143003601-18122 84 AVE SE- AMI Project .pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 143003601
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: 18122 84th AVE 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) :
Install AMI Router next to existing Padmount transformer see attached no paving cuts trench will be 1' x 2 '2-1/2 ft deep by padmount.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 14301
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut:
x
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. Susan S1d1Ck
SIGNATURE
DATE 2/28/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
W.O.# 143003386, Notification# 11313487
Scope of work: PSE is to install AMI Network device in a pedestal (red circle) next to existing pad -mount
transformer (blue circle) in SnoPUD electric service territory. The work consists excavate a small area
(approximately 2' x 5') within PSE gas easement to install pedestal and AMI network device. After PSE
crew complete the device installation and restore the area, SnoPUD crew will connect power from
transformer to the device. (Connecting power task may happen several days after)
Work duration: 4 hours.
-r
Please let me know if you have any questions or need additional info.
STREET USE PERMIT REQUEST FORM
Date of Request: 02/21/18
Job number:
Job address:
Project mgr:
PM email:
143003601
18122 84th Ave W
PATIMA DEJARATH
PATIMA.DEJARATH@PSE.COM
Estimated job start date:
04/02/18
Estimated job completion date: 04/03/18
City: Edmonds Zip. 98026
PM contact #. (425) 456-2654
Description of work to be performed:
Install AMI Router next to existing oadmount transformer.
Pavement cut? ❑Yes ❑No
If yes, Dimensions of Cut: Length_
How many cuts?
Surface Type
Require trenching? Eyes ❑No
If yes, Dimensions of trench: Length 3'
Method of installation: direct buried
Width
Width
Traffic impact:
Road closed ❑Yes ❑✓ No
Lane closed Dyes ❑✓ No How Many?
Shoulder closed ❑Yes ❑� No
Sidewalk closed Yes ❑ No
Emergency Contact: PATIMA DEJARATH Print
Cell Number: (425) 647-71 1 o
Depth 2'-1/2
Direction? North
Send
Reset
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PLACE W21-7 SIGNS
ON ALL ADJACENT STREETS
WITHIN ADVANCED
WARNING AREAS
UUTILIT
WORK ci
AHEAD
TCP - 1 SHOULDER CLOSURE
WORK ST
-- - - - - - - - - - - - �- -
x' I x'
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
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W21-7
W21 5
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-642�
PUGET
SOUND
ENERGY
Typical Scenario Traffic Plans
AMI - Puget Sound Energy
Revised February 23, 2018
Sheet 1 of 6 gregory.harwood@pse.com
(425) 424-6425
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SIGN SPACING
CHANNELIZATION
DEVICE SPACING
MPH
"X"
60/65
1000,
MPH
TAPER
TANGENT
45/55
500,
55/70
40
80
35/40
350'
35/45
30
60
30
200'
25/30
20
40
25
100,
CONSTRUCTION:
AT PADMOUNT XFMR A-34310
- INST AMI ROUTER PER PSE STD 0700.8525 (SEE FIG 1)
- INST 5' OF #2 TRIPLEX
FIG 1^
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9 GRCUIC FJG PEDESTAL HOUSING FON POYfEA
FRONT V EW
1
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TOP VIEW
JOB SITE
SCALE: NONE
POLE TAG NO. ICOUNTY
Snohomi
POLE OWNER
PUI
RAWN BY I PHONE NO
DU VANG 1406.532.2247
AMI OWNER
6 PUGET
SOUND
ENERGY
DATE
12/26/ 17
PSE AMI ATTACHMENT
18122 84th Ave W Edmonds, 98026
Lat-Long = 47.834683,-122.346657