ENG20160309.pdfSTATUS: ISSUED ENG20160309
• 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.
• Utility patch restoration to be in accordance with Edmonds Standard detail E23
• Maintain erosion & sedimentation control. Keep -street clean.
• Call forrequired inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer toCity 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 fi-om the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 0:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating fi•om constructionsites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicants 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 fi-om any and all claims for damages of
whatever _nature, arising directly or indirectly fi•om-the issuance of this permit. Issuance of,this permit 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.
101-3
• E -Traffic Control
• E -Engineering Final
PARTIAL INSPECI'ION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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2016
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WO *100004907
ROW PERMIT NO.: ENG JO
ISSUE DATE:
U121MV RIGIMT-OF-WAVCONST RUCTIO
N
PERMIT APPLICATION
PROJECT NAME: UG t)oles at intersection
CONTRACTOR:
C.-ouffly—FUD----
Mauling Address: PO Box 1107, Everett, WA 98206
State License 1h
City Business License //:
FINIEZ ctlsln
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AUG 0 2016
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� ... . . . . , , 111wa 01/10m
CONTACT: Andra Haherty
Pbone, fl: 425-783-4419
Fax 11:
.. ............. . .
Email th alflaherty@sn0j)Ud.cor-n
El I-,iiawlitN, Instwallee [ -
Bonded
I(A
ADDRESS OR INTERSJ-�,CTJON OF CONSJ'm.jc'rlON- "D
2nd Ave S.& Main St
ROW WORK ASSOCIATED WITH TIJE FOLLOWINGTYPE, OF PROJECT:
F1 commel-Cial 1 fic Control nly)
j Subdivisioll City Project L❑ -1 Tr
El moiti-mainiiy El Single Family [-'] Othej-
[X] EIEC (PUD, VERIZON, PSE,
COMCAST, OVWSD);
Is this permit Imi't of blanket permit? El Yes [I No
[A::N:YSS (LT TED PI R �Ml T S�? E N G 11
DESCRIPTION OF PROPOSED WORK (lie Sl)ecifie): Will be potholing at the circled locations
L
to look fo
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(S) YE'AI6? NO Nlem-:
PAVEMENT CUIT:
['es
]
[—
No
ll'yes, indicate size of eut: 2 x 2
CONCRETECUT:
F]
Yes
E]
No
If yes, indicate size of C11t: ----X--
RIGIIT--OF-VVAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Suieav�alac ,I8 Hi's t LF X LF SF
Alley 12 I-Irs -t- LF X LF SF
L::
Parl{ing 72 Ilrs Lt+ X LF SF
APPLICANT TO READ AND SIGN
*Traffic control ailci public safety shall be ili accordance with City regul atious as required by the City
Erigirleer. Every flagger must be trained as required by (WAC) 291.1-155-305 alul must have certification
verifying completion of the required training irl theiron
possession..
'Restoration is to be in accordance with City codes anti Standards: All street-cuttrerlch work shall be
patched with asphalt or City approved materiat prion' to the enol of the worl<day — NO EXCEPTIONS.
Indemnity: The Applicant has sig=ned an application which states helshe hold the City of
Edmonds harmless froin 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.
1 have reacl the above statements alld ulldel-stalld the l7el,llllt i'egliil'eillelltS and acknowledge that 1 must
follow all requirements in order for the permit to be valid.
SIGNArUii. ;1` % 1� f,f� DATE,
Cmitr <actor or' Age,r11,
NO 'NORIA SHALL BEGIN PRIORTO PERMIT ISSUANCE