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ENG20160283 (2).PDF
DAI OF E� OWN CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 i"C I g90 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20160283 RIGHT OF WAY PERMIT (6-EUC) i Permit Number: ENG20160283 Expiration Date: 02/13/2017 Job Address: 23207 75TH PL W, EDMONDS Location: 23207 75TH PL W APPLICANT CONTRACTOR SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD P.O. BOX H 1802 75 ST SW EVERETT, WA 98206 EVERETT, WA 98203 (425)670-3214 LICENSE #: UBI: 313 005 741 EXP: Ii DESCRIPTION Install road bore, secondary pedestals, riser and pole. DISRUPTION1 1 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 INDEMNITY 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 whatsoever, 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. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OFTHEWORK. 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 (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS APPLICAT-ioN APPROVAL THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY ME CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Friday, August 12, 2016 Ghhi Ir a Wagkii l 9/12-/2016 RELEASED BY DATE ��ECOPY ❑ INSPECTOR COPY APPLICANT COPY 0 O STATUS: ISSUED ENG2O16O283 • Restore ROW to City standards • Restore Landscape to like or better conditions. • Call for locates of underground utilities prior to any excavation. • Alert affected residents and/or businesses prior to work start. • Conform to approved working drawings and Traffic Control plan. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • Maintain erosion & sedimentation control. Keep street clean. • Call for required inspections as noted. • Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements. • 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 7:00am to 6:OOpm on weekdays and 10:00am and 6:OOpm 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 pem»t. Issuance of this pen -nit 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. INSPECTIONS • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: rNITIAL: u6P'H0I3:15 A80M ZZOOOD OMIP3 'M Id q;GL ZOM Pad s9wcH XqSOJO L,7C004 OM\6ua I"D\J-c@m\s�a@u!6u3 Zg:ZL gt-M-CZ :31VC) 1O1d\10d\sdmolOM)om\:), :311A CN O foll ra) UA -00 C C14 cc LL LL LLJ Z 0 E5, < ui UCCJ 0 LLJ Q- w ui Uj 0_ > N Ol tL, U U) ui T 0 0 '.. r, (D PO LLJ ) In(14 Li N z 0) q N- q I:Z: N N 3 0 < 0 0 W < z z A 0 T W Q- U -W;: Ln Ln 0 Ln 00 U) O LLI m L3— Ul) N N CN (N OC Q-m V).e 3: LLI Clt: 0 Lf) TCN�) q-P <�> D W) )(VV4.001 C) pq (5 OOt .... n,� 83,111 1 Z C 0 0 0 0 0 0 ui U. 1332JiS z LU � --*- 0 Ul u wE 0 0� _j UJ r, LJ L. 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N O w O z¢ p C� i- < a O �n z o z z 0 °z z a w v0i 0 3 za w w (nl LLJU" W <1io 3 Z o W z O w � w w <os w m a o z w Z O w a w w w OZ Y�o u O d '^ w U mw 0 0 a a w �, `a V w w - (7 w V1 VI x x w wC 3 3 wl w Z Z1 of a ¢ o LW a❑ ❑ N a❑❑ v7 7 U7 3❑❑ aU ° w J � �■ Ox J'C 2r t 3 �� 0 Aj Ec�2�16 lc� Allj- SEW" AUC. 1 s�� o RECEH WO 400027 JUL 1 2016 p ROW PERMIT NO.: ENG_ ' ©j —Oa 03 Vp . iNT SFJi/1trlsS ISSUE DATE: .IGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 0""I'l �B-y� tp c� CONTACT: 564 CONTRACTOR: S�/� 1pV� Phone#: Li7't Mailing Address: �Q�� Fax #: 1 ko2 �' ST � Srcal ---- State .License #: Email #: s C we R ve'v-Co SkU Pv • c04? City Business License #: Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 23207 75th PI W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project L1 Traffic Control (Only) ❑ Multi -Family �Single Family ❑ Other ❑ EUC UD-ERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : IA S?`v kt, Se C01A OWV q P,-Ike S 1*(,C- a j0t,S e�lr- @ �c WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes [ N If yes, indicate size of cut: x, CONCRETE CUT: 0 Yes Zo If yes, indicate size of cut: 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 d understand the permit requirements and acknowledge that I must follow all requiremen in o er f the permit to be valid. / SIGNATURE DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE