PreInspect_20220603Service Address:
City Zip:
Customer:Phone:
Customer Email:
Est. Start Date:
Site Contact Email:
&
&
No
Job Description
New Construction:
Construction Method
Building Foundation Type
Septic System
1-1/2 Days (12 hours)
No
Trench
City of Yelm
YesROW Permit:
Jurisdiction:
Project Scope: C&C EXISTING 2"PE SVC AND EXISTING 1-1/4"PE SVC AT MAIN. BLDGS TO BE DEMO'D AND SERVICES RETIRED.
Est. Duration:
PLAT Map:
N
EFV:0 Police #:0 TCP:Yes Tie-In Fitting
Meter:Speed Limit:25 No Parks #:0
Job Type
Diameter:Flaggers #:2 Arterial:
Del Press:Traffic Signal:Bus Stop:No LAK - LakewoodBollards:2.5" #4" #ADA Ramps #:0 Route #'s:
Meter Loc:Trolley Lines:No Mtr Hoods #:00
Yes Cut & Cap
Service Information Street Information
0
Work Location
52'NORTH
Surface Type
C/SW
C/SW
Size of Cut
of CL VAN TRUMP AVE NW 27'EAST of CL EDWARDS ST NW 3 X 3 X 4
PM / Inspector:
DanT@FormaCC.com
98597
Phone:
Puget Sound Energy Gas Pre-Inspect Form
6/3/22Date:
108636282Job #:
Yelm, 98597
402 W Yelm Ave
Kasey Wyatt (360) 458-1900
kwyatt@ycs.wednet.edu
Phone:(253) 213-2514Tony Fay7/5/22
3 X 3 X 4173'NORTH of CL JEFFERSON AVE NW 27'EAST of CL EDWARDS ST NW
283.044