3002237628 EMERGENCY PERMITOctober 17, 2017
Job #:
Date:
Jurisdiction
EMERGENCY PRE -INSPECTION FORM
O#893264
3002237628
Address: 412 WEST RD E
City / Zip: YELM / 98597
Customer:
Ydoodo—dodELM PM / Insp:
Work Description
Construction Method
POLE REPLACED AT GRID 559320-147602.
open Trench El
Trenchless ❑
POLE REMOVED
AND
COMMS
TRANSFERRED.
KETCH
�= b
b
00704 -1v7
350-14755
09#
MVA 110/410
318
559340-147568
412
5 47-14756
i:san-WYOO10"n-o
y a
403
u 559335-147 44
5 28-147592
407
do301 A110/410V
9326-147583
59320-147 02
411
5 317-14759
701
593 -147611
4 VA 1
i(
55930 147612
Work Location
Size of Cut
Surface Twe
70 ®$ of CL WEST RD E & 545
O1l of CL 4TH ST NE
2x3
SOFT
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