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ENG20160356.pdf'P LEGEND L��2:8] WIRAFFiCCOINE SOUND SORE PIT 1=t> TRAMU FLOW ENERGY Itruccsa Job41106314338 11M, Dr, Edmonds, WA August 31, 2016 Sheer I of 1 ina.usterrichulk@pSe.com (425) 424-6425 C-HANNEMF15 DEVICr SPACING MPH -1 TAPIR I TANGF-0 17_0T_ 46.'_F RO "16f,15L____30 I 2.5f301 20 1 40 M Y 4 202ND PL SIN0 rn ----------- _f In ----------- --- -- ----- - __777 ------ - ---------- ---- -- ---- -------- Notes: 1. All signs and spacing to conform to the NIUTCD 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. Crew is required to leave a minimum of 19' for traveling lane width. 6, Alert affecIed residents and businesses. 7, Work to take place between 9 a.m. and 4 p.m. Rn.w 8. Work area will be 21' WCL of Maplewood Dr & 60'SCL MrAD " of 202nd PI SW. Z_ 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to he done, !TL SOUND ENERGY Job41106314338 20228 Maplewood Dr, Edmonds, WA August 31, 2016 Sheer I of 1 ina.usterrichulk@pSe.com (425) 424-6425 M Y 4 202ND PL SIN0 rn ----------- _f In ----------- --- -- ----- - __777 ------ - ---------- ---- -- ---- -------- Notes: 1. All signs and spacing to conform to the NIUTCD 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. Crew is required to leave a minimum of 19' for traveling lane width. 6, Alert affecIed residents and businesses. 7, Work to take place between 9 a.m. and 4 p.m. Rn.w 8. Work area will be 21' WCL of Maplewood Dr & 60'SCL MrAD " of 202nd PI SW. Z_ 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to he done, !TL Job #: 106314338 Gate: 8/22/16 Jurisdiction: City of Edmonds Right of Way Permit? a YES ❑ NO Est. Start pate: 10/15/16 Est. Duretlow. 1 day PRE -INSPECTION REPORT Infral ..,,........,,..,.,�... Address: 20228 Maplewood Drive City / Zip: Edmonds, Wal 98026 Customer: Gary Klick/Select Homes 206-730-0670 PM / Insp: Lisa Griffith 425-406-0121 PHONE NUMBER WORK DESCRIPTION: Install 65' - 11/8" service to A425m9a incuStomerlaroVld�dConstruction Me#I C1d New Construction C1 Existing--------------❑ PLAT MAP: 6XISTINl1� t /1 0 GAS MAIN, t. ;I 21'W Imo, a CIL 2" ST`WIP 1 ' 1 13 Maplewood Vir, 20223 I 'pult. A- Lo ("k-1 S Work Location Size of Cut Surface Type - - S of CL 2Und PI SW & 21' 'W of CL M; pll3ystgQ C. 3X6 Grass yard 'NSofCL 'EWofCL 'NSofCL &_ 'EWofCIL Q FLAGGERS # 26 MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LiMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL NO PARKS # ❑ Commercial ❑ Altered Commercial ❑ Manifold Service information ❑ Template Bar ❑✓ Residential ❑ Altered Residential ❑ Main Extension Diameter Meter EFV ❑ Bollards 2.5" # ❑ Multi-Famlly ❑ Replacement Service ❑ Pothole ❑ 5/8" ❑ 250 ❑ 775 ® Bollards 4" # ❑ New Constr. ❑ Main Maintenance ❑ Bollards Q 11/8" Q 425 ❑ 1800 Q Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 Fj 2600 ❑ FUEL LINE PERMIT NEEDED Q Extension ❑ valve Maintenance ❑ 2" ❑ 1000 ❑ 10,000 Fuel Line Length: ❑ Compete Sery ❑ Cut & Cap Mtr Loc: Fuel Line Diameter: ...... .. .. O 00 UZI < 0 m 64 0, 0 0 LU loll i5 .2 10?v —z", a It" F4 C) 01 gdW,Z NJPI di3,12 9961 -Pqw 9i 01 1 �N' 3Ol MIS.Z N m vU I ON, 6 04 i !t N O -R c 00 FO 3 i I \--.- C14 10 .- z M'19 ())-0 "0 10C6 C)02— 0?, N 000 co O—'b O Q 0-r MJ�-dl MIS Z co WO 00 V\H 4 V? 5r CI CD IN O UZI < 0 m 0 0 LU i5 .2 10?v —z", a It" C3 > gdW,Z NJPI di3,12 9961 -Pqw 9i 1 �N' 3Ol MIS.Z m vU I ON, 6 c 00 10 z M'19 ())-0 "0 10C6 C)02— N CY) co O—'b O Q 0-r ZU)b Ovc' RECENVED SEP 0 6 2016 C)E ROW PERMIT NO.: ENG'_� VELOR/lENT MRVICB ISSUE DATE: PROJECT NAME: 106314338 CONTRACTOR: PSE/infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871C2 City Business License #: NR -019840 1t 1111 '- I I I I '.' '1 =13 Si"T' 0 6 2016 CONTACT: Sue Sidick A DIVI,','�40j Phone #: 425-457-6353 Fax #: Email 11: Susan.Sidick@pse.com E]Liability Insurance 0 Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 20228 Maplewood Dr & 202nd PL SW J_ROW WORK. ASSOCIATED WITH THE FOLLOWING TYPE OF PROM CT: FI Commercial [-] Subdivision [_] City Project LJ Traffic Control (Only) [] Multi -Family X Single Family P Other [:1 EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? F-1 Yes No ANY ASSOCIATED PERMITS? DESCRIPTION OF PROPOSED WORK (Be Specific): Permission requested to tie into existing 2" STW IP gas main at approx 21'w c/1 of Maplewood Dr & 60' S c/l of 202nd Pt- SW To extend 1 1/8 service to new construction home at 20228 Maple Wood Dr. 1 3x5 grass shoulder cut anticipated. 6-,7J)l7W-11Jft—N —THE-1-X—ST FIVE YEARS? --VE§E:TM0 —0year. 1 =06:6 ik�s—_STREET'_ --6 - V�ifll I i I PAVEMENT CUT: 0 Yes El No If yes, indicate size of cut: x CONCRETE CUT: D Yes D 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 L'Agineer. 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 EXCEPTI ON S. Indemnity: The Applicant has signed an application which states hells 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 follow all requirements in order for the permit to be valid. 1 09/06/2016 SIGNATURE DATE Contractor or Agent— NO WORK SHALL BEGIN PRIOR TO PERMITISSUANCE