20180906124959.pdfCITY OF EDMONDS
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STATUS: ISSUED
I2I5TH A\ENUENORTH - EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX: (42s)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
8NG20180387
RIGHT OF WAY PERMIT (l-Single Family)
Permit Number: ENG20 1 803 87
Job Address:9510 EDMONDS WAY, EDMONDS
Expiration Date: I 1 1061201 8
Location:
APPLICANT CONTRACTOR
Plumbing & Drain Co
92696th StE
Taconra, WA 98,145
Plumbing & Drain Co.
926 96rh St E
Tacoma, V/A 98445
(2s3) 987 -7980
LICENSE #: PLUMBDC89IJF EXP: 04122/2019
JOB DESCRIPTION
ASSESSED VALUE:
SIDEWALK: ( 0X0 )
PARKING: ( 0X0 )
$O.OO PROPERTY AREA:
DURATION IN MONTHS. O
DURATION IN MONTHS: O
DURATION IN MONTHS: O
0
FEE
FEE
FEE
$o.oo
$0.00
$0 00
STREET DISRUPTIONTRENCHCUT: ( O XO )
YEAR OF OVERLAY: 0 FEE: $0.00
AI,],EY 0x0
DIS RUPTION IN FO RI\iIAT¡ON
Removing asphalt around water meter boxto gain access to meter and seruice lines
INDEMMTY: The Applicanl has signed an applicationv¡hich states he/she holds the City of Edntonds harmlessfrom injuries,
damages or claims ofany kind or description u,hatsoever, foreseen or unforeseen, that may be made against rhe Ciîy ofEdmonds or
any ofits deparlmenls or employees, including but not limited to the defense ofany legal proceedings including defense cosfs and
allorneyfees by reason ofgranling fhis permit.
THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PM,IOD OF ONEYEAR FOLLOWING TTIEFINAL
INSPECTIO N AND AC CEPTANC E O F TTIE W O RI'
¡ Traffic Control and public safety shall be in accordance with City regulations as required by the City Ergineer. Every flagger must
be trained as required by (WAC) 296-155-305 and must 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
Iraterial prior to the end of the workday- NO EXCEPTIONS.. Three sets of construction drawings of proposed work are required with the pemit application.
CALL DIALA-DIG (l -800 -424-5 555) BB'ORE Al.{Y Ð<CAVATION
CALL FOR INSPECTION (425) 7 7 t -0220 Ð(T. I 326
24 HOUR NOTICEREQUIRFD FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTÍL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID. AND RECEIPTIS ACKNOWLEDGED IN
er 201
SPACE PRO\4DED.
Printed:Thurs
,{PPLICATION APPROVAL
! rnncorv
BY
I nsrncroRcoPY I arrucrrcoPY
RIGHT OF \ilAYPERMIT (l-Single Family)
CONDlTlONS
STATUS: ISSUED 8NG20180387
¡ Restore ROV/ to City standards
¡ Restore Landscape to like or better conditions.. Call for locates ofunderground utilities priorto any excavation.
¡ Alert affected residents and/or businesses prior to work stalt.¡ Confomlo approved working drawings and Traffic Control plan.
. Verify clear bore crossings
. Utilify patch restoration to be in accordance with Edmonds Standard detail E2.3¡ Maintain erosion & sedimentation control. Keep street clean.
. C-all forrequired inspections as noted.o Trafüc Control per approved plan and MUTCD. Refer to City of Edmonds trafüc control requirements.
. Applicant shall repail/replace all danrage to utilities or fi'ontage implovements in Cify right-oÊway per Cify standards that is
caused by or occurs during the pemitted project.
. Sound/Noise originating fromtenporary construction sites as a result of construction activity are exempt fromthe noise limits
ofECCChapter5.30onlyduringthehoursof7:00amto6:00pnronweekdaysand l0:00amand6:00pmonSaturdays,excluding
Sundays and Federal Holidays. At all other times the noise originating fi'om 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.
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' nPPilUdilL, Uil UtildU Ul iltS UI ilEI 5PUU5E. rrçtISr d55rBllS. dilU SUUUTSSUIS ilt lltLEISSLS. dBrCtS tU ilrUtilUilry UgrçilU AItU ilUrU
harmless the City of Edmonds, Washington, its officials, employees, and agents fi'om any and all claims for damages of
whatever nature, arising directþ or indirectþ ÍÌom the issuance of this permit. lssuance of this pemit shall not be deemed to
rnodifi, waive or reduce any requirements of any City ordinance not lirnit in any way the City's ability to enforce any ordinance
provision.
. E-Traffìc Control
¡ E-Engiueering Finalr E- Asbuilt
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION APPROVED
DATE:-
DATE:-
DATE:-
INITIA
TNITIA
INITIA
NOTES:_
NOTES:_
NSPFTT|ONS
gF EÊt*¡
9Õ
PROJECT NAME:
ROW PERMIT NO. : ENG
ISSUE DATE:
RIGHT.OF-WAY C OI{STRUCTIOI{
PERMIT APPLICATION
CONTACT:
CONTRACTOR: ì,ur.lrLar\a i S'¿.:n ct>" Phoneot 2-J* eyl - a4þ<)
Mailing Address:q^b ahlT s+Ç Fax #:
state Licentt #t Pl,, f\Àg D (.?61 r .\ F Email #:"' S<-r¡¡rc16 Ltaf Ac,rt " c;o,,.^
Cify Business License #: M Ø- ùAyq g ) f r,ianinty Insuranîe I Bonoed
ADDRESS OR INTERSECTION OF CONSTRUCTION:75 tû
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial Subdivision
I Multi-x'amily I Single Family I
T EUC (PUD, VERIZON, PsE,
coMcAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
City Project
Other
Traffîc Control (Only)
fl Yes I No Job Number
BLD#ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
a.<Ò\^4J 'dr* (}lLv V1^4J4"- ì.aû¡<.*-\-ù ae,r-ì!^ ê\c cp,ss +ò
"l
t <J
WAS STREET OVERLAYED TVITHIN THE LAST FIVE ($ YEARS? YES NO Year:
PAVEMENT CUT:
CONCRETE CUT:
Év"t
I Yes
Ifyes,Índicate size of cut:/xNo
NoF If yes, indicate size of cut: x_
RIGHT-OF.\ryAY
CLOSI]RE
AREA TOTAL
DI]RATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +LF X LF sF I
Alley 72 Hrs +LF'x LF'SF
Parking 72IIrs+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 Sta¡rdards. All street-cut trench work shall be
patched with asphalt or City approved material prior to the end of the workday - NO EXCEPTIONS.
INDEMITY: The Applicant has signed an application which states he/she hold the Cit)¡ 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 anv of its deparlments 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.
SIGNATURE DATE
Contractor or
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSU.AI\CE
l.
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THIS N4AP IS NOT TO BE USED FOR DESIGN OR CONSTRUCIION
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