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18914 94TH AVE W
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NOTICE:
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The Information'shown on the attached
Hed for use by the City Of
map(s) was com ' p]
Edmonds, its Empl.oyees and Consultants.
Th,.e City ofEdm.onds does. not ' warrant the
these
accuracy of anything set for ' th on
map('S-). An . y person or entity -requesting a
copy.should conduct an.independent
orm . ation shown-o
inquiry regarding the inf'
t F� -m a p (s), including, but not limited to,
-er stub shown, Suc
the location ofanysew
sewer stubs may or may not e-xlst and may
or may not exist at the location shown.
Neitheir the r-ity of Edmoinc"Al-s-1 nor its
I h. e 1--i a. b-'Fe f o r hE
empj(Dvee-s Of officers -s
n on this map(5), nor for
information g Ve d
any one representation provided base
upon said map(Sl.
APPLICATION
MEET FLE for
The City of Edmonds SME SEWEI& PM,MM EASEMENT No.
NEW CONSTRUCTION REPAIRS
1 --�
OWNER
� ....... ....
CONTRACTOR ..... .. . .. .. ............... . ... .. ... ..... ................ ................ PER31IT No.
ADDRESS ........
1.9-1-11 ............
Y . ............................. w<t ............
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..................
NAME OF ADDITION — ------------------------------ . .....................
a
a
Approved:
DATM ... ............. B Y�
;11
All th,:�t portion of the Qouth half of Tract 64, idmonds 8-:�a Vil-l-w
Tracts, accordln'.�, to plat thernof recorded involuffla, 3. of Plato,
P&C,e 76, records of Inohomi--h County" 'Uashinr7ton described as
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follows: 13-,,,�1nn;1n,_,rt the,jou.thoast corner of s.--�id Tract 64;
thanoe North o019'37" 2"ist -alon.., the . 7-nfit line of said Tract for
110 feet; thance Worth 89015'23 111 '.,.Test for 50 feet; thence South
78029'37" ',,Jest for-63.92 fcast; thon.-e SouthL 65013'37" 711-st for-
811, foot; the * nce South 4055'27" ',V(,,st for 60.39 fe,=t woifl, or le3a,
to U -_-,oint on he louth line of said tcact; thcnce lou�h 8901-12311
�i
.:�,a-,5t alon, the 3outh li.no of said Tract for 19).47 feet to the
3outheast corner Of saLi 'Tract, t1as point of bcGinnim,,
CITY OF EDMONDS
Call PRospect 6-1107 when work
divilc CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N2 2651
SIDE SEWER PERMIT
18914 - 94th Avenue West
ADDRESS...................... ................................................................................................................................................... ---_---_--_--_-__---
OWNER ....... Morrill -A ...... Gatcmb ....................................... CONTRACTOR ......... Northwe-st ... Sew.er ...............................
ermission is granted ..D.ecembex-.2-8 ............. 19 ..... 6.7for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area. Do not cover any portion of sewer before It has been inspected.
NOTE No. 2—Obtain full Information regardlng Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at lealt 10 Inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%.
No bends In grade shaxper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5—It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur-
tenances except to Insert the pipe Into the wye.
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Comcast of Washington LLC
Extend service drop to 18914 94th Ave W
Edmonds - EM07
Extend service to 18914 94th Ave W by tapping off
existing pole, trenching 28 ft souoth, boring under 94th
Ave W, and completing the trench on customer's property
r/w r/w
------ -----------------------------------------
------------------- --------------------------------------------
18914 18915
Tap of pole, trench 28' south,
Continue trench on
private property and bore under road for 18 ft.
Dig bore niin,''
jDig bore pit
18' roa
L--------------------------------------------------- -----------------------------------
0*-
190th St SW
NOT TO SCALE
INFO BASED ON
FIELD SURVEY
All its ln� �m
f I Aj
Ll
sr . . . . .
.............................
