Install T/L Wires on main.
1 day
N S of CL
116TH AVE SE 3' X 5'18' N S of CL
OL/03
E W of CL
SE 163RD ST E W of CL376'Asphalt & Grass
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
CL
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
11631 SE 163rd St
SE 163RD ST 116TH AVE SE PLAT 212.084
WORK
AREA