Pre-Inspection Form
Pre-Inspection Form
Pre-Inspection Form
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" indicates required fields
Please enter your site address, work order number, and notification number in any format.
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PI Date:
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YYYY slash MM slash DD
Inspector:
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Type of Work:
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Long side service install
Short side service install
Abandonment
Service header main
Main install
Service alteration
Service renewal
Service conversion
Stub Service
Note:
Meter type:
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200
400
Other
Note:
Conflicting Utilities:
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Hydro (Overhead or underground)
Communications
Water/Sewer
Gas
None
Details:
Inspector required?
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Yes
No
Note:
Traffic Permit needed?
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Yes
No
Note:
Saw Cut needed?
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Yes
No
Note:
Main Info:
Depth (m):
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Material:
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Steel
PE
Diam:
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26
42
60
88
114
168
Other
Note:
Arc Welder needed?
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Yes
No
Note:
Pole Holder needed?
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Yes
No
Note:
Aggregates needed?
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Yes
No
Note:
Debris on site?
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Yes
No
Note:
Site contact/Additional notes: