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1369_001.pdfOV. E Dtit CITY OF EDMONDS 1215TH AVENUE NORTH -EDMONDS, WA 98020 �nC18go PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20190222 RIGHT OF WAY PERMIT (I -Single Family) Permit Number: ENG20190222 Expiration Date: 06/09/2020 Job Address: 115 EDMONDS ST, EDMONDS Location: CRITCHLOW HOMES CRITCHLOW HOMES GO JEFFREY CRITCHLOW C/O JEFFREY CRITCHLOW PO BOX 13400 PO BOX 13400 MILL CREEK, WA 98082- MILL CREEK, WA 98082- (425)743-4447 LICENSE #: CRITCHI055JP EXP: 02/01/2019 INSTALLATION OF WATER METER, SEWER CONNECTION, OTHER CONSTRUCTION RELATED TO THE SFR PERMIT BLD20190124 D IS RIJPTION INFORMATION ASSESSED VALUE: $0 00 PROPERTY AREA 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0 00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE $0 00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0 00 7NDEMNTTY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description N hatsoei,er, foreseen or unforeseen, that may be made against the City of Edmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND AC C EPTANCE 0 F THEW ORK • 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 possesion. • Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday- NO EXCEPTIONS. • Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG (1-80 0-424=5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREQLIIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOTA PERMITUN nL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED BY TE inted: Monday, June 10, 201 d �q FILE COPY INSPECTOR COPY APPLICANT COPY STATUS: ISSUED ENG20190222 • Restore ROW to City standards • Call for locates of underground utilities prior to any excavation. • Conform to approved working drawings and Traffic Control plan. • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • Maintain erosion & sedimentation control. Keep street clean. • Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements. • Maintain 10' separation between the sanitary side sewer and the water service line. • Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Edmonds Sewer Division at 425-771-0235. • Easement and/or permission from adjacent property owner is required prior to entry/work within adjacent property. • Install mailbox in location approved by post office. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance provision. • E Erosion Control/Mobilization • E-Driveway Form & Slope Ver. • E-Pavement Compaction Test Report • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: 6'A INC. 1 39D PROJECT NAME: ROW PERMIT NO.: ENG Z,Oj el 0 ZZZ- ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION RESU$ PERMIT APPLICATION MAY 2 0 2019 CONTRACTOR: CONTACT: __Vf-F C12,(7eet l Phone #: L4, 4- �v ; 7: 2 Mailing Address: 10;2cj Fax #:-7a��_ 3 3 1 State License #: C g TCt� O S-C-� p Email #:_)krr Cp i TCk& t)t t: Hor✓1 k, City Business License #: lql� O Z( 3 .� [� Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial ❑ Multi -Family Subdivision Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? City Project ❑ Other ❑ Yes ❑ No BLD# ZO 1 q- - 01 J5 ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Traffic Control (Only) I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: CONCRETE CUT: ❑ Yes No ❑ Yes No If yes, indicate size of cut: If yes, indicate size of cut x x RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF Alley 72 Hrs + LF Parking 72 Hrs + LF X LF SF X LF SF 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 requiremen in order for the permit to be valid. SIGNATURE DATE c5 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE