ENG20170056.pdf"ITY OF EDMO�NDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020'
PHONE: (425) 771-0220 -FAX: (425)'771-0221
*PERMU MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20170056
RIGHT OF WAYPERM IT (6-EUC)
Permit Number: ENG20170056 Expiration Date: 08/21/2017
Job Address: 22401 98TH AVE W, EDMONDS Location: 22401 98TH AVE W
U 11011 VV VI`11 >11 VL. + +�
P.O. BOX 1107 P O,.BOX 1107
EVERETT, WA 98206 EVERETT, WA 98206
(425) 670-3216
LICENSE #: UBL 313 005 741 EXP
JOB DLS("RIPTION
PUD to install UGsec riser ped on a)dsting pole and run sec"wire in customer install 3" pvc from pole to ped. 'Customer to obtain
permit to install pvc in ROW. Location ofUGfacilities will be customer responsibility on the ROW trenching permit.
ASSESSED VALUE: $0,00 ' PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( 0 X'0 )
PARKING: ( 0X0;) DURATION IN MONTHS:, _0 FEE $0,00 YEAR OF OVERLAY: 0 FEE. $0,00
ALLEY: ( 0X0) DURATION IN MONTHS: 0 FEE $0„00'
INDEMNITY- >The .Applicant has signed an application which states he/she holds the Cily of Edmonds harmlessfrom om injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees'by reason ofgranting this permit,,.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD,OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF 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 of the 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 of proposed work are required with, the permit application.
CALLDIAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATIONAPPROVAL�
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE'CITY ENGINEER ORH1SMERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,,
Printed: TucsdLoy, Febmag 21 201
G'A. uJ ,uG 2_1V12_017
RELEASED BY TE
FILE COPY F-] INS PECTOR COPY ❑ APPLICANT COPY
121 5THAVENUENORTH-EDMONDS, WA 98020
wlol� PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PE,Rmyr MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170056
RIGHT OF WAY PERMIT (6-EUC)
Permit Number:'ENG20170056 Expiration Date: 08/21/2017
Job Address: 22401 98TH AVE W, EDMONDS, Location: 22401 98TH AVE W
APPLICANT CONTRACTOR
SNOHOMISH COUNTYPUD SNOHOMISH COUNTY PUD
P.O. BOX 1107 P,O, BOX 1107
EVERETT, WA 98206 EVERETT, WA 98206
(425)670-3216
LICENSE 4: UBI: 313 005 741EXP;
JOB DESCRIPTION
PUD to install UGsec riser ped on existing pole and run sec wire in customer install 3" pvc from pole to ped. Customer to obtain ROW
permit to install pvc, in ROW. Location ofUGfacilities will be customer responsibility on the ROW trenching permit.
DISRUPTION INFORMATION
ASSESSED VALUE: $0,00 PROPERTY AREA, 0
SIDEWALK: ( OXO;) DURATION IN MONTHS:0 FEE. $0,00 STREET DISRUPTION TRENCH CUT`. ( O X 0 )
LARKING. ( OXO,) DURATION IN MONTHS 0 FEE $0„00 YEAR OF OVERLAY' 0 FEE $0,00
AIJLFYr t OX0 1 DURATION IN MONTHS: 0 FEE $0,00
INDEMNITY The Applicant has signed an application which states 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
atlorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR rW0RKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTIO N AND AC CEPTANCE 0 THEW 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 havecertification verifying completion of the 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 of proposed work are required with the permit application.
CALL DIAI A-DIG(1-800-424-5555) BEFORE ANY EXCAVATION.
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION 1S NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER' DEPUTY AND FEES ARE PAID, AND REMPTIS ACKNOWLEDGED IN
SPACE PROVIDED,;
Printed: itTe-44aY,,;Februa , 2122017
RELEASED BY TE
FILE COPY INSPECTOR COPY ❑ APPLICANT COPY
TTISSUE DATE: i
w ,►
ONSTRUCTION """
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COM A.CT: "
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Fax#:
ROW WORK ASSOC
CoRK �IA.TED 'WITH THE FOLLOWING TYPE OF PROJECT:
El wercialbdivision Cit .1 roject Traffic Control (Only)
El multi -Family Singl Family Otho
wN
p6nnit part of permiVI
ANY ASSOCIATED PERMITS? BLD#. ENGr#
MCPRMON OF PROPOSED
r r . M
PAVEI , NT CST: Ej Ym 14 No If yes, indicate size of cut.-.
CON'CRET I CUA`: nyes ONO, :B: Yes, indicate size of eiit:
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
• "
Sidewalk 48 Hrs + LF. X LF. 8F
Alley -72 Hrs + LF X LF 1 SF
_.
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
Eueer. •Every flagger must be trained as required bq (WAC) 296-155-305 and must have certification
Wrifying 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 clafms of any kind or description
whatsoever; foreseen or onfomseenx that maybe Tbde against the City6f Edmonds or-.
any of its departments or employees, includ!irig defense costs and attorney fes by reason
ofgrarftng this permilt.
I have read the above statements and understand the permit requirement . s and acknowlcdge that I must
follow all re go rements in order for the permit to be valid
SIGNATtJRE DATE
tractor or Agent
NO WORD SHALL BEGIN PRIOR TO PERMIT ISSUANCE
uIf
ROAD
XNXTRUCTION
AHEAD
'SEETUTE I
ROA ANE
ON AHEAD
0-4)
W2 SEE OTE
CITE
.. . . ... .....
(W20-1 A) SEE NOTE 1
TABLE A
1_ I- TAPER- LENGTH
_
-
SP"D• (FT) I CONE SP
ACING
(MPH) OFFSET WIDTH ALONG TAPER
101�' (FT)
25 00 120 25
30 ISO ISO
35 200 nAnm
40 270
450 540
NOTE.,
1, DISTANCE BETWEEN SIGNS, SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
LOO' FOR -ARTERIAL ROADWAYS
2, FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
3, DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4, FLAGdERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
LEGEND
CONE OR CHANNELIZING DEVICE
(SEE STI) 7-14)
_111c�q
.—WORK • AREA
TRUCK WITH
CK
FLASHING" OR WITH
BEACON
TAPER LENGTH,
(TABLE A)
SEE
7 A)
�W20
'
GNE <LANE
R
8 A Th >
(W20 -
(W2 4)
SEE NOTE 1 30'
ROAD
-ONSTRUVION
AHEAD
(W20-1)
30'
AS NOT",L.
WIP"ll),11 I
22403 98th Ave W - Google Maps Page 1 of 1
Google22403 98th Ave W
Image capture: Aug 2011 B 2017 Google
Edmonds, Washington
Street View -Aug 2011
240191
6'(
https://www.google.com/maps/@47.7956813,-122.3642554,3a,90y,l 16.6h,72.72t/data=! 3m... 2/2/2017
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