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1. All signs and spacing to conform to the li D
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and City of Edmonds standards.
2. All sidewalks, driveways, exits and egresses shall be
completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
4. Sign size can be a minimum of 3(," x :34 and shall not
obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for traveling
lane width.
6. Alert affected residents and businesses.
7. Work to take place between l a.m. and p.m.
8. Work area will be 18' WCL of 2nd Ave S & from 148' to
248' SCL of Pine St. : e saaa a= "
9. If used, place NO -PARK signs 72 hours in advance via"^"""vnn
of the day that the work is to be done. o 0 0 ' -,oa.
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CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
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35/45 30 60
25/30 20 40
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® 28" TRAFFIC CONE
® BORE PIT
TRAFFIC FLOW
r° FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
PUGET
SOUND
ENERGY
Job#107052498
1021 2nd Ave S, Edmonds, WA
July 15, 2016
Sheet 1 of 2 ina.ustemchuk@pse.com
(425) 424-6425
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Notes:
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards. o OVO8
2. All sidewalks, driveways, exits and egresses shall be 3NV 33NO
completely clear unless otherwise indicated." o
3. Channelizing devices are 28" traffic cones. � ■
4. Sign size can be a minimum ofd#" x UP and shall not D
obstruct pedestrian access. CD
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5. Crew is required to leave a minimum of 1t?' for traveling
lane width.
6. Alert affected residents and businesses.
7. Work to take place between Ia.m. and l p.m.
8. Work area will be 18' ECL of 2nd Ave S & 248' SCL of
Pine St.
9. If used, place NO -PARK signs 72 hours in advance
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of the day that the work is to be done.
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MERRIMAN
77
Puget Sound Energy Gas Pre -inspect Form
Job #: 107052498
Date: 7/5/16 Address: 1021 2nd Avec
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
City / Zip: Edmonds, 98020
Customer: Gary Klick 206-730-0670
PM / inspector: A. Baunsgard 425-495-4465
Job Description / Scope of Work
INSTALL 100'2" MAIN AND RUN A 48'1-1/8 STUB AND 60'1-1/8 EXT. DEVELOPER SUPPLIED CONDUIT. SET A
New Construction:
425 METER @
6" WC
x
Construction Method
HOLE HOG
PLAT Map:
N_
Pine ST
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v®
B0
,_4
WL
CUSTOMER
PROVIDED
CONDUIT
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48-1-1/8/609`1-1/8
1021
scat stub
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plat ext.
A425 MSA
Work Location
Size ofCut Surface Type
148' S
Of CL
PINE ST
&
18,
W of CL 2ND Ave S
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
Flaggers #:
I Arterial:
NCC
EFV:
2600
Police #:
TCP:
r
SOUNI
FNI-RC"Y
Meter: 425 Speed Limit: 26 No Parks #:
Meter Loc: 8 Trolley Lines: Mtr Hoods #:
Del Press: 6" Traffic Signal: Bus Stop:
Bollards: 2.5" # 1 4" # 1ADA Ramps #: Route Ws:
)"VC . . ..... J'-gl)o
jtlt 2 12016
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPIACATION
PROJECT NAME: 107052498
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #� INFRASL871C2
City Business License 11: NR -019840
CONTACT: Sue Sidick
P"olle 4: 425-457-6353
Fax #:
Email N: Susan.Sidicic@pse.com
Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1021 2 AVE S
LBP)Y._%A/ 0 RK ASSOCIATEi D WITH THE FOLLOWING TYPE OF PROJECT:
El coil'itnel-cial L:1 Subdivision El City Project L:1 Traffic Control (Only)
M Multi -Family [N SingleFatuilly ❑ Other
E EUC(PUD,VEJUZON,PSE,
COMCAST, OVWSD):
is this permit pail of a blanket permit? ❑ Yes [*1 No
ANY ASSOCIATED PERMITS?
DESCRIPTION OF PROPOSED WORK (Be Specific) : Permission requested to install 100' of
2" gas rnain at approx 148' s c/l of Pine St & 18'W c/l of 2nd AVE S
1 3x5 paving CLIt anticipated.
[_)YA,S STIZET�ff�Ofj, CL�VE D WDTiI:N
PAVEMENT CUT: Z Yes E] No If yes, indicate size of cut: 3 _x-5
CONCRETECUT: E] Yes 0 No If yes, indicate size of cut:
9
APPLICANT TO READ AND SIGN
*'Fraffic 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
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verifying completion of the required training in their possession.
*Restoration is to be in accordance tixith. City codes and Staudards. 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 helshe 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
1`0110W all requirements in order for the permit to be valid,
07/21/2016
SIGNATURE, DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TC) PERMIT ISSUANCE