106340153-201 Bell St .pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106340153
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: N R-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 201 Bell St
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑iC Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 21' W c/1 & 18' E c/I of 2nd AVE S
also 200' N c/1 of Main St . (1) 4x6 concrete/ asphalt cut & (1) 3x5 concrete cut anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1063
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes ❑ No
❑ Yes ❑ No
If yes, indicate size of cut: 3
If yes, indicate size of cut: _
x5
x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(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.
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Susan
Id IcK DNtl'Susan Sidi[k,=di,nitlin DepaNnUS ou=Muniapal
SIGNATURE RD1b.nn=emn211-="l'08210700=e�nm�-Ds DATE
Deie: 2018.0] 2511:0821-0�'00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106340153
Date:
5/11/18
Address:
201 BELL ST
Jurisdiction:
Edmonds
City / zip:
Edmonds, 98020
ROW Permit:
Yes
Customer: Doug Spee
206-284-7733
Est. Start Date:
september
PM / Inspector: Kevin Williams
425-691-7573
Est. Duration:
1-112 Days
Work Location
Size of Cut
Surface Type
21'
W
of CL
2nd AVE S
&
200'
N
of CL
Main ST
46
oncrete/asspha
18'
E
of CL
2nd AVE S
&
200'
N
of CL
Main ST
3x5
Concrete
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
2" PE
Flaggers #:
Arterial:
New Commercial Svc
EFV.
2" 10000 9998737
Police #:
TCP:
Yes
PUGET
SOUND ENERGY
Meter:
A1000 A1000 A1000
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
2 PSI
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:1
Route #'s:
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425 p
Notes:
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and shall
not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m
8. Work area will be 21' WCL of 2nd Ave S and 200' NCL of
Main St.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
KEEP SIDEWALKS
OPEN
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Q
,okin�� b
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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^b�
Ak�n9 \
PUGET
SOUND
ENERGY
JOB# 106340153
201 Bell St, Edmonds, WA
July 24th, 2018
patrick.byrne@pse.com
425-424-6618
Sheet 1 of 2
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— ROW ROW
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425 p
Notes:
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and shall
not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m
8. Work area will be 18' ECL of 2nd Ave S and 200' NCL of
Main St.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
KEEP SIDEWALKS
OPEN
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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2O•y�1
fq
`�N/�
••
'
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,p
c „
PUGET
SOUND
ENERGY
JOB# 106340153
201 Bell St, Edmonds, WA
July 24th, 2018
patrick.byrne@pse.com
425-424-6618
Sheet 2 of 2
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
- ROW ROW