RESUB Rec'd 11.11.19.pdfJob #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106359712
7/9/19
Edmonds
Yes
12/2/19
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
551 Elm Way
Edmonds, 98020
COLBY DEAN
Kevin Williams 425-691-7573
Job Description / Scope of Work
From 2" STW main run new complete 1-1/4 service to multi -family structure(12' scat stub with
New Construction:
35' scat extension) set 3 meter manifold OFR
@ Inches
No
Construction Method
All Scat / Trenchless
PLAT Map: 164.066
N
Sewer
Water
♦ 2" STW 14' N
` ♦ 6620-1964
Water
Q
♦` ♦
4�6
1 RO 50*
`�
♦
CA
1 ♦
CA
1 ♦
1-114" PE 3MM
w
1 ♦�
1
1
550
V4" STW-U ;
38' 3/4"
964
1
'
OLD Pavin
♦
1 1 /8" MPE
1
2012
NEW Paving
561
11/8.
" 2017- LU
3/4 W
♦
r`
>
_T
Work
Location
Size of Cut
Surface Type
14'
N
of CL
ELM WAY
&
388'
W
of CL
6th AVE S
3x5
Asphalt
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/4" PE
Flaggers #:
Arterial:
Multi -Family Svc
EFV:
1-1/4" - 2600 - 9996744
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
A250
I A250
A250
Speed Limit:
25
No Parks #:
Yes
Steel - 1" Sery x 1/8" PE Outlet
(MOP) - 125 (3/4" Cutter)
Meter Loc:
01 - OFR
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
I
Bus Stop:
Bollards:
2.5" #
4" #
ADA Ramps #:1
Route #'s: