ENG20160348.pdf19706
197'10
RESIDENT(S) WILL. BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
.....
CHANNELIZATION
DEVICE SPACING
MPH CAPER TANGENT
__T.,_.w_.
55(70 40 i 80
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harnrood@pse.com
(425)424-6425
so
n
Co
m
Job#109099413
86TH PL W AND MAPLEWOOD LN
EDMONDS, WA
AUGIST 12, 2016
Sheet 1 of 1 sally. bergman@pse.c.,om
(425) 398-6003
Notes:
1. All signs and spacing to conform to the MUTCD
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 48" x 48" 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 9 a.m, and 4 p.m.
8. Work area will be APPROX. 45'N OF C/L OF
MAPLEWOOD LANE & APPROX, 20'W OF C/L OF 86TH
PL W.
9. If used, place NO --PARK signs 72 hours in advance
of the day that the work is to be done.
MAPLEWOOD LN
LEGEND
J28"
TRAFFIC CONE
BORE PIT
WORK VEHICLE
SIGN LOCA TION
WARNING I -LAG
.....
CHANNELIZATION
DEVICE SPACING
MPH CAPER TANGENT
__T.,_.w_.
55(70 40 i 80
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harnrood@pse.com
(425)424-6425
so
n
Co
m
Job#109099413
86TH PL W AND MAPLEWOOD LN
EDMONDS, WA
AUGIST 12, 2016
Sheet 1 of 1 sally. bergman@pse.c.,om
(425) 398-6003
Notes:
1. All signs and spacing to conform to the MUTCD
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 48" x 48" 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 9 a.m, and 4 p.m.
8. Work area will be APPROX. 45'N OF C/L OF
MAPLEWOOD LANE & APPROX, 20'W OF C/L OF 86TH
PL W.
9. If used, place NO --PARK signs 72 hours in advance
of the day that the work is to be done.
MAPLEWOOD LN
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2 9 '2016
ROW PERMIT NO.: ENG,l('P_ cz"Iq's
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109099413
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
...........
State License #: IPS FRASL87IC2
City Business License 4: NR -019840
Phone 425-457-6353
........... .................
Fax #:
Email #: Susan. Sidick@pse.com
I Liability Insurance El Bonded
ADDRESS OR INTERSEC11ON OF CONSTRUCTION: 19706 86 PL W
LROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:___
E-1 Coil] mel-cial Subdivision City Project Ll Traffic Control (Only)
El Multi -Family nX SingleFamily ❑ Other
—
Cl KUC(PUI),VE1ZfZON,PSE,
COMCAST, OVWSD):
Is [his permit part of a blanket permit? F1 Yes N No
ANY A.SSOCIATED PERMITS? .. . ........ . ................ FNG#__
---- — - -- - - -
7 79 0
DESCRIPTION OF PROPOSED WORD (Be Specific): Permission requested to replace
triple gas service to 19706,19706,19706 # pool and 19710 In cul De Sac.
Work area is approx 20'W cil of Maplewood Lane & approx 20'W c/I of 86th PL W (2) 3x5 paving cuts anticipated
Please rush compliance.
T Fly
1,15) YEARS? ❑YES F1 NO [I Yeal-: 109
PAVEMENTCUT: Xj Yes El No If yes, indicate size of,ent: 3 x 5
CONCRETE CUT: Yes F1 No If yes, indicate size of cut: _x
APPLICANT TO READ AND SIGN
*Traffic control and public safety shall be in accordance with City regulations as required by the City
T'ngineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certifieation
verifying completion of the required training in their possession.
*Restol'atioll is to be in accordance with City codes incl Standards. All street -cut trench work shall be
patched with asphalt or City approved material prior to the encl 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 1 must
follow all requirements in order for the permit to be valid.
SICNATLJRE DATE 08/29/2016
Contractor ars Agernt
ILIO WORK SHALL 13EGIN PRIOR TO PERMIT ISSUANCE