3003143903 PERMIT AND MAP -October 17, 2017
EMERGENCY PRE -INSPECTION FORM
Job #:
Date:
Jurisdiction:
1140070051
3003143903
6/14/25
Address:
City / Zip:
404 YELM W AVE
YELM/98597
Customer:
PM / Insp: CUSTOMER PHOHL NUMBER
Work Description
Construction Method
POLE REPLACED AT GRID 559427-147350. POLE REMOVED AND
Open Trench ❑
COMMS TRANSFERRED.
Trenchless ❑
KETCH
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Work Location
Size of Cut
Surface Type
25 (DS of CL YELM WAVE
& 230'EIW)of CL EDWARDS ST NW
2X3
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