106333874 _ 19220 80TH PL W # EDMONDS _ PreInspect (3).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.-EXISTI
Huv, iZ
EXISTING Power Over Head ..................:.........:..........:..................:.............
..
:
EXISTING
sewer
_ _ _ _ — — —
— — — —
—
— — — —
_....._.._.._.._..
80th PI W
I ......
.........
EXISTING Storm
--— -- — —
—————— ——————
EXISTING Hydro I �'
— — —
— — _ _ _ _ _ — — r — — _ _
EXISTING Water4"
P/L I
P/L
......1......
:.........
......
I
.........
1 118 PE
...............
.........
EXISTING Storm
......
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............
f
'.........
19220 80th PL W
106333874
I .......�.......
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A425 MSA
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00
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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
ENERGY
SOUNDDel
Meter:
A425
Speed Limit:
25
No Parks #:
y
Meter Loc:
08 - OR
Trolley Lines:
N
Mtr Hoods #:
N
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