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ENG20170416-APPLICATION.pdfOr E V't tvc 1$-90 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 109106096 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR-023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 1142 6th AVE S ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ 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) : replace existing gas service @ 136' W c/I of 6th AVE S & 14' N c/I of Elm Way 2 3x5 paving cuts anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 109Eh 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 DURATION CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF 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 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�s-5tre °'. DATE 10/11/2017 Data: 2016 M 0157J -0T00' Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Job #: ([):;l tot,, (p Date: 011B - r ` F-t- Jurisdiction: S rjo r .O.; rr T- -! Right of Way Permit? O YES — 0 — Est. Start Date: Est. Duration: PRE -INSPECTION REPORT Address: I I H Z (0 City/ zip Customer: t./taL_-FR r?• k.,�•>,� �}'. CUSI PHONE NWABER (97 PHONE NUMBER WORK DESCRIPTION: Construction Method 'R-P—PIA `Z Ja to 4.Ja4- t Open Trench ❑ u 0 �,- 2 4y,Jc. C;o 4 cS1,4 12 , ?-P_ PI AC_ �^�� t +(4S Trenchless ❑ PLAT MAP: I (p q 91- M rti.47r Work Location Size of Cut I Surface Type ( S of CL : A &JICL- 'E of CL - ✓ - 3 c _i�S� A��" .. _ 'N S of CL .------_...__- ___ &---• 'E W of CL---�T-.-•------- ^` LAGGERS #� Z MPH ❑ TROLLY LINES ❑ BUS STOP METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ 1 RAFFIC SIGNAL ❑ ARTERIAL U NO PARKS # o96❑mmerclal ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar Residential �ed Residential CP Work Dlamefer Mefer EFV �❑ ❑ ❑ Bollards ]..5" ll ❑ Mufti -Family RepiacementService ❑ Pothola 250 ❑ �b00 r-,/ .Bollards 4" #❑ New Constr. ❑ Main Maintenance ❑ Extension 11/8 ❑ 425 Ltd 2600 -` ❑ Stub ❑ service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 FtlFl_ LINE PERMIT NEEDED ❑ Extension ❑ Valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length: ❑ Compete Sery 0 Cut & Cap Mir Loc: Fuel Line Diameter: ' Date of Request Job number Job address Project mgr: PM email: PERMIT REQUEST FORM 10/10/17 109106096 1142 6 Ave S Gayle Plaisance gayle.plaisance@pse.com Estimated job start date: Estimated job completion date: 10/3 0/17 11/10/17 Citv: Edmonds PM contact #: (253) 617-6013 Description of work to be performed: Replace existing gas sewice .•, 1 36' eirl R Ave . & 14'ncl Elm Way Pavement cut? ✓❑Yes F�No If yes, Dimensions of Cut: Length 3' Width 5' How many cuts? 2 Surface Type asphalt Require trenching? ❑Yes [-,/�No If yes, Dimensions of trench: Length Width Method of installation: Traffic impact: Road closed Dyes ❑✓ No Lane closed Des ✓0 No How Many? Shoulder closed IlYes FNo Sidewalk closed ❑Yes F-/1 No Emergency Contact: Mike Blooe Cell Number: (425) 864-6154 Depth Direction? South 11.54066 3 3/4" POOL 500 3(4" STw-U 1964 500-550 533 539 314" Ili 550 314" STW J I 38' 3(4" 1964 1 i • � 13� i 2 551 518"MPE ®/ 1998 1122 3!4" 5 iV N 1124 518" PE 1985 573 112" STW-U 1967 1138 1142 2" STUN I P 14' N 5/8" PE 1980 i i I �i 314" } ,ars U) W Q 199'N = f- m 167' N 122 N 90' N 1 a..V 1 ro >IaoAA i I � avoa r j 1 1 , � 397dd3 � 38 1142 N� 0 14 0 '� \ Y - Notes: i. Ag signs and spacing to conform to the MUTCD and SNO COUNTY standards. 