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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106343798
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: 318 Howell Way # A
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 16' S c/I of Howell Way
& 110' W c/I of 4th AVE S. To install gas service (1) 3x5 paving grass 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 - sp.d by P,1111 7/31 /2018
Susan
Id IcK DNtl'Susan Sidi[k,=di,nitlin DepaNnUS ou=Muniapal
SIGNATURE Reba��nn= emn3111'0'65232 0700 �nm �-�s DATE
Dena: 2018.0] 3� 08.52 32-0�'00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
VUr,CL JVMINA CIICIsy <7QJ r-IC-1113FJCUL FLPIII1
Job #:
106343798
Date:
7/27/18
Address:
Jurisdiction:
Edmonds
City / zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
9/10/18
PM / Inspector:
Est. Duration:
1 Day (8 Hours)
318 HOWELL WAY # A
EDMONDS, 98020
ROB MICHEL 206-930-2445
Kevin Williams 425-691-7573
Job Description / Scope of Work
From 2" PE main run new complete 1 1/8 PE service to Duplex(9' scat stub with 50' plat
New Construction:
Yes
extension) set
2 AL-425 meter on a manifold
OL @ Inches
Construction Method
Scat ROW / Plat Property
PLAT Map:
164.065
I t
I N
Fire Hydrant b Q
Water_____________
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- - - - - - - - - - -
50' ROW nt,�WFLL
WAY
Sewer -------217PE IPr6'S ——————————— — — — — — ——
9709033 I
Overhead Power
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:.:::::.:;.:.:;.:.:::::::.:.:.:.:.::::::::.:.:.:.:.:.:.::::::: i~ o,
5/8' MPE 130'S
2002
i S
i 37
5/8' PE
5/8iMPE i .S
SS'
w
514-518
Work Location
Size of Cut
Surface Type
16'
S
of CL
IHowellWAY
&
110'
W
of CL
4th AVE S
3x5
Asphalt/Grass
of CL
I
&
of CL
of CL
I
&
1 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 A425
Speed Limit:
25
No Parks #:
6
Meter Loc:
03 - OL
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
1 2.5" # 4" #
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
N
0
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 Work area will be 16' SCL of
HOWELL WAY & 110' WCL of 4TH AVE S.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
PUGET
SOUND
ENERGY
JOB# 106343798
318 HOWELL WAY #A, EDMONDS, WA
JULY 30TH 2O18
john.herman@pse.com
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425-424-7807
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SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500'
35/40
350'
30
200'
25
100,
CHANNELIZATION
DEVICE SPACING
MPH I TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— ROW
ROW—