Puget Sound Energy 7/24/2019 - Laserfiche WebLink

DocuSign Envelope ID:585D5F83-9B49-4DA4-BCED-09EFDA53EF05 PSE PUGET SOUND ENERGY PRIVATE LOCATE REQUIREMENTS Information Regarding Your Future Natural Gas Project Puget Sound Energy will be performing work on your property related to your gas service. Prior to any excavation in conjunction with new or relocated gas facilities for PSE on your property, all privately owned underground facilities will need to be marked and or located by a private company hired by Everett Flre Dept. Note that any damages incurred to underground facilities located anywhere on your property that are either marked incorrectly or unmarked will be the responsibility of the property owner to repair. The Washington State 811 service notifies utility companies who potentially have facilities in the area of the planned excavation so that they can send a locator to mark the location of those facilities. Privately owned utilities will need to be located by a private locating service. Washington State Law RCW 19.122.030 4D states: "An end user is responsible for determining the location of a service lateral on their property or a service lateral that they own. Nothing in this section may be interpreted to require an end user to subscribe to a one-number locater service or to locate a service lateral within a right-of-way or utility easement." Examples of service laterals may include:sewer laterals, power downstream of the meter, water lines, storm lines,fire& irrigation sprinkler lines Customer Name: (Everett Flre Dept. Address: 12290 16th St City: 1 Everett Phone Number: 1425-328-4659 Que; ions?lase contact your PSE Project Manager listed below: PSE Project Manager Name: Erik Bilstad Email Address: 1 erik.bilstad@pse.com Phone Number: 1425-213-4286 Customer Information(Please fill out Locator Name and Phone ne Number) Private Locator Name: Phone Number: Customer Name: F41000111CustomerSignature: Date: