PreInspect_20211013Est. Start Date:
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MDPE - 4" IPS - (DIA) 1-1/4"IPS
9999551
Job #:106381909
Date:10/12/21 Address:16404 MIDDLE RD SE
Puget Sound Energy Gas Pre-Inspect Form
11/15/21 PM / Inspector:Lindsay Riipinen 253-337-4011
Est. Duration:1 Day (8 Hours)
Jurisdiction:THURSTON COUNTY City / Zip:YELM, 98597
ROW Permit:Yes Customer:BO NORBJERG 253-686-0625
Work Location Size of Cut Surface Type
Job Description
New Construction:
Yes
Construction Method
Plat (Conduit)
PLAT Map:283.045
N
Project Scope: INSTALL 39' 1 1/8" PE SCAT STUB, INSTALL 25' 1 1/8" PE PLAT EXT, INSTALL A250 AMR METER
of CL PRAIRIE CREEK LP 3 X 4 X 3 A
13'West of CL MIDDLE RD SE 63'North
19'West of CL MIDDLE RD SE 63'North
of CL PRAIRIE CREEK LP 3 X 4 X 3 GRS
Service Information Street Information Job Type
of CL PRAIRIE CREEK LP 3 X 4 X 3 A
14'East of CL MIDDLE RD SE 63'North
of CL of CL
New Residential Svc
EFV:1-1/8" - 2600 - 9996743 Police #:0 TCP:Yes
Diameter:1-1/8" PE Flaggers #:0 Arterial:No
Tie-In Fitting
Trolley Lines:No Mtr Hoods #:0
Meter:A250 Speed Limit:
0 Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:Bus Stop:No
25 No Parks #:0
Meter Loc:03 - OL
of CL of CL
LAK - Lakewood
SEWER 14' ECL
WATER 13' WCL
STORM 20' WCL.
INSTALL 39' 1 1/8" PE SCAT STUB
INSTALL 25' 1 1/8" PE PLAT EXT
1-1/8" PE 2600 EFV
A250