ENG20170069.pdfSTATUS: ISSUED
CITY OEDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221
*PERMIT'MUST BE POSTED ON JOBSrrE*
ENG20170069
Job Address: 18804 92ND AVE W, EDMONDS
P.O. BOX 1107
Attn: Joint Use
EVERETT, WA 98206
Icepiace tsv p
No Cuts
WO# 396128
SNOHOMISH COUNTY PUD
PP,,O, BOX 1 107
Attn: Joint Use
EVERETT, WA 98206
not to be placed any closer to the right ofway.
Expiration Date: 09/08/2017
Location: 18804 92nd Ave W
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
INDEMMTY The Applicant has signed an application ivhich 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 ofits 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 RESPONSIBLEFOR 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 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 of proposed work are required with the pelnnit application.
CALL DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NO TIC E REQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL.
tMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Wednesday,, March 08, 2017,
CAS 3, eIZ01
DATE
❑ FILE COPY F-] INSPECTOR COPY ❑ APPLICANT COPY
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation fiom City Utilities.
• 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 thepermitted project.
Sound/Noise originating from temporary construction sites as a result of constructionactivity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm 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 fromthe issuance ofthis 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.
INSPECTIONS
•' &Engineering Final
PARTIAL INSPECTION DATE:INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
(02
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PERMIT APPLICATION
PROJECT NAME: RU COLO- j2 "A,o
CONTRACTOR: P
Marling Add _._ _ _ ......
dress:
State License #:
City Business License #:
ADDRESS OR INTERSECTION OF CONSTRUCTION:
CONTACT: 5 re;
Phone
Email-#:
Liability Insurance -.Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial El Subdivision ❑ City Project Traffic Control (Only)
❑ Multi -Family ❑ Single Family
[�" "iUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes 2 No
ANY ASSOCIATED PERMITS? BLD# ENG#u
DESCRIPTION OF PROPOSED WORK (Be Specific) :K-C,0Z4 �. � - PO LZ-
t> PI6 Wil; c
WAS STREET OVERL _ O YEA __ ? .._._ _......
...... .. 'r �.. ear:
AYI;D WITHIN THE LAST FIVE 5 YEARS? YES NO Y
PAVEMENT CUT: ❑ Yes [ No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes [ No If yes, indicate size of cut: x,
�
� � +' ROW PERMIT NO.: ENG
"" ISSUE DATE:
ILI
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: RU COLO- j2 "A,o
CONTRACTOR: P
Marling Add _._ _ _ ......
dress:
State License #:
City Business License #:
ADDRESS OR INTERSECTION OF CONSTRUCTION:
CONTACT: 5 re;
Phone
Email-#:
Liability Insurance -.Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial El Subdivision ❑ City Project Traffic Control (Only)
❑ Multi -Family ❑ Single Family
[�" "iUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes 2 No
ANY ASSOCIATED PERMITS? BLD# ENG#u
DESCRIPTION OF PROPOSED WORK (Be Specific) :K-C,0Z4 �. � - PO LZ-
t> PI6 Wil; c
WAS STREET OVERL _ O YEA __ ? .._._ _......
...... .. 'r �.. ear:
AYI;D WITHIN THE LAST FIVE 5 YEARS? YES NO Y
PAVEMENT CUT: ❑ Yes [ No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes [ No If yes, indicate size of cut: x,
�
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
Alley 72 Hrs + LF X LF SF
Parkin
g 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) 296-155.345 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 ark understand the permit requirements and acknowledge that I must
follow all require lih oen,$- ,der to ,�b.e permit to be valid.
r
SIGNATURE �� - �.- DATE
Contractor or Agent -�-I zq f l'7
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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PUBLIC UTILITY DISTRICT NO.I OE SNONOYISN COWTY
■ JPN• .....
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SOUTH ,COAAEA
POLE 'MO., A , , , , , ,
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DATE 11/22/11 W„0. NO. 396128
REASON FOR WORK RE.,, _. _- _-
RO POLE
ENGINEER S.WEAVER TASK 03
„PLACE
D PRIMARY
DRAFTER U.G. NO. 395719
Cl SECONDARY
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DATE PRINTED••.•••
DATE WORN COMMUE'0
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ACCVPp ND ,.,.
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4OCATN04 MAW PAGE
Ewa' V E y
0 COMMERCIAL
X EXISTING POLE -TO BE REMOVED
• NEW POLE
-11. 9'
X NEW POLE TO REPLACE
LEO NO,
SECONDARY OMERaTEAD
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BASIC EEE m
PERMITS (DATE GRANTEDI
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040INT Baa FRONTIER L CATV
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WORX IN RIGHT OF WAY
POLE STENCILING
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Cl SECONDARY
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PRE-CONST,REOUIRMENT9
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MISCEE.LANCOUS FCC$
OTREE TRIM OP(IO LOCATOR
VAULT 1
0BACKNOE 0FLAGGING
w 9 CALL DATE
PERMIT 1
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4OCATN04 MAW PAGE
LEGEND:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE
EXISTING POLE
CONSTRUCTION NOTES:
AT POLE 4-137
SET NEW 45 CL 2 POLE 5.5'DP W/GNOS IN PLACE
FRAME 12F201 ASSY
INSTIL 12FSOI XFMR ASSY
XFR SEC RISER
REMOVE DIST XFMR DIST- 37-3919 SERO -------------
INSTIL NEW 37.5 KVA XFMR
UTC-------------
SER-------------
TAP AND FUSE PER SCHEMATIC
STRIP AND TOP POLE
PLEASE WORK WITH PRIMARY 11GND CABLE REPLACEMENT WO. 395719
1
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4-1374-137
37-391+3
37,5NVA
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To 9. 0i.i. c,0,,D
„otA CITY OF EDMONDS//,,
121 5TH AVENUE NORTH - EDMONDS, WA 9802
PHONE: (425) 771-0220 - FAX: (425)'771-0221,”
*PERMIT MUST BE POSTED ON JOB � TE
STATUS: ISSUED �� I�ENG20140614
Permit Number: EN G20140614
Job Address: 18804 92ND AVE W, EDMONDS
SNOHOMISH COUNTY PUD
P.O. BOX 1107
Attn: Joint Use
EVERETT, WA 98206
Replace BO pole and BO cable.
No Cuts
W O# 396128
SSE, SEI) VALUE';
$0.00 PROPERTY'A
IDEWALK: (OXO)
DURATION IN MONTHS: 0
ARKING: (OXO)
E i RATION IN MONTHS: 0
I,IAE Y'; I' 0X0)
)URATION IN MONTHS: 0
INDEMNITY Thepl, frcant has signed an e�"li"t
damages or claims . "njE kind or description ro hao
any of its departmeo s or employees ncluding but
allorneyfees by re, son o„, ,", t-�iniill this permit.
THECONIRA!C:N RIS RESPON ILkLEFOR oR
INSPECTIONS I;ACCEPTAN IA.OFTHEW R .
Date: 06/19/2015
Location:
SNo"')M COUNTY
P.O, BOX B 07
Attn: Joil
I?,VI El A X18206
LICEN"517 1t: UM 313 005 741 EXP;
$0,00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
$0,00 YEAR OF OVERLAY: 0 FEE: $0,00
$0.00
rich stag hf,1she holds the City of Edmonds harmless from injuries,
ir, foreseen or unforeseen, that may be made against the City of Edmonds or
infiled to the defense ofany legal proceedings including defense costs and
HIP AND MATERIALS FOR A PERIOD O F O NE YEAR FOLLOWING THE FINAL
• Trafficdo"hIrol and pu is safety slt b in accordance with City regulations as required by the City Engineer. Every flagger must
be trained as , ,quired ' y (WAC) 2r5-305 and must have certification verifying completion ofthe required training in their
possesion. N, /
• Restoration is to bun accordan ith City codes, All street -cut trench work shall be patched with asphalt or City approved
material prior to the " of therkday- NO EXCEPTIONS.
• Three sets of cons ructidEi dryings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NiO A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday. December 19, 2014
BY
TE
❑ FILE COPY EaIlVSPECTORCOPY F-] APPLICANT COPY