Depth =
0- 36-inch minimum
0- Compatible w/
other utilities
Shoring required
at .4-ft +
Pavement Cuts =
0- T-cut I -ft wider
than trench
* Neat -line saw -cut
or j ackhammered
edge
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
0- Mechanical Vacuum is preferred method
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades.
0- All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using 1-ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
0- If proper compaction cannot be achieved with the
native material, new import material is req'uired at
the 95 percent rate.
0- As an alternative, CDF can be used in a design
mixture approved by the County Engineer.
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
0- Shoulder - Match existing surface conditions
0- Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class'B at 2- inches minimum or
same thickness if greater..
Trench across road (immediate cold mix patch):
Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type 11 of III cement, within 30 days.
Ccomcast
Trenching Project
PROJECT'S TIMIELINE AND PROPOSED HOURS OF OPERATION:
• Timeline — Within the guidelines set by the municipality.
• Work Hours —The entire project area will be conducted from 7:00 AM to 7:00 PM or
. as specified by the Edmonds City Inspector.
Traffic Control Plan
1. The standards and guides of the latest version of the MUTCD or the set-up as
per the City Code shall be followed at all times.
2. A copy of the Permit and Traffic Control Plan shall be on -site with all
contractors during the project.
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traffic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all
worksites.
5. Please find attached the traffic control plan for the various types of work sites
that will be encountered during the project.
6. Flaggers will be used only when all other methods of traffic control are .
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when questions arise about proper traffic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the City Inspector.
Work along the
road with minor
encroachment:
cone -off vehicle with
taper and place MEN
WORKING OR MAN.
WITH SHOVEL signs
before and after work
zone.
WHO
11
)1.4-
City of Edmonds Permit No:=W3_-0339
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: li�-5-63.
A. Address or Vicinity of Construction: 18914 94th Ave W-.
B. Type of Work (be specific): Trench on right of way shoulder on 94th Ave W, then borie
18 feet across to reach customer.
C., Contractor: Comcast of WA, LLC.
4 1p. V11 ley Av,N-W. Ste 3,. Bldg C
.Mai ing ress:
. Puyallup, WA 98371
Contact: Jan Stout
ph,,,. 253-864-4200 X 44550-
S4L��icense #:
57806.5AM7.
. __
- I . L-iability Insurance: Bond: $
0
D. Building Permit # (if
applicable):
Side,Siwer Permit # (if applicable):
4. J T LLC-
E. F� Commercial
El
Subdivision
CityProject E] EUC(PUD,VERIZON,PSE,A4;864,OVWD)
Multi -Family
E]
Single'Family
Otl4dr
F. PAVEMENT CUT:
YES
NO
G. SIZE OF CUT x
CONCRETE CUT:
El YES
NO
INDEMNITY. Applicant understands by hislher signature to this application helshe ' holds the City of Edmonds harmless ftom
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 departments 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 ESTIMATED RESTORATION FEES HILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT 47LL BE PROCESSED FOR ISSUANCE TO THE APPLIC4NT.
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,
. jq�,
Restoration is to be jin accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material piior to the end of theworkday�� NO EXCEPTIONS.
Three sets of construction drawings of pfop�osi,-`d,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 ACKNOWLEDGE
THA TI MUSTMAKE THE PINK COPY OF THE PERMITA VAILABLE ONSITE A TALL TIMES FOR INSPECTIONS
Signature:
114? / 02 Date:
(Contractor or Agent)
FOR CITY USE ONLY
Approved by:
J
Time Authorized: Void After
Special Conditions: &1WM0 S' �0(AAOL
Right-of-way Fee: I U(3ct- +
Disruption Fee/Fund 111:
Restoration Fee:
Total Fee:
Receipt No:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION 'IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY -DEVELOPMENT CODE (Phone 425-771-0220, Ext. 1326)
FINAL APPROVAL oFPE.RmiTTED wopm. 4 DATE:&- Z-0?1,
Inspector's Signature'
For inspection requirements see Engineering Inspection Information handout.
DAMy Documchts\Forms\Engnmg\ROWpermit_.doc