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100023916 Permit App.pdfOV EVA,10�b I,c.>SOo ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: Comcast Make Ready 204708 CONTRACTOR: Snohomish County PUD #1 Mailing Address: PO Box 1107 Everett, WA 98206 State License #: City Business License #: CONTACT: .lane Choi Phone #: 425-783-4732 Fax #: Email #: jointuse@snopud.com Ll Liability Insurance 0 Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: CJ J � j i 00 tv ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project [0 Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit pail of a blanket permit? ❑ Yes ❑ No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Maintenance on three poles. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN *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 and Standards. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday —NO EXCEPTIONS. Indemnity: The Applicant has signed an application which states he/she hold the 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 departments or employees, including defense costs and attorney fees by reason of granting this permit. I have read the above statements and understand the permit requirements and acknowledge that I must follow all requirements in order for the permit to be valid. SIGNATURE 0_�79% DATE 11/28/17 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE LANE SHIFT ON A FIVE -LANE, TWO-WAY ROAD SPEED SIGN S P AC I N G SHIrYING TAPPM (FT) (3UFFEf? L I il-, ff &B (FT) (FOR 12'I.ANE) Vf) 25 200 65 55 30 200 90 85 3 F) mlo 125 120 i to 40 350 160 170 (D 45 500. 270 220 0 @ 00 50 500 300 280 0 0 5 5 500 330 335 0 to 0 Q (OPT IONAD ]a o > < U) ki- Lt- co o 0 9,6. O W141, _ftsl. W20--4 '�" I �= �� 4 �� vF � T � ==tom= W201 N USE FOR LOCATION A, BIC NORTH f SNOHOMISH cou EPIWEM I TRAFFIC CON'fROL PUAN % Pi Ujuly DisipicT w I PROJECT CC 204708 MME RFAQY WORK LOCATION 9933 100TH AVE W. EDMONDS WA 98020 ENGINEER JANE CI-101 . DATE 11/28/17 — ORDER 100023916 PHONE 425-783-4732 CELLULAR S'YG'/.9CONYY PUBLIC UTILITY DISTRICT NOA OF SNOHOMISH COUNTY LOCATION 9933 100TH AVE W, EDMONDS WA 98020 EDMONDS AREA POLE NO. 2001 NEI/4S 36 T 27 R 3 DATE 11/27/17 ORDER 100023916 REASON FOR WORK MAKE READY WORK FOR CC ENGINEER J.CHOI OPERATION 30 OVERLASH, DRAFTER U.G. NO. REFER TO CC 204708 SCALE V=100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ❑ NO PRIMARY OVERHEAD RESIDENTIAL COMMERCIAL LE NO. QQ @$ = D SEC NDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ❑ NO 0 YES (SEE NOTES) @8 =$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/ ONV. POLE g PRIMARY\UNDERGROUND ❑ RESIDE ❑ COUNTY �W ❑ COMMER C] CITY ASIC FEE 8 ❑ EASEMENTS LEU NO. _8 ❑ REQUIRED N NOT REQUIRED SECONDARY U DERGROUND B sic FEE s DATE RELEASED @$ _$ UNDERGROUND PL T FOREIGN CONTACTS ❑ JPN* BASIC FEE S - FT.@S '—$ ❑ JOINT TRENCH FRONTIER & CATV ElJOINT BORE FRONTIER & CATV STREET LIGHTING q FT.0 $ n —_ POLE STENCILING WORK IN RIGHT OF W Y FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONTT. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR q FT.0 =9 MISCELLANEOUS FEES ❑ BACKHOE El FLAGGING VAULT 8 ❑ ONE CALL DATE PERMIT S No STREET LIGHTING $ 0 YES ❑ NO $ M&R AS -BUILT s cis TOTAL DUE S DATE PAID GIs QC M&R GIS Ph JOINT USE RECEIPT NO. SERVICE ORDER NO. Y LOCATION MAP PAGE 474--G1 LEGEND: 0 EXISTING POLE 3K EXISTING POLE --TO BE REMOVED NEW POLE )10 NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION WESTGATE CIRCUIT No. 12-404 PHASE 2 3 1 ENGR'S TEL. # 425-783-4732 ENGR'S CELL # WORK IS CUSTOMER PAID WORK IS BEING PERFORMED FOR A NEW CC ATTACHMENT. SL-122860-H 253056 PLAN VIEW E .8-18-1 25-25- -547-H CONSTRUCTION NOTES -113152-H V = 100' SW 12- 4\933 ® 2001: 2001 -INSTALL POLE GROUNDING ROD E 5 2 -RAISE AND REPLACE STREET LIGHT MAST -GROUND AND COVER STREET LIGHT LEADS SG -DRESS SECONDARY DRIP TIGHT TO NEUTRAL 12 �--� © 2205: SHUST -REMOVE EXCESS SECONDARY SLACK -RAISE AND REPLACES TREET LIGHT MAST -GROUND AND COVER STREETL LIGHT LEADS -DRESS SECONDARY DRIP TIGHT TO NEUTRAL © 225812: -RAISE NEUTRAL SPOOL 1' BELOW PRIMARY RISER -INSTALL SERVICE TAKEOFF INSULATOR AND TRANSFER SECONDARY 60111) -DRESS SECONDARY DRIP TIGHT TO NEUTRAL SHEET 1 OF 1