1183_001.pdfCITY OF EDMONDS
I2I 5TH AVENI]ENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSIIED 8NG20190163
RIGHT OF WAY PERMIT lel-s
Permit Number: ENG20l 901 63
Job Address: 639 2ND AVEN, EDMONDS
E4piration Date: 05 /20 12020
[¡cation:639 2ND AVEN
APPI,I(],{NT (-ONTRACTOR
ALBERT COHEN
330 DAYTON ST #6
EDMONDS, WA 98020
DELAP CONSTRUCTION
I,ICF,NSE #: EXP
.IOB DËì(]RIPTION
ASSESSED VALUE:
SIDEWALK: ( 0X0 )
PARKING: ( 0X0 )
ALLEY: ( 0X0 )
$O.OO PROPERTY AREA:
DURATION IN MONTHS: O
DURATION IN MONTHS: O
DURATION IN MONTHS: O
0
FEE
FEE
FEE
$0.00
$0 00
$0.00
STREET DISRUPTIONTRENCHCUT: ( O XO )
YEAR OF OVERLAY: 0 FEE: $0.00
DIS RT JPTION INFORMATION
INSTALLSIDEV/ALK AND CONNECT IJTILITIES ON2ND AVEAND ONCASPERS
INDEMMTY: The Applicant has signed an application which states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or description v,ltatsoeyer, foreseer't or unforeseen, that may be made against the City of Edmonds or
any ofits departmenÍs or employees, including but not limited to the defense ofany legal proceedings including defense cosls and
attorneyfees by reason ofgranling this permil.
TIIECONTRACTOR IS RESPONSIBLEFOR \üORKMANSHIP AND MATFRIALS FOR A PERIOD OF ONEYEAR FOLLO\ilING TTIEFINAL
INSPECTION AND ACCPTANCE O F THE W ORK
Trafüc Control and public safefy shall be in accordance with City regulations as required by the City Engineer. Every flagger must
be trained as required by (WAQ 296-155-305 and nmst have ceftification verifying completion ofthe 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 Cify approved
nraterial prior to the end of the workday- NO EXCEPTIONS.
Three sets of construction drawings of proposed work are required with the pennit application.
CALL DIALA-DIG (1 -800 -424-5555) BIFORE ANIY D(CAVATION
CALL FOR INSPECTTON (425) 7 7 l-0220 Dil. I 326
24 HOLIR NOTICEREQT]IRH) FOR ALL INSPECTION REQT]ESTS
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TIIIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY TT]E CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tuesd M 21
APPLIC,{TION APPROVAL
DATERELEASED BY
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PROJECT NAME: Wassall Residence
ISSUE DATE:
RIGHT.OF-\MAY C OI{S TRUC TIOI\
PERMIT APPLICATIOI{
CONTACT:
ROW PERMIT NO. : ENG at(p3
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Maiting Address:, çn _qEV pL# EVWfff
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639 2nd Ave WADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK ASSOCIATED WITH THE FOLLO\ryING TYPE OF'PROJECT:
Commercial
Multi-Family
Traffic Control (Only)
Single Family
n EUC (PUD' vERrzoN, PSE,
COMCAST, OV\ilSD):
Is this permit part of a blanket permit?lves ENo
BLD# BLD201 81 652 ENG#
X
Subdivision City Project
Other
ANY ASSOCIATED PERMITS?
DESCRIPTION OF PROPOSED \ilORK (Be Specific) :
Construct sidewalks along building frontage for both streets. Ramps at ends of
sidewalk matching existing grades past property lines. Curb ramp at intersection
designed per ADA standards with one directional curb. New curb and gutter
adjacent to each sidewalk.
wAs STREET OVERLAYED \ilrTHIN THE LAST FrVE (5)YEARS? YES NO Year:
PAVEMENT CUT:
CONCRETE CUT:
Yes
Yes
[]No
INo
Ifyes, indicate size ofcut:
Ifyes, indicate size ofcut:
5x5.85, 2x6.5,2I0x2
x
X
RIGHT-OF-WAY
CLOSURE
AREA TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +5LF X 73 LF 365 SF 1
Alley 72 Hrs +LF X LF SF
Parking 72 Hrs +LF X LF SF
APPLICANT TO READ AI{D SIGN
xTraffic 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.
tndemnity: The Applicanf has signed an application which sfafes helshe 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 cosfs 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 DATE
Contractor or e,l*l.-
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE