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23026 76TH AVE W
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDSWA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: APPLIED
Pernik Number: ENG20060228
Job Address: 23026 76TH AVE W, EDMONDS
APPLICANT CONTRACTOR
MURPHY STEVE & MARY PILCHUCK CONTRACTORS INC
14508 42ND AVE W 13330 STONE AVE N
LYNNWOOD, WA 98037 SEATTLE, WA 98133
206-418-4239
LICENSE #: PILCHCIIO I MA EXP: 2/20/2007
JOB DESCRIPTION
Excavation to be done at 248 feet S c/I of 230th ST SW and 30 feet W of c/I of 76th Avenue W
ENG20060228
Expiration Date:
DISRUPTION INFORIVIATION
ASSESSED VALUE: $0.00 PROPERTYAREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 3 X 5
PARKING. (OXO DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 2002 FEE: $200.00
ALLEY: ( OX0 DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany k ind or description ivhatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorneyfees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKNtANSHIP AND i%IATYR[ALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THEWORIC
• Tmffic 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
possesion.
• 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 -800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FORALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERNITFUNTIL SIGNED BY THECITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed:
DATE
7 FILECOPY INSPECTORCOPY F-1 APPLICANT COPY
STATUS: APPLIED
ENG20060228
• Restore ROW to City standards
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Confonn to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation fi-orn City Utilities.
• Utility patch restoration to be in accordance with Edrnonds Standard detail E2.3
• CDF is required for trench backfill. Refer to Edmonds Standard Detail E4.4
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7arn-6pm and Saturdays 10am-6pra No work on Sundays or Federal Holidays.
• Call for required inspections as noted.
INSPECTIONS
• E-Traffic Control
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
plichucK Contractom, Inc
Job# IlWfO29GOY
Date I& - r, -
..Sheet I of* 1
NAME 6AC7 (-,/I
MW
311
avall
. ,a,
00
13aU
. J1195/
WORKAREA
IN PARIGNIG LANE
LEGEND
28" TRAFRC CONE
WORKAM
TMMC FLOW
WORIOSOCLE
BIGN LCCIVION
f
W
Notes:
1. All signs and spacing to conform
to MUTCD & City of e jam,,,
Tr affic Control specs. ..
2. Channelizing devices are 28"
ftfflc cones.
3. All signs are 48u x 48" B/O unless
otherwise specified.
4. Aert affected residents.
5. Work to take place between 9 a.m.
And 4 p.m.
6. Maintain two I V lanes.
7. Work ama will be'2Yk' ofC/Lof
&-3!2:LOfc/Lof
SPEED UMff
R5710E REQ.
CTIO
FOR INSPIFEr-TIAN
N
SIGN SPACING
MPH
Ur
45+
Sao,
36
350,
30
200'
26
.100,
0 60- secdo)
(2aa- secfrcc)
AIIIU AS NOTED
�Y.ENGINEERING.
Date.
RMID
WORK
MEAD
1� do
CKANNELIZAMON DEVICE SPACING
MPH
TAPER
TANGENT
60170
46
so
36145
30
60
25/30
20
4a
PILCHUCK CONTRACTORS ING SATtil PtRMIT I WORK ORDER REQUEST
1=oreman Name-._G, kC 13 o<C)C,//1 Date:.
Address: —7 -Z r) 2 C,
It
city: rj,-1
EZi !e:
Descrilotlon Dlaq ram of Work:
p:C:o d
A P ICA 3621�-
eak
Leak #:
FSAP*.
plat 166"o G'7
plat
_Moma u
-Thomas Guide: C/ �7 4�:
Locate #-.
Locate #-.__
. . . 23026.
.......
R
No Parks Rewired?
NO
P it Re uired?
it I
NO
KCou!tv?
0
FIaggers needed? T7NOTT
How Many?
7Tk
Signal Light?.
QNO
S eed ljmW-?
ore
Job Start Notification?
- c'
EPIanFE
rHoe?
NO
Triffic; Plan?
a -
for
NO
AYES
NO
12-man?
urface Ww
Hole s1ze7
rInstall:
s1zettype0ength:
;;eAength:
Re*w
sbmftyp
Check One
'Servidel-eak
S-rW Main Repair
C1 Main Repair
Bare S11 Repair
Valve Repair
One Call InstrucUons:
-Re-9Wr-(H0S�-----
A-0C---C-
Scat Svc Repi - Res
alc DEC 4ZL
-a 6
q f
I
Scat Svc Repi - Cmd
r-.r kief
-4,
Cut & Cap
Short Main Rehab - Res (Few Ft)
-11 Cifdd One
Short Main Rehabl Cmd (Few R)
Stub E)d
Compl Main.
SAP# For Main Rpi (one block) -
-f G4—T
sp-adfic SAP# for Maint (meWsvd)
CP work order.
qL
Id
.9jo Tkp +s;
1,.?C-303
f
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
The City of EdmondsMEET FILC
APPLICATION
for
S11DE SEWER FERlMT
OUTSIDE[] - INSIDE E] REPAIRS
CARD No . ..........
EASEMENT No . ......................................
/' / "3 /,1 A
OWNER
.................. CONTRACTOR ............. + _.m.l ................................................ ............. PERMIT No. �26
41 ma/ 4-
K ------- -----
HOUSE No. STREET
-------------------------------------------------------- ................................... AVENUE LOT No . ........ aiL ............ ----------- BLOCK No - --------------------------------------
.7
In
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PROSPOct 6-1107 when work
18 ready for Inspection. (No WSW-
Iloas S8tm*dsY, Sunday or hcdidays.) N -0 2464
ADDRESS .............. 2302
. ....... 6 _7§�th_.Aydnue West
OWNER_--------- Ge.or .............................................................
. ge --- WYland ............. CONTRACTOR..A.-�-.A-.Pqp�ri�k9���r;�
Permission is granted ... .................. 19.6.7— for ------------------------ 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. I —The owners of the Property may obtain a Permit to construct sewer inside Property line
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. must
A licensed Side Sewer Contractor
�TE No. 3—Top of side sewer Must have at least 30 Inches
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get permit.
cove age at property line and 12 Inches inside property line; minimum grade of 2%.
ittecir
No bends In grade sharper than % will be Perm
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 in sewer or I app
tenances except to insert the pipe into the wye. ma ts ur