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Engr Resub (Rev. Site Plan) Rec'd 8.22.19.pdfJob #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: 106355562 6/4/19 Edmonds Yes 8/5/19 1 Day (8 Hours) Puget Sound Energy Gas Pre -Inspect Form Address: City / Zip: Customer: PM / Inspector 8608 185TH PL SW Edmonds, 98026 LISA SPOMER (206) 355-3697 Brian Buschbom (425) 659-0673 Job Description / Scope of Work Off of STW in 187th PL SW - Install an all scat 1-1/8" PE service (20' Stub / 50' Ext) and then set an New Construction: o A250 O/R from addressed street. Construction Method All Scat / Trenchless PLAT Map: 160068 8610 I' ' 185th PI SW 8615 A250J8608 A250 8520 1-118" PE Fire Hydrant: Service will be PL ran approximately 10 ft away 3 Water _ 187_th_PI SW _ _ _ Sewer 1 8 70: aCL--— s ————————— ———---------- _ - - - 00 00 PL 1 8704 ROW Width: I 8606 60 FT Main Info: 2" STW IP 29VE 3645-1962 Work Location Size of Cut Surface Type 15' North of CL 18th PI SW & 540' East of CL 88th Ave W 3'x5' Asphalt of CL & of CL of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: Residential Conversion SVC EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Tie -In Fitting Meter: A250 Speed Limit: No Parks #: Steel - 1" Sery x 1/8" PE Outlet (MOP) - 125 (3/4" Cutter) Meter Loc: 08 - OR Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.S" # 4" # ADA Ramps #: Route #'s: