108621461 _ ASHER GAS SVC C&C _ PreInspectEst. Start Date:
&
&
&
Job #:108621461
Date:3/12/20 Address:105 STEVENS AVE NE
Puget Sound Energy Gas Pre-Inspect Form
4/20/20 PM / Inspector:Luther Rimorin 253-278-1118
Est. Duration:1/2 Day (4 Hours)
Jurisdiction:YELM City / Zip:YELM, 98597
ROW Permit:Yes Customer:DAVID ASHER (253) 985-0702
PLAT Map:283.044
N
Work Location Size of Cut Surface Type
Job Description / Scope of Work
CUT & CAP EXISTING 5/8" PE SVC @ MAIN, NO FUTURE RECONNECT. MAIN IS SHORTSIDE
UNDER SOFT SURFACE (GRASS/DIRT). ON SITE CONTACT; DAVID ASHER @ 253-985-0702,
PM/LUTHER 253-278-1118
New Construction:
No
Construction Method
of CL ON STEVENS AVE NE 3'X4'GRASS/DIRT
of CL
125'East of CL OF 1 ST N 16'South
of CL
Service Information Street Information Job Type
of CL
of CL
Cut & Cap
EFV:0 Police #:TCP:Yes
Diameter:0 Flaggers #:Arterial:No
Trolley Lines:Mtr Hoods #:
Meter:Speed Limit:
Tie-In Fitting
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:Traffic Signal:Bus Stop:
No Parks #:
Meter Loc:0