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106333874 _ 19220 80TH PL W # EDMONDS _ PreInspect (2).pdfJob #: Date: Jurisdiction: ROW Permit: Est. Start Date Est. Duration: 106333874 12/12/17 Edmonds Yes 2/19/18 1-112 Days Puget Sound Energy Gas Pre -Inspect Form Address: City / Zip: Customer: PM / Inspector: 19220 80TH PL W Edmonds, 98026 Sally Nguyen 408-890-1826 Jordan Cooper 425-623-5302 Job Description / Scope of Work From 2" PE IP 14' E (912106) Run New Scat 1 1/8 PE Service To Single Family Home 100' (40' New Construction: Stub & 60' Ext) and Set A425 OR. (50' ROW) Construction Method All Scat / Trenchless PLAT Map: 162067 .......... .................... ......... _......... ;.2.,.PE.-EX18T Aa .vi Huv, iZ EXISTING Power Over Head .......... E CIL ................ i..........:.........z..... ........ ............................ >.........i.......... ;...... ... EXISTING sewer �Lp ` ` ` ` ` ` ` ` — — — — — — — — — — _.._.._.._.._.._.. — — — — — — — — — — — — — _....._.._.._.._.._.._.._.._.._.._.._ — — — — — - ....... 80th PI W I ...... ................. EXISTING Storm --- ------ ---- —--————— — — — — — ——--————— — — — — — — EXISTING Hydro I .......i......' — .. EXISTING Water4" i .......�......' .. P/L P/L ......�...... :......... ...... I ......... 1-118" PE ............... ......f...... '......... 19220 80th PL W ... """ """"' 106333874 �....... '.......... A425 MSA G.......�....... 00 ......... i............ ;......... Sierra Or Work Location Size of Cut Surface Type 430' N of CL Sierra Dr & 14' E of CL 80th PI W 3x5 C/G 430' N of CL ISierra Dr & 14' W of CL 80th PI W 3x5 C/G Of CL I & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Y Arterial: N New Residential Svc EFV: 1-1/8" - 2600 - 9999144 Police #: N TCP: Y PUGET SOUND ENERGY Meter: A425 Speed Limit: 25 No Parks #: y Meter Loc: 08 - OR Trolley Lines: N Mtr Hoods #: N Del Press: 6" W.C. Traffic Signal: N Bus Stop: N Bollards: 2.5" # 1 1 4" # I ADA Ramps #:I N I Route #'s: I N