18605 76TH AVE W.PDFiiiiiiiii
6256
18605 76TH AVE W
-Pilchuok;Contractons, Inc.,,
Job # 106135417
August 2, 2004
Sheet 1/1 Rob Inglis
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LEGEND
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28" TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
ARROWBOARD
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TFLAGGER
No
SIGNAI�6GIHT
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Notes:
1. All signs and spacing to conform
to City of Edmonds Traffic Control specs.
2. Channelizing devices are 28"
traffic cones.
3. All signs are 48" x 48" B/O unless
otherwise specified.
4. Alert affected residents and
businesses.
5.. 1 Flagger will control alternating
one lane traffic.
6. Work area will be 13'W of C/L of
7 6 Ave W & 100' N of C/L of Edmonds
Beverly Pk. Rd.
WORK AREA
3'x 5'
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bi 2 Lzu
00
=30 LL N
b
ROAD
AHEAD
ROAD
WORK
AHEAD
CHANNEUZATION DEIACE SPACING
MPH
TAPER
TANGENT
50/70
40
80
35/45
30
60
25/30
20
40
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I " a 100'
TRACING
UP TO DATE
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11 -20-cpt6 1, Ic
6-30-68 MRS
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6-6-7-3 DWF-
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RIGHT -
A. Address or Vicinity
B. Type of Work (be
C. Contractor: Y1 k
Mailing Address: 15
State Li�ense #:
City Business License
City of Edmonds
-WAY CONSTRUCTION PERMIT
Permit No: c-f-Al !4—
Issue Date: -0
-2to U�ue_ L10 __t (0c) ry'l orl.'r,
C,
Contact:
Phone: L4 i kws 9
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
Vt
E. F Commercial El S6div'i'�lo-n Ej City Project Ej EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
F-1 Multi-Farnily Single Family Other,
INSPECTOR:
',,F. PAVENIENTCUT: DYES [_1 NO G. SIZE OF CUT x
CONCRETE CUT: El YES Fj NO
G. Mail Approved Permit Call for Pic
-kup
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands by hislher signature to th is application helshe Qdrifi_e 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 any of its departmenty or employees, including but not limited to the defense of any legal proceedings including defense
costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCH IS
COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
,,0,
Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained 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 trench work 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 (1-800-424-5555) PRIOR TO BEGINNING WORK.
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOThEZ(GE
THAT I MUST MAKE THE PINK PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIO�d
Signawe: Date: '03)04-
(Contractor or Agent)
FID -�CITY'USE ONLY
R,
0 Fee:
Approved,by-* �Y& Vv�. Right- f-4ay, ",0/5
Time Authorizi!d:'Void After 'IV61t 5�-41-20CF Oisru'tiwfee Ftftid'111:
p I e/
Special Conditions: &-T-QP_4C� PC�Al T - n-'-: k ',C, .1fispe Fe .,57tO
^N �Intz B A 7-7-r Pe 42 f A4 ()I r I N'n r I F,4
0—
A F Fe C:rE "t\ fteceip.-
A0t,%r_ IR—A ro Ir4r, t re *u4- by::
K*'6-1 K�"C�6_.44'4 NS' C 77 /r- -,ov, Nl-- - -,4: -r,
REQUIRED INS ECTIONS: O<,,
C11 421-771-0220, Ext; 1326for a 24-hour v ,.ded ir�*n�ion request line.
FINAL APP4 R DATE:00_05-`0
,":V
. I _!�L OF PERMITTED WO K: . �4nspector's Siknature
NO WORK SHAH
C:\Documents and SettingsTurlisNy Documents\Fomis\Engnrng\ROWpemit_.doc
Revised 10/01/03