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ENG20170022.pdf� t tr �;P/%% w CITY 01F ED�MONDS, 121 5TH,AVENUENORTH-EDMONDS, WA 98020 t`oc 190' PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSI:TE* STATUS: ISSUED ENG20170022 Permit Number: ENG20170022 Job Address: 21006 72ND AVE W, EDMONDS GO Susan att: Sidick 1660 Park Lane Burlington, WA 98233 w paving cuts. Expiration Date:08/21 /2017 Location: 21006 72ND AVE W PSE/I n fraso urce C/O Susan att: Sidick 1660 Park Lane Burlington, WA 98233 (425)457-6353 LICENSE#: infrasl871c2- EXP: 02/22/2017 I ave wto install to reinforce 234' of main see attached drawing 7 3x5 A ,SF S[5D VALUE: $0.00 PROPERTY AREA 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE. $0,,00 STREETDISRUPTION TRENCH CUT: ( 0 X 0 ) LARKING: ( OXO )' DURATION IN MONTHS: 0 FEE $0,00 YEAR OF OVERLAY: 0 FEE: $0,00 ALLEYo ( OXO) DURATION IN MONTHS: 0 FEE $0:,00 INDEMNITY The Applicant has signed an: application which stales he/she holds the City ,of Edmonds harmless from injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE C0NTRACTOR'IS RESPO NS IBLE FO R WORKMANSHIP AND MATERIALS 'FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND AC C EPTANC E 0 F THE W ORK • 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 ofthe required training in their possesion. • Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday- NO EXCEPTIONS. • Three sets of construction drawings ofproposed work are required with the permit application. CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 11326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID; AND RECEIPTIS ACKNOWLEDGED D SP ACE P RO VIDED. Printed: Tuesda 1^ebnia; 21,20 ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED • 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. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 Maintain erosion & sedimentation control. Keep street clean. Call for required inspections as noted. • Traffic Control per approved plan and MUTCD. Refer to City 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 fromthe noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:OOam and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise' originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, 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 from any and all claims for damages of whatever nature, arising directly or indirectly from 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. • E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: of EVA,1 4 �" � $. i ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 107053605 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR -019840 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com 1 b I....i.ty Insurance ...... Bonded _ ............................ : ADDRESS OR INTERSECTION OF CONSTRUCTION: 21006 72nd AVE W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial D Subdivision City Project 7F Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes © No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) Work area is approx 27'n c/I of 21 0th ST SW & from 248'-230'W C/I of 72nd AVE W to install to reinforce 234' of main see attached drawing 7 3x5 paving cuts. _ww WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? (g§_0 NO Year:107 PAVEMENT CUT: ® Yes 0 No CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 5 If yes, indicate size of cut: x RIGHT-OF-WAY DURATION CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF IF Alley 72 Hrs + LF X LF IF Parking 72 Hrs + LF X LF SF 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 �` ° Mas `5trw10" DATE wr 01/20/2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 1 Q� j� Soan Eo M - N f00 a U N f0 (V N OZ}@M O ��< m ^�rOr^^ I' 1 �Lv/W w 2) C.0 Q N N r d C aD .N nC/! N O y U p X E LLJ ��pTp Q y - c E c E o Cc' c E N N O C N N N z N Z C O D1(�D N o (p O N OC N L N O C T N> O J W yN p m A LO C c.4 O C y 3 N N E U N 'U (D N (U (O O O O y �O j Q IS -0=-0 -0 N N N U) M ]AV ONZL 0 m O a U N f0 (V N U C F a� m C.0 N r d C aD .N nC/! N O y U p X E C 7 y (0 = O - c E c E o Cc' c E N N O C N N N C V X E E C O D1(�D N o (p O N OC N L N O C T N> O J W yN p m A LO C Vl Z Q, t) C y 3 N N E U N 'U (D N (U (O N S F a N a 3 �O j Q IS -0=-0 -0 N N .� U CZ, `7 Q L Z N y y� U Q .0. N 3 J U W (U UN N -O E az _ w cc U L w d C O N N C .N O_.V1 ?� w N co O Co U .Ol 2 E L' Y Mw 3 N O O N 7 U7 o Q Q o U U U Q80 Z r (O N U C6 4,0 Ln N (p OD N 6 O 0 .�0 ��.................- Z 9 U O F LL w Z Qd U W > O Z O O Z7 W m r g 3 v� 3 En F" Z LLJ _Z J CL ulUWo00 V Q 't " N Z0 ~ X: LLJ U0=oin o IL M 3AV OWL �c p NO C o W a c a� O > a> m N L ¢ c 8 t N = > ~ N C O d co L. O x NO. OuNi Uti� N LW Cp E 'cy NI—Oc NaO 0 Uo N o E A` -VN c O p m U> c ID CO U1 O C (p In u w 'E U °' ID a LO W QCL 0 N o a'-0 n:2 Z Z t Y to C O y Q N y C.3 U co W CC{ U N N N C O O N C •y CZ .N .L.+ N O J co C Y Y N �U N QL O) d >+ N O O 2i � (U O Q �¢ pp U� U c Q �i w Z lD N U C's .4,0 0 16 N CO I� OD N OJ O Cl) w W 3w aw01 U) w U W U W U LLW U Q aOzw U F H Q > M 3AV H14L a^� DAVA ......,.....................................----------- --- O ?i LL U O U LL ~ O LL > p z Y Z W w C7 z O W m 5 3 3 wGwwwa n :ZLLJ l�e z (D w to v ozz a 9 4 IL Q .0 .o..NW Lo. Q F Date of Request: 01/19/17 Job number - Job address Project mgr: PM email: 107053605 21006 72nd Ave W Andrew Baunsgard andrew.baunsgard@pse.com Estimated job start date: 03/01/17 Estimated job completion dater 03/31/17 Description of work to be performed: Citv: Edmonds Zip: 98020 Pavement cut? MYes DNo If yes, Dimensions of Cut: Length 3 Width 5 How many cuts? 7 Surface Type pavement PM contact #: (425) 495-4465 Require trenching? "des E]No If yes, Dimensions of trench: Length 3 Width 5 Depth 36 Method of installation: Hole hog or Bore Traffic impact: Road closed es ✓Z No Lane closed ✓ es O No Shoulder closed Mes No Sidewalk closed F Yes 11 No Emergency Contact. Andrew Bauns-gard Cell Number.' (425) 495-4465 How Many? alt Direction? West no LEI al �3,eea s '1 �w 3 n r z�x n t f IN�r K 1414 .� I egog �� ✓;� S Yl ill � \� a z � , .. ,t'r,� w ;P99 7pr.ry � . £ JG9 M 15 Zl 71 M ,F dI MK-7 � y Sl 4 1 g M1o — ��a I 3^ �3,eea s '1 �w 3 n r z�x n t f IN�r K 1414 .� I egog �� ✓;� S Yl ill � \� a z � , �3,eea '1 �w w ALS a,ascsowfaus \rosea—u�ua=d=n\au,=,\io=oi\olowao\soya.o\.moo:m.� waao:zl — uoz , w z jdy egog a,ascsowfaus \rosea—u�ua=d=n\au,=,\io=oi\olowao\soya.o\.moo:m.� waao:zl — uoz , il! 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