eng20140280-Edmonds2020.pdf"�
ISSUE DATE:
PROJECT NAME: Edmonds Post Office Loading
Dock Remodel
CONTRACTOR: Edmonds 2020, LLC
Mailing Address: Po Box 1773, Edmonds WA 98020
State License #i: CCEDMON2L864B3 UBS:602-998-481
City Business License #: application pending
ADDRESS OR INTERSECTION OF CONSTRUCTION -
CONTACT: Doug Spee
Phone #: 206-284-7733
Fax #: 206-625-07`70
Email #: edmonds20200gmail . com
❑ Liability Insurance x❑ Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
0 Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes M No
BLD# 20140074 ENG#
DESCRIPTION OF PROPOSED WORD (Be Specific) : Construction of a shared driveway that
will be partially temporary, and partially permanent. The temporary southern part of the drive-
way will serve the existing post office parking lot during construction of the new post office
office building, and later will be removed. The northern part of the driveway is permanent for
the new building's loading dock.
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:
41 X 3
APPLICANT
.I' 'I'A. •# 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 slates 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
follow all requirements in plqer
SIGNATURE
the permit requirements and acknowledge that I must
r Agent
DATE �'