21716 98TH AVE W.PDFa
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21716 98TH AVE W
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PlIchuck Contractors, Inc
.Job # 106145210
.�puary -1-10, 2005
Sheet 1/1 Rob Inglisg
:?I 6th ST SW
LEGEND � .
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28" TRAFFIC CONE.
[XX
WORK AREA
TRAFFIC FLOW
ARROWBOARD
FLAGGER
10
SIGNAL LIGHT
MHOM
C awou
WOM
av3Hv
M013
m3ainoHs
1HOW
CRANNEUZATION DEVICE SPACING
MPH-
TAPER
TANGENT
W/70
40
80
35/45
30
60
.25/30
20
40
Notes:
1. Al signs and spacing to conform
to the City of Edmonds Traffic Control
specifications.
2. Channelizing devices are 28"
traffic cones.
3. All signs are 48" x 48" B/0 unless
otherwise specified.
4. Aert affected residents.
5. Work to take place between 9 a.m.
And 4 p.m.
6. Work area will be 19'W of C/L of
98 Ave W & 316'S of C/L of 216 St SW
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City of Edmonds Permi No:
)RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity orGonstr,uction: 1 -7 1 Lp 9S J:4 U C_ Lo
B. Type of Work (be specific): (ns Sex v i e P_ Q 5 1 'L P ) 5 alt
C. Contractor: t"i 10 V1 U � IA, L'av'x -'* '
MailingAddress: /S,5LQ S�� 61'd
State License #:_-A L01 HC_�_- /Q/ M V-A
Contact: _'�WICJC-
Phone: cX)& - 413 3 7
Liability Insurance: Bond: $.
City Business License #:
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F� Commercial El Subdivision City Project. E] EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
r_1 Multi -Family Single Family Other
INSPECTOR:
F. PAVEMENT CUT: 10 YES
CONCRETE CUT: El YES
G. Mail Approved Permit
NO G. SIZE OF CUT 3 x Is
El NO
Call for Pickun
I
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmless from
injuries, damages o? claims of any kind or description whatsoever,�Jqreseen or unforeseen, that may be made aga inst the City of
Edmonds or an-v of its departments or emplQvees, including but not limited to the defense of an-v 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 A CCEPTANCE 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.
* 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
I HA VE READ �' THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS 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
Signature: __)%,LkAaJO�� Date: 4!�'
(Contractor or Agent)
WRCITY USE -ONLY
.Approved by:. Right-o f'*ay:Fee:._ 11�6 31
-N Time Authorized: Void After -z' -5,-/ 7,0-05, DBruption.F&/,Fu6d:J'1 , f: A10
ditions: ffithAMMAI
.Special Con Inspection -Fee:,
4z---
T tal:
my Uri o nie i - �gza_5F, ttf 1,4— o. Fee.
W& �E& 4 "S AIAS, EEM%E� 4 W W_ QE R.ec,eivt-Nb:
NTU 4� ffi1Vflft9& t JJVa222Z!y,,,.. rO - 60�� 6?t tssue&b*:
7
14, 0?, 1!!! 2
UIRED INSPECTIONS:
�_- �' �1'
Call 425-771-0220, Ext. 1326for a 24-hour
FINAL APPROVAL OF PERMITTED WORK: Jvc
Insy6ctor's
CADocurnents and ) tfings\Curtis\My Documents\Fomis\Engnrng\ROWpermit_.doc
inspection request line.
DATE: r
Revised 10/01/03
A.
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION [:) REPAIRS 0 EASEMENT No . ..........................................
109-01600
OWNER............ arry .. ................................................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ 21-71.6 ... fn ... 9J3.t,',...Ave..JJ . ............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
NAME OF ADDITION
Dye Testee Cn Sev;ar 1972
Approved:
DATE................................................ By ..................................... ................................
Ak