Infrasource-PSE ROW Permit.pdf_ f --,'DM
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121 5TH AVENUE N RRTit - EDGV1ONDS, V,JA 98020
PHONE: (125) 771.0220 - FAX: (425) 71/-0221
ST'AT'ES; ISSUED ENG20130358
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Peril -lit Number: ENG20130359 Expiration Date: 09/13/2013
Job Address: 7601 OLYMPIC VIEW DR, EDMONDS Location:
INFRASOURCE CONST -PSE; IN1 RASOtIIdCE CONST -PSE
13330 STONE AVE N 13330 STONE AVE N
SEATTLