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City of Edmonds Permit - 100025682.pdfAiv&— . 1 8-90 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: S(4'Fef Cke.fLr16"Xnc..4_rss,�t, CONTRACTOR: 1 jj j� Y'0�oen.1h CJ -il S"�b Mailing Address: Pd,13Qx Ir�U�� State License #: t77 City Business License #: CONTACT: % Phone #: )ej -Sf S'q Fax #: Email #: ia+wG'r p Ad , t:.- ❑ Liability Insurance ❑ (Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 4� Ll 'T;J� L""'"_ no"IJ ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this perinit part of a blanket permit? ❑ Yes ❑ No ANY ASSOCIATED PERMITS? BLD# ENG#. DESCRIPTION OF PROPOSED WORK (Be Specific): Qzp,acQ ��-�SdL t�uz "�L c�rs�.k Af3lC Sl:d na (Itt� ,�� at✓1 Cf'� i�2W c1 !`bLA (Af- rt.,C� io��'t`tia ISfI.�� utJ�9 I fa't7�� YMCA1lE�r+�rr°^, �i/J,�C C-i�`� ��•2, i1 5 i n to `` Y''k o , , .} c WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 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 n {W�► Alley 72 Hrs + LF X LF SF Parking 72 Hrs + LF X LFJ 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 {WAQ 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 ord for the emit to be valid. SIGNATURE1--/�Y DATE 1 ZA E Contractor or Agent ' NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE = PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY 100025682 REPLACE LOCATION - OCATION_. 8229 T ALB O T_-_ R D.,.__E D-M O N D S__._._. _. _. _. _._.._.._. _.._.._......_......._.___L Y N N_W O O D AREA POLE NO. LI ' ................. - - /4S..._ ... -T '� ....R - DATE ..__....__ !` Jl'' 9 ..._.__.. ORDER 10002:_ 68 REASON FOR WORK..M D- f-(� A ��1 ) i R. ENGINEER MRLAUER OPERATION 00_30.----.._.. ,I•AL TRD._� _ _ _ _ DRAFTER lti'RL U.G. N0. N/A SCALE N"I s APPROVED & DATE PRINTED DATE WORK COMPLETED _ DATE__--f�=' FOREMAN.-------. SUBSTATION PRV _ FEES R E Q' D ❑ YES 1 NO CIRCUIT NO. 2-PHASE _ 21 _-__ PRIMARY OVERHEAD RESIDENTIAL COMMERCIAL L NO. SE NDARY OVERHEAD NESC VIOLATIONS BASIC FEE f_ ❑ NO IA YES (SEE NOTES) '@$ =$ PERMITS (DATE GRANTED) METER CONV_ POLE g ■ TREE TRIM PRIMAR UNDERGROUND ^ ❑ STATE --_---------__ L7 RESIDEN IAL ❑COUNTY __ _,_ ❑ COMMERC L CITY -- BASIC FEE S ❑ LEU No. EASEMENTS ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUN D NDERGROUND----------------- ---- ASIC FEE S $ _$ DATE RELEASED LAT FOREIGN CONTACTS BA C FEE 8 ■ JPN# _1025...._......._...._.. _ ❑JOINT TRENCH FRONTIER & CATV FTA$ '_ STREET LIGHTING T_ � -❑ JotNT BORE FRONTIER & cATv STREET LIGHT:ING(i FT.@t '=S WORK IN RIGHT OF WAY POLE STENCILING D PRIMARY FROM TO _ TAKE OFF POLE ❑ SECONDARY ............. _..._ - _— q FT.@$ _' g PRE-CONST. REQUIRMENTS MISCELLANEOUS FEES IN TREE TRIM ❑ PUD LOCATOR VAULT 8 ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE PERMIT i No. —u s STREET LIGHTING _ S _ 0 YES ❑ NO M&R AS -BUILT S GIS TOTAL DUE S_ GIS OC M&R DATE PAID _ RECEIPT NO. GIS Ph JOINT USE SERVICE ORDER NO. �- LOCATION MAP PAGE 454 J1 LEGEND: 0 EXISTING POLE S( EXISTING PULE -TO BE. REMOVED • NEW POLE )10 NEW POLE TO REPLACE EXISTING POLE ENGR'S TEL. # 25— t83-515 - ENGR'S CELL # 1425-239-0858 PLI 4502 - CLEARANCE SAFETY ISSUE 0 PL:.I 4 502' PI,. D SERVICEMAN REPORTED MID -SPAN CLEARANCE SAFETY Y ISSUE OVER T'ALBO I RD EXISTING NESC VIOLATION - FRONTIER & COMCAS I MID- SWAN CLEARANCES BELOW 18' OVE,R ROAD _ 40' P{ ILE-' TO BE REPLACED WITH 50' 112 (DUCTILE IRON POLE. NEW POLE TO BE SET '!O' NW OF FOG LINE (APPGX 4' SE OF OLD PULE) . POLE TO BE SET 11" DE E:P (4' DEEPE.R THAN NORMAL) IN A 4.' X 12' STEEL. 'C'U...VERT BACKFILLED W/ CRUSHED ROCK �. POLE TO BE RAKED 4" TO SOUTHEAST w.. POLE TO BE FRAMED W1 CU X0 551, T E I ERGLASS ALLEY ARM I" ACINr' NOR- TH WEST - NEUTRAL. I' BELOW XARM NOTES. COMCAST TO TRANSFE:R AT 40G: BELOWNEUTRAL FRONTIER TO TRANSFER AT 58 BELOW NEUTRAL SHEET I OF 1 FTA$ '_ STREET LIGHTING T_ � -❑ JotNT BORE FRONTIER & cATv STREET LIGHT:ING(i FT.@t '=S WORK IN RIGHT OF WAY POLE STENCILING D PRIMARY FROM TO _ TAKE OFF POLE ❑ SECONDARY ............. _..._ - _— q FT.@$ _' g PRE-CONST. REQUIRMENTS MISCELLANEOUS FEES IN TREE TRIM ❑ PUD LOCATOR VAULT 8 ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE PERMIT i No. —u s STREET LIGHTING _ S _ 0 YES ❑ NO M&R AS -BUILT S GIS TOTAL DUE S_ GIS OC M&R DATE PAID _ RECEIPT NO. GIS Ph JOINT USE SERVICE ORDER NO. �- LOCATION MAP PAGE 454 J1 LEGEND: 0 EXISTING POLE S( EXISTING PULE -TO BE. REMOVED • NEW POLE )10 NEW POLE TO REPLACE EXISTING POLE ENGR'S TEL. # 25— t83-515 - ENGR'S CELL # 1425-239-0858 PLI 4502 - CLEARANCE SAFETY ISSUE 0 PL:.I 4 502' PI,. D SERVICEMAN REPORTED MID -SPAN CLEARANCE SAFETY Y ISSUE OVER T'ALBO I RD EXISTING NESC VIOLATION - FRONTIER & COMCAS I MID- SWAN CLEARANCES BELOW 18' OVE,R ROAD _ 40' P{ ILE-' TO BE REPLACED WITH 50' 112 (DUCTILE IRON POLE. NEW POLE TO BE SET '!O' NW OF FOG LINE (APPGX 4' SE OF OLD PULE) . POLE TO BE SET 11" DE E:P (4' DEEPE.R THAN NORMAL) IN A 4.' X 12' STEEL. 'C'U...VERT BACKFILLED W/ CRUSHED ROCK �. POLE TO BE RAKED 4" TO SOUTHEAST w.. POLE TO BE FRAMED W1 CU X0 551, T E I ERGLASS ALLEY ARM I" ACINr' NOR- TH WEST - NEUTRAL. I' BELOW XARM NOTES. COMCAST TO TRANSFE:R AT 40G: BELOWNEUTRAL FRONTIER TO TRANSFER AT 58 BELOW NEUTRAL SHEET I OF 1 LEGEND: 0 EXISTING POLE S( EXISTING PULE -TO BE. REMOVED • NEW POLE )10 NEW POLE TO REPLACE EXISTING POLE ENGR'S TEL. # 25— t83-515 - ENGR'S CELL # 1425-239-0858 PLI 4502 - CLEARANCE SAFETY ISSUE 0 PL:.I 4 502' PI,. D SERVICEMAN REPORTED MID -SPAN CLEARANCE SAFETY Y ISSUE OVER T'ALBO I RD EXISTING NESC VIOLATION - FRONTIER & COMCAS I MID- SWAN CLEARANCES BELOW 18' OVE,R ROAD _ 40' P{ ILE-' TO BE REPLACED WITH 50' 112 (DUCTILE IRON POLE. NEW POLE TO BE SET '!O' NW OF FOG LINE (APPGX 4' SE OF OLD PULE) . POLE TO BE SET 11" DE E:P (4' DEEPE.R THAN NORMAL) IN A 4.' X 12' STEEL. 'C'U...VERT BACKFILLED W/ CRUSHED ROCK �. POLE TO BE RAKED 4" TO SOUTHEAST w.. POLE TO BE FRAMED W1 CU X0 551, T E I ERGLASS ALLEY ARM I" ACINr' NOR- TH WEST - NEUTRAL. I' BELOW XARM NOTES. COMCAST TO TRANSFE:R AT 40G: BELOWNEUTRAL FRONTIER TO TRANSFER AT 58 BELOW NEUTRAL SHEET I OF 1 LANE CLOSURE ON A -FWO----L-.ANE LOW----VOL-UME ROAD (ONE' FlILAGGIER OPERATION) W20-1 S I CA --sp-EED SPACING BUFFER LIMIT (F T) W20-4. 25 1 200 505 30 200 85 W20-7A = 3 5 350 120 40 350 170 4 5 Soo 220 50 500 280 55 500 335 d) F51 LJ L —1i C14 L w LO ig- L0 Uj :2 Lo W20-7A w 0 W.20-4 u- •W20--1 - 0 0 f SNOHOMISH COUNTY E TRAFFIC CONTROL PUkN PUBLIC UTILITY DMrtdCT NO 17 PROJECT -REPLACE PLI 4502 CLEARNACE SAFETY ISSUE IaN LOCATION 8229 TALBOT MEDMONDS 0 ENGINEER MICHAEL LAUER DATE 1/12/2018 ORDER 82 1000256L ou PHONE 425-783-5154 C"4 CELLULAR 425-239-0858 < r)