3002331635 EMERGENCY PERMITOctober 17, 2017
Job #:
Date:
Jurisdiction:
EMERGENCY PRE -INSPECTION FORM
O#909142
3002331635
7/5/2023
THURSTON
Address:
City / Zip:
Customer:
PM / Insp:
30349 GROVE RD SE
96597
Work Description
Construction Method
Open Trench ❑
POLE REPLACED AT 559161-147950. POLE REMOVED AND COMS TRANSFERRED.
Trenchless ❑
KETCH
}
b
66T
Y193
55921S-147967
559216-147922
103RD AVES�
25kVA 120/240V
10309
16707
16637
559198-147 57
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10,321
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16849
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6
16733
10333
6
10342
559180-147950
Y
10341
10348
559161-147950
559166.147924
10343 Y409
RVA 120/240V
10344
Work Location
Size of Cut
Surface Type
475 'N)af CL 103RD AVE SE &35 'E®of CL GROVE RD SE
3X3
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