106328536 _ Shawn Wright's Natural Gas Conversion _ PreInspect.pdfJob #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106328536
8/9/17
Edmonds
Yes
10/23/17
112 Day
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
18911 94th Ave W
Edmonds, 98020
Shawn Wright (306) 794-2902
Samuel Alexander (206) 771-3463
Job Description / Scope of Work
Install a 9' stub and a 180' extension of SCAT 1-1/8" PE from the main located at IIXE of the C/L
New Construction:
of 94th Ave W and 245'N of the C/L of 190th PI SW. Install an A250 MSA. Service to be installed
No
outside of the sewer's 1 Oft easement. Type 17 aggregate to be used as base course for the
Construction Method
All Scat / Trenchless
pavement repair.
PLAT Map:
161067
t
N
P/y
ROW 60 TT P/L
C/L
I a
1 N I GRASS 00
w
Ib.0 N 1 u
I
�
I.x 1
P/L
J �I�
1-118" PE
Private Asphalt Driveway
Existing Sewer Easement
I
Y
I I
P/`
to GRASS
I I 1
EN
U
o
U
I
I I I
I I
A250 MSA
I 1 Y
w
N
31
< N
0o m �
3 i I 0
I I EI
v
> I 1 0
r I 1 I cl
a
I
O1Lj
;.. I I I " 1
P/L
.............................................
190th PI SW
Work Location
Size of Cut
Surface Type
10'
East
of CL
194th Ave W
&
245'
1 North
I of CL
1190th PI SW
45
Asphalt
of CL
&
of CL
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
N/A
Arterial:
No
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
N/A
TCP:
Yes
PUGET
SOUND
ENERGY
Meter:
A250
Speed Limit:
25
No Parks #:
6
Meter Loc:
08 - OR
Trolley Lines:
N/A
Mtr Hoods #:
N/A
Del Press:
6" W.C.
Traffic Signal:
N/A
Bus Stop:
N/A
Bollards:
2.5" # 1 4" #
I ADA Ramps #:
N/A
I Route #'s:
I N/A