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ENG20170397-APPROVED PERMIT.pdf_ Ot,- ELl'i' to 1 ROW PERMIT NO.: ENG ISSUE DATE: ]1 R GTHT-OF-WAY CC01\4S I<'RUCT IOlN P ERMRT APPLIICATRON PROJECT DAME: 106329554 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane Burlington Wa 98233 CONTACT: Susan Sidick Pliolle #: 425-457-6353 Fax #: State License #: INFRASL871C2 Email #: susan.sidick@pse.com City Business License #: NR-023614 ❑ Liability Insurance ❑ Bonded AIDIDRESS OR INTERSECTION OF CONSTRUCTION: 18719 94th AVE W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: , ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit pact of a blanket perinit? ❑ Yes ❑ No ANY ASSOCIATED PERMITS? 131,D# ENO# DESCRIPTION OF PROPOSED WORK(Be Specific),: Work area is approx 150' S c/l of 187th ST SW & 12' W & 8' E c/1 of 94th AVE W to install gas service 1 3x5 & 1 2x4 paving cut anticipated. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5) YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Iles + LF X LF SF Alley 72 Ilrs + LF X LF SF Parking 72 Hrs + LF X I L,FJ 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 sighed 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 he 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 HATE 10/06/2017 Contractor or Agent NO WORTS SHALL, BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-642 0 yG l•-OZM p Y � � ¢ Od3Hl o ovoa '1 3NVI 3N I I I 14 114 I 14 14 Q LEGEND ® 28" TRAFFIC CONE ® BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET ' SOUND ENERGY Job#106329554 18719 94th Ave W, Edmonds, WA September 15, 2017 Sheet 1 of 2 brent.pogson@pse.com (425) 398-6158 Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. 4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 12' WCL of 94th Ave W & approximately 232' SCL of 187th St SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-642 PUGET SOUND ENERGY Job#106329554 18719 94th Ave W, Edmonds, WA September 15, 2017 Sheet 2 of 2 brent.pogson@pse.com (425) 398-6158 \ �y yG 6-0 o ovoa �ad�dMeMo. LEGEND ® 28" TRAFFIC CONE ® BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 � a b ---- co ------ Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. 4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 8' ECL of 94th Ave W & approximately 232' SCL of 187th St SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. Job #: 106329554 Date: 9/5/17 Jurisdiction: Edmonds Right of Way Permit? ❑� YES ❑ NO Est. Start Date: 10/09/17 Est. Duration: 8 HOURS PRE -INSPECTION REPORT ®PUGETSOUND ENERGY Address: 18719 94TH AVE W City / Zip: EDMONDS 98020 Customer: GAIL GIFFORD 425-223-6805 CUST PHONE NUMBER PM / Insp: Kiara Hays 425-213-9205 PHONE NUMBER WORK DESCRIPTION: INSTALL 40' OFI-1/8"PESCATSTUBAND 38' OFI-1/8"PESCATEXT. SETA425M5A OIL 14T6IN WC. Construction Method Open Trench ❑ Trenchless ❑ PLAT MAP: 160 067 G 3: CL W rnl u; rn v~i I El I I I I I I � I PL 187TH ST SW S I 1 I I 1 I 0= Fire Hydrant (165' S OF TIE IN) 00 V l0 I 1 1 I I LLI I Q 1 2 S H 01 I I I I I I I G CL W PL 7 Work Location Size of Cut Surface Type 150 f CL 187TH ST W &_2— W f CL 94TH AVE W 3X5 ASPHALT 150 - 9,Sb f CL 187TH ST SW & 8 'E of CL 94TH AVE W 2X4 ASPHALT 'N S of CL & 'E W of CL ❑ ❑ FLAGGERS # OFFICERS # MPH SPEED LIMIT ❑ TROLLY LINES ❑ BUS STOP # ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ METER HOODS # ❑ NO PARKS # ❑ 0 ❑Multi ❑ ❑ ❑ ❑� Commercial ❑ Residential ❑ -Family y ❑ New Constr. ❑ Stub ❑ Extension ❑ Compete Sery ❑ Altered Commercial ❑ Leak Repair Altered Residential ❑ CP Work Replacement Service ❑ Pothole Main Maintenance ❑ Extension Service Maintenance valve Maintenance Cut & Cap Service Information Diameter Meter ❑ 5/8" ❑ 250 11/8" 425 ❑ 11/4" ❑ 630 ❑ 2" ❑ 1000 Mtr Loc: O/L ❑ Template Bar EFV ❑ ❑ 1800 Bollards 2.5" # ❑ 2600 ❑Bollards 4" # ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED Fuel Line Length: Fuel Line Diameter: 18624 18626 5/8" PE ��4f 1993 18702 118716 18 704 5/8' WE 1995 18730 t 'Y83PE IN T - 7s 238E ti 2395 e, No electric grid information available S160062, Q160067 10-05-2017 hC M7l son w raammms Mee$ is uAWC11001@rQQ N"%M NfCQ. aonM"ra Tw WlOpit, O•t6 MbT'C�O�•G•C/1r C10ot4 �OC�±�On1C'{Yi Op�70 �01 CILOCO TSCdri00'�7d 1n�T1'a01100�v chOt UG=I jecs yroec ama+sa in,•ns� b; R+Cw Seu�d 6+arp;. Mc n'+cC �s no11e eo woo b oploTrinp Tw ee4 a �ooOtOn o•en; SSE +xnaoc Kd fi : i 2•'STW IP 1 6696-1964 Y� 1 /T STW-U 1968 18701 SME 5/8" WE 2002 18 723 u 1 1/8" MPE IP 270S 130'E 107013151-2002 5/8" PE 1993 9232 9228 5/9' MPE 2002 3t 2"ST W IP 21'N Tb 6696-1964 187TH ST S 1 I 18732 Scale 1:722 + Lat\Long=47.8291,-122.3585 9224 5/8" PE 1991 US* PE 1994 18730 92 Q PUGET SOUND ENERGY , &—%W 1Y e I lov -low 0 u > W I rh