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ENG20170178-APPROVED PERMIT.pdft Ia UITY OF EDMONDS SIDEWALK: (;OXO) DURATION IN MONTHS: 0 PARKING: ( OXO,) 121 5TH AVENUE NORTH - EDMONDS, WA 98020 ALLEY: ( OXO;) PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERS MUST BE POSTED ON JOBSIT * STATUS: ISSUED ENG20170178 Permit Number: ENG20170178 Expiration Date: 11/08/2017 Job Address: 23920 104TH AVE W, EDMONDS Location: 23920 104TH AVE W APPLICANT CONTRACTOR OLYMPIC VIEW WATER & SEWER DISTRICT OLYMPIC VIEW WATER & SEWER DISTRICT ATTN: LYNNE DANIELSON ATTN: LYNNE DANIELSON 8128 228th St SW 8128 228th St SW EDMONDS, WA 98026 EDMONDS, WA '98026 (425)774-7769 LICENSE #: EXP: new waterservices. ASSESSED VALUE: $0,00 PROPERTY A SIDEWALK: (;OXO) DURATION IN MONTHS: 0 PARKING: ( OXO,) DURATION IN MONTHS: 0 ALLEY: ( OXO;) DURATION IN MONTHS: 0 FEE,$0,00 STREET DISRUPTION TRENCH CUT: ('0 X 0 ) FEE, $0;00 YEAR OF OVERLAY: 0 FEE $0;,00 FEE $0,00 IIVDEMIVITIt 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 attorney fees by reason ofgranting this permit. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR 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 proposedwork are required with the permit application. CALL DIALrA-DIG (1-800-424-5555) BEFORE ANYEXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTIC EREQUHRED FOR ALL INSPECTION REQUESTS ,APPLICATIONPP THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED, Printed: Mctltda , May 09,,2017' 51elwI7 RELEASE BY DATE E FILE COPY F-] INSPECTOR COPY [:] APPLICANT COPY STATUS: ISSUED ENG20170178 • 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. 6 Conform to approvedworking 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 MUI'CD. Refer to City of Edmonds traffic control requirements. Applicant shall repair/replace all damage to utilities or fi•ontage 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 from the noise limits of ECC Chapter 5.30 only during the hours, of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding Sundays and Federal Holidays. At all othertimes 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 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. E -Engineering Finale PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL, C_ N(FC':)0 17-- D 178' OLYMPIC C "V EW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION 23920 104" AV W Edmonds, WA 98026 Woodway Court project Install four new water services Asphalt or Concrete Cut: Yes Olympic View Water & Sewer District 8128 228th ST SW Edmonds Wa 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Scott Dunn E-mail: scottd@ovwater.com@ovwater.com Start date 5/10/17 Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Dustin Ensminger E-mail: dustinm@ovwater.com 9 Traffic control shall be in accordance with the MUTCD. All flaggers shall be trained and certified as required by WAC 296-155-305. Restoration shall be in accordance with City of Edmonds standards. All asphalt or concrete cut surfaces shall be patched with City of Edmonds approved materials prior to the end of the day.