21826 95TH AVE W.PDF9295
21826 95TH AVE W
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Notes:
24' 1. All.si6ns and spacing shall conform
PAVING to the MUTCD and City of Edmonds specs
2. Alert affected residents
annelizing devices are 2-8
traftic cones.
4. Maintain a 16' driving lane on
pavement for vehicles.
5. All signs are 48" x 48" B/O
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unless otherwise specified.
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6. Work zone is 14'w/o c/I 95 AVE W
'Pilchuck Contractors, Inc.
Job #106118643
5 Nov 03
Sheet 1 / 1 CHANNELIZING DEVICE SPACING (FEET)
J. Buss TAPER NT
National Barricade Co 20
LEGEND
WORK AREA
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STRE�TyFXRMONDS
PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION
APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
THIS.PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PUR.POSES
Applicant to Complete Parts A and B
A. Permi t to be issued t o
For Work at :(addres.s or vicinity)
ep--*no"Jos olsoi-,w
Type of Work to be done: P+vc a C 8 Vdr
(at.tach drawing when applicable)
ro
Time'Required -- Start:
Owner: b4 �L e- -F
Name
- 2., / r
Mal;.ing Address
epw 0.4 As
.City State Zip
Finish:
Telephone Number
Contractor:
Name State License Number
Ma'li Add
4L,,Ot V
ag
YR 103 4�
City State Zip Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT.ISSUANCE
B. INDEMNITY: Applicant understands and by his,signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be . made against
the applicant or the City of Edmonds, br any of its departments or employees,
including or not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at which time a debit or credit will be
processed for issuance to the applicant.
Work is subject to inspection,and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit mu e available t the job site for inspection
.purposes at -all times.
Signature: Date:
Owner or Agent
TO BE COMPLETED BY ISSUING AGENCY:
D a t e I s s u e d 1;7go"' Permit N o . Z Fee��'
Security Bond:_
Time Authorized:
'APPROVED BY
- Date :