106330163 _ LINDSAY KNUTH Conversion _ PreInspect.pdfJob #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106330163
9/25/17
Edmonds
Yes
11/27/17
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
728 13TH WAY SW
EDMONDS, 98020
LINDSAY KNUTH 2O6-498-0705
Kevin Williams 425-398-6192
Job Description / Scope of Work
From 2" PE main run new complete service to single family residence (40' scat stub with 30' scat
New Construction:
No
extension) set
A-250 OFR to 13th WAY
SW @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
165.066
t
N
a............................i..........>.........i......
I
r..........:.........:..........:....
n
2" PE Main 22' N 902046
I
. G
—
CONCjSMALK
.........:.........:......
— — — 7
'
............................:........
13th WAY SW
'
.........:.........;.........s..........;.........
—..—..—..—..... _.. _.. _..— —. ........ _.. _..—..—.. C/L ..........:......
T min from Storm
-
- _ _— - - - - - - - - - - - - - - - - - - - - - -
Storm —
C* 710'Min
... ... ...:......
Hydarant from.........
Hydrant
'
P/L .:..........:.........
.........:.........
i..........i......... i................. .....
C
......... ...
.
.. ... ... ... .. ... ... ...
_ _ _ _
41
a+
a
..................€................. ....
8ZL
Work Location
Size of Cut
Surface Type
22'
N
of CL
113th WAY SW
&
62'
E
I of CL
17th PL S
3x5
Headge/Grass
20'
S
of CL
113th WAY SW
&
62'
E
of CL
3x5
Asphalt
Of CL
I
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 2600 - 9996743
Police #:
TCP:
Yes
PUGET
SOUND
® ENERGY
Meter:
A250
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 1 4" #
I ADA Ramps #:1
1 Route #'s: