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106343348-19210 93 PL W.pdf0 \:L L?,11(7. -,NC. 1 s`) u ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106343348 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: 19210 93rd PL W 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 18' W c/1 of 93rd PL W & 154' S c/1 of 192nd ST SW . (1) 3x5 paving /dirt 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. -1 1 - DI911e1�➢sp.d by l".S,dSks P,1111 7/25/2018 Susan Id IcK DNtl'Susan Sidi[k,=di,nitlin DepaNnUS ou=Muniapal SIGNATURE RD1b. nn= emn211-="l'0006 0700=e�nm �-Ds DATE Deie: 2018.0] 25 11:00:08-0�'00' Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE V Ur,CL JVMI NA CI IClry <7QJ r-IC-1113FJCUL rVl 111 Job #: 106343348 Date: 7/20/18 Address: Jurisdiction: EDMONDS City / zip: ROW Permit: Yes Customer: Est. Start Date: 9/24/18 PM / Inspector: Est. Duration: 1 Day (8 Hours) 19210 93RD PL WEST EDMONDS, 98020 GRAHAM TRAVIS 206-769-4128 Kevin Williams 425-398-6192 Job Description / Scope of Work From 1-1/4 PE main run new complete 1-1/8 PE service to single family residential home(11' scat New Construction: No stub with 42' scat extension)set AL-425 meter OL @ Inches Construction Method All Scat / Trenchless PLAT Map: 161.067 I t I N _ p� /p y�S �, & -- ---- --- - - _ s�------------- ----____ - 5/8 PE 74 �� - _ Sealer 1494 1 9200 w S a 5/8' PE LU 199 , d cV � � ' I co - D� :.::.:.::::::::::::::::::::::::..........................:..:::::::::::::::::... �_ t J = O a O - 0 M N rn 00 L 00 M :::::::::::::::::............ 2 = AL-425 ' ::i:i..:- Tree Tree L w+ 3 � 19220 2 8S Cl) aw ? a N a �g9 ii _ o 7 1 / PE IP 37' _ ��� — oo - 932 33 4 '.S 5/8'_PE � Work Location Size of Cut Surface Type 18' W of CL 93rd PL W & 154' S of CL 192nd ST SW 3x5 Asphalt/ Dirt of CL & of CL of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: New Residential Svc EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Yes Tie -In Fitting Meter: A425 Speed Limit: 25 No Parks #: 6 Meter Loc: OL Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 1 2.5" # 1 4" # 1 ADA Ramps #:I I Route #'s: Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com 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' WCL of 93rd PL W & 154' SCL of 192nd ST SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. � �92N4 _ ST SIAZ l -n�A 2016U 1 LU 1 4U I PUGET SOUND ENERGY JOB# 106343348 19210 93rd PI W, Edmonds, WA July 24 2018 jaber.tofan@pse.com 425-424-7808 SHEET 1 of 1 SIGN SPACING MPH "X" 60/65 1000, 45/55 500' 35/40 350' 30 200' 25 100' LEGEND I ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW ROW