2. All sidewalks, driveways, exits and egresses shag be completely dear unless otherwise Indicated. 3. Channelizing devices am 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 vAdth. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Contractor shall post temp 'NO PARKING'72hours prior toconstruction. 9. Work area will be139WCLofELM WAY 814'NCLof6THAVE S. LEGEND ® ATM wo- 00RERi Te"rNcnev LuN vmauveacE H swNwrarpN •'• T xAave�nAc NINIAIUAr TAPER LFNGTH = L (feet) CHANNELIZATION DEVICE SPACING SIGN SPACING vuJg POSTED SPEED wins B00 6M55 wnTNs 20 25 30 35 40 45 TANGENT TAPER MPH �, 45155 35/40 10 70 105 150 205 295 475 60 40 55?0 11 75 115 165 1225 1 295 1 495 60 30 35145 2�. ae 12 80 125 1 180 1 245 1 320 1540 40 20 2E. tOd 25 PUGET ' SOUND ENERGY Job#109106096 Q 1142 6TH AVE S, SNO COUNTY, WA September 19, 2017 Sheet 1 of 1 gregory.harwood@pse.com (425)424.6425 Puget S.M E—V Traft Cw W Supervisor. Gre" K--d Card N..00999T Cud Erp. M132019 gegory �Pse•tan I I 6425 tAzsNuas2-�� I I b� 4-EM I-OZM m� OO oo� \ 100' lalleyl 100' 1 r � b j r ELMST 1 / r i J e 7S 16 / J O BF i �t / r RTONtF p, PLAN PREPARED BY: ING. i toP TRAFFIC MANAGEMENT, / Ro i hp'� � 800.763.3999 www.uallicmana9a�nt.com �r FAO i L\V > r 3l Lm,s�a.Lro�w Tie s �� N 7858D4 ' MU T L L� ptl LMvga+ TIA 0187 TL9 LE6T M.301922 CERT PLANOP.OER:29919 DATE 91192017- WI 1142 Nv o 0 D O 0 Notes: 1. All signs and spacing to conform to the MUTCD and SNO COUNTY 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 1 Vint traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. B. Contractor shall post temp'NO PARKING' 72 hours prior to construction. 9. Work area will be 139 WCL of ELM WAY 814' NCL of 6TH AVE S. LEGEND a ar,awFr — Q attiEPR b Ta^TTKr°4r MINIMUM TAPER LENGTH =L(feA) f t" rucm vnruwx� cos PosTEo sPEEO Luems CH WNELIZATION DEVICE SPACING SIGN SPACING •X' 65+ "91H5 20 25 30 35 TANGENTAPER MPH1070 10, 150 205 T4045 4535d 2�� 35H011 3012 M. 75 115 165 225 30 35145 80 125 18245 40 20 25/30 1 p' PUGET SOUND Cf) ENERGY Job#109106096 Q 1142 6TH AVE S, SNO COUNTY, WA September 19, 2017 Sheet 1 of 1 gregory.harwood@pse.com (425) 424-6425 Prge1 swm En Tragic CaMrol SUP=rsar Gre9ay Harwood Cad W. 008997 Cad Er .08r10R019 e425 dQPse•mn I/2�*eroa4 I (125N24612, 6 (425)424 I bib ti-£M VOZM \ �3a 100' alley 100' Vj`t1 11 \�----= -- : b --------------- Q----------ELM ST ID/ '^ i 8F P PLAN PREPARED TRAFFICMANAGEMENT, INC. A RO T R4 800.763.3999 mvmtrallkman.ge l— / AJf T,rrcLmdSxww,.5�r6Nmia P¢Cw hq�'v1.Trdiq CM 31 k 78 785804 �TM, ' TYCOI1rALT PaiSO4 Yilad Flraan TCS CENT k 301972 PIAN0a0m:299/9 OATE9119R017-RN