EMERGENCY PRE-INSPECTService Address:
City Zip:
Customer:Phone:
Customer Email:
Est. Start Date:
Site Contact Email:
&
&
&
Phone:
Job TypeService Information Street Information
0Diameter: Flaggers #:0 Arterial:No
Meter Loc: Trolley Lines:
EFV:0 Police #:0 TCP:No Tie‐In Fitting
Meter: Speed Limit:0 No Parks #:0
No Mtr Hoods #:00
Del Press: Traffic Signal: Bus Stop:No LAK ‐ LakewoodBollards:2.5" #4" #ADA Ramps #:0 Route #'s:
Size of Cut
3'x6'
11/29/23Date:
887038667Job #:
YELM
402 MOSMAN AVE SW
YELMJurisdiction:
ROW Permit:
PLAT Map:283.043
FIND IT, FIX IT LEAK REPAIR ‐ C LEAK# N0148765
IFS FOUND LEAKING CAP ON HV TEE
Est. Duration:
Phone:Courtney Isbell / B.Lyons
No
Job Description
New Construction:
Construction Method
Building Foundation Type
Septic System
NA
NA
Dig
PM / Inspector:
98597
of CL
of CL
of CL
Work Location
12'N of CL Mosman Ave SW 19'W
of CL
of CL
Surface Type
AsphaltRice St SW
(Non‐Gas
Customer)
60' ROW
Rice St SWConc. SidewalkGrass Asph SidewalkConc. Sidewalk
21' Asph (Older)Asph SidewalkGravel / Grass ShoulderGravel / Grass ShoulderP/L
P/L
P/L
Wide Conc. SidewalkConcrete
Driveway
Tahoma Bar & Grill Parking
Gravel & Grass Planter Strip ADA RampX X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X XX X X X X X X X X X X X X X X X X X X X X X X X X X C/M Edge of AsphaltC/L
C/LC/L BIKE LANEBIKE LANEP/L
Curb and Gutter
Curb and Gutter
Stairwell
Mossman Ave SW STOPP/L
Asph Match Line
(NEW TO OLD)
Curb and GutterC&GCB
CB
P/L
53' ROWCROSSWALK1" STW IP GAS MAIN16' WCL 64‐34925'N
8" MPE IP GAS MAIN
12' NCL 109026608
TT
L
T
F
2"PE 19'W14'N
24' Asph (Newer)
Conc. Sidewalk
H
Tighten
Leaking Cap
Planter Bed
30'N
27'N
FENCE
402