ENG20160422.pdf92ND AVE W
OV3Ht
No avow
3NV '
01
P
M Ad HIP6
� I
------------
O)
J
U
, s
s
C
>
U
co ca
C
2
co
co
Ucn�
o
co
�
N 'D
N N
co
S
(1)
o
G
p Q 2 m N i
a� o dam-
.�-• � U U X
E
N
N
O
U_ =
'C � c
E
O
C E N
C
N Gm
JV3HV
) co co
O N
I— O
N
AHOM
E
I
O)
O 0 0
yj L
OV3Ht
No avow
3NV '
01
P
M Ad HIP6
� I
------------
O)
J
U
, s
s
C
>
U
co ca
C
2
O o
NJ
O)
J
U
C
>
U
co ca
C
2
r
co
Ucn�
o
co
N 'D
N N
S
S
(1)
o
G
p Q 2 m N i
a� o dam-
.�-• � U U X
E
0)
N ca _0
O
U_ =
'C � c
E
O
C E N
C
N Gm
E aD �
O N_ O
) co co
O N
I— O
N
.,O+
c� X CO E
E
a C O
O)
O 0 0
yj L
a)
C N J
'N a
U7
O O C�
cu cu3 .E
C i
°'
± Cn
�
cM c_)
C
a_a t`
Q m
co 7E > n3 `°
o
� ;
o A
°"
�. O a L -0 cu
a
L
O
Q_ A
Z of
: E vi co o)a
o 2 c co �
B
� T��
0
�
ca Cal
O N
��a��o�
N N O
CL +-
U�
_m E
�Q �Q Eo(T)�U
S' N O O N
c<3:
O N
f co N U M 4 O�
t-- o6 O
or)cD —0
� O
N
Cl)
M
® PARKING �
TOW AWAY AREA
ROAD
"ROAD `"
WORK
AHEAD/
H
Z
0ZZW(�O�
<<
Nd �
J
W W O O O
ZU aQ V M N
Q i ~
=W
Lo kc) Lo
Lo M N
W
Z J ZO U
O
U O U F g
ZtLLi U W > p Z
F cc
Q LL U y
W tY �- CD x Z K
fr Q
O CD Q
J N m xLL g F5 'S
® ® 4 s.1
N
N
p N
fl > U C
N N
p T
U p .O
C)
G
p Q 2 m N i
Q
N N
® N
U)
p E O
U W (O U
ROAD
"ROAD `"
WORK
AHEAD/
H
Z
0ZZW(�O�
<<
Nd �
J
W W O O O
ZU aQ V M N
Q i ~
=W
Lo kc) Lo
Lo M N
W
Z J ZO U
O
U O U F g
ZtLLi U W > p Z
F cc
Q LL U y
W tY �- CD x Z K
fr Q
O CD Q
J N m xLL g F5 'S
® ® 4 s.1
iq T
g2M
MM
'
tl
Ul (L
z
0
C)
z
HT2 W
C)
H P
p tffi
H
Hffi€Zc
H I
107052215
yr
01ZI
Z
GSI
<E ort
j
<
Mi-
Z)
R�O_
ldJ M,8
01ZI
Z
GSI
j
<
01ZI
Z
Z)
o-� q
i I
I I q
I IN 7
� I 6
� - t
V
I
I - I
1rv53d11-W37MJ5 3N01
,01 LL �
AS gete `
£ loll
y L �w �w
w
vases �
m � o
78S9 ,1-2
Z\ S OS
l0
b l � v
sa szI
lS Zoo'e
ZlOI
\�
----
76 SG ,SL
---------------
I =
1—
i a
(13N) JS i Sl
sso e) -4s etno
i lo7
a
w
aa=
r
'__..__.. ------lase --- ----------
7—,,--
----- I
--_----
II z-
I
oz
�o
I
aim
�£3_
r�
.� M5133211S ONZF,Z, }
Jir
P,rZZSOGOi\Zr89-'4�i9nd>v\tlwea\Ipaoi\plppddp\oppp\siasn\:� wog0'Ol - 9�OZ `6Z
MP
id9G o�E
22 z2 2
Li
on
U f
�F
g�
A 4M
LL
-HH-Gy
16"
E uj
> 0
0
tr
-sp a-
SIIME
RE
8T -g; k o i -,
up
?92 S do 9 X
al
�zq
6s
law
2 �p 21Q
N! -dML�Ehm AN A2d
- A�
<
MIN
PROSSR,
Ir I
% :3�: m E � � i F
-MM
�Qll X--
§
�I ,,������ � � _ gas
6..-.......0 --, - —, 62 tl-5
'
( 5
L
-7,4
141c1 .--- g�L)o
- 1 ,
E 3"Js
OCT 0 6 2016
f1 V 10 c"r'i
ROW PERMIT NO.:
ISSUE DATE:
PROMCTNAME: 107052215
CONTRACToR: PSE/Infl-aSOUrce
Mailing Address: 1660 Park Lane, BLI0119t0r), WA 98233
. . ............ . ... ............ .
.__.-....--
';tate I'Ce"s": INFRASL871C2
City Business License #: NR -019840
CONTACT: Sue Sidick
Platazae #: 425-457-6353
. . . ....... .............
Fax #:
Susan,Sidick@pse,com
[ILiability Insurance 0 Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9332 232nd ST SVV
ROW WORK ASSOCIATED WITHTHE FOLLOWINGTYPE OF PROJECT:
o —i i —ii-ij Subdivision ❑ City Project F1 Traffic Control (Only)
Ll Multi -Family nX SingleFanjilyF1 Other
_1
F
EUC (PUD, VERIZON, PSE, 1016
COMCAST, OVWSD):
Is this permit part ofa blanket permit? ❑Yes ❑ No��°���"�����'�d�,fwl 1',),#VISIC
"MI
N G I/
.. ... . ....
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 1 T S C/L of 232nd ST SW
& 64T C/I of 92nd AVE t[V. To tie into plat open trench no paving cuts,
WAS STREETOVEIZI,A1Y I ED WITHIN THE LAST FIVE (5) YEARS? YES [_] NO I ] Year: 107ei
PAVEMENT CUT:
j No
CONCRETE CUT: 0 Yes El No
If yes, indicate size of cut:
If yes, indicate size of cut:
El
pi
RIGHT-OF-WAY
AREA TOTAL
CLOSURE
Sidewalk 48 Hrs + I LF I X LF SF
Alley 72 Hrs + I LF I X I LF I SF
DURATION
(NUMBER OF MONTHS)
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 and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid.
SIGNATURE Susan Sidick Po s,o�,s °� 10/6/2016
DATE
Contractor or Agent
NO WORD SHALL BEGIN PRIOR TO PERMIT ISSUANCE