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CITY OF EDMONDS SIDE SEWER AS BUILT
ADDRESS . . Permit Number 9435
18432 74th P L 0. ce West
HOMEOWNER CONTRACTOR
Dick NeLson
DATE
5-10-01 ,
DRAWN
BY P. Lemcke
LID
I I NO, 215
Pilchuck Contractors Inc
Job# 106155965
August 19, 2005
Sheet 1/1 Rob Inglis
NC)T
TO
SCALE
LEGEND
28" TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
CHANNELIZATION DEVICE SPACING
MPH
TAPER
IANGINT
50/70
40
80
35/45
30
60
25/30
20
I t
Notes:
1. All signs and spacing to conform
to the MUTCD and City of Edmonds
Traffic Control specs.
2. Channelizing devices are 28"
traffic cones.
4. All signs are 48" x 48" B/O unless
otherwise specified.
5. Alert affected residents.
6. Work area will be 329' SE of C/L of
Homeview Dr & 20'SW of CA of 74 PI W
APPROVED AS NOTED
Date:
RIGHT-OFVI'AY CONSTrUCTION PERMIT
AND - i `01'01RED
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ON 0
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ALLOW ACCESS
TO ALL DRIVEWAYS
24 HR. NOTICE REG.
FOR INSPECTION
WORK
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Permit No:
City of Edmonds
RIGHT-OF-rAY CONSTRUCTION PERMIT issue Date:'
A. Addre y OkZns) ction: 3,;? 7q PL
ss or Vicinit
b. I e Xork (be speci fic) 4Akl ULU), AN S C, C_- al 4
__V U I
e
MA9- i e, 0 74 'PL, LO
0 U 166 9 L"S,
C. C, 'Contact:Sh�_ S(Ai Sk
Phone: c�O C9 18-410%59
Mailing Address: 'SIC)
State License #:_QIL-O�Aot lo/ rn �1/ Liability Insur nc& Bond:
City Business License#:
D. Building Permit # (if applicable):� Side Sewer Permit # (if applicable):`
E. Commercial El Subdivision 'City Pr9ject E] EUC'(PUD, VERIZON, PSE, COMCAST, OVWSD)
Multi -Family Single Family Other
A
INSPECTOR: 'r CO3V
F'. PAVEMENT Cut:' IT YES [I NO G. SIZE OF CUT x
CONCRETECUT: �[_J YES El NO
F71 Mail AppToVed'Pbrmit El Call for Pi&up.
APPLICANT TO READ AND SIGN
INDEMNITY.,, Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless from
injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may'be made against the City of
Edmonds or an-y of its departments or emplqyees, including but not limited to the defense qf anY legal proceedings including defense
costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MAiERIALS FOR A PERIOD OF ONE YEAR FOLLOWINd THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
C B Y CITY FORCES, A T WHICH TIME A DEBIT OR CR EDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
OMPLE710
`ffi ntrol and public. safety shall be in accordance with City r
+ Tra ic co egul"ations a*s required by,the City Engineer. Every
flagger must he tramed"as required by (WAC) 296-155-305 and must have certification verifying completion of,the
required training in their possession.
+ Restoration is to be in accordance with City codes. All street -cut trenchwork shall be patched with asphalt or City
approved, material prior to the end of the workday — NO EXCEPTIONS.
+ Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL-A.'DIG (1-800-42475,55�)IPRIOR,TO�BEGINNING'WORK,.
I HA VE. READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT R I EQ UIREMENTS AND A CKNO WLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
A(
A
Signature: 1,0 0 P Date:
(Contractor or Agent
. F "C 7
0 ITY-USE"ONLY
'Right-oof-4a*
Approved by::.
Time Authorized:, Vo'i&AAer* �'.12ymr.-2
Spetial. Conditions:.
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REQUIRED INSPECTIONS:'0-7.—RA ft� F i r CpPs4-TVDL
I ' I' �Z)xnw
Call 425_7�`I- 20, Ext. 1326fqr a 24-ho Voi C r dinspe e�
FINAL APPROVXL OF PERMITTED WORK: DATE:
Insp7tor's Signature'
CADocurnents and Settings\Curtis\My Documents\Foms\Engnrng\ROWpertnit_.doc
Revised 10/01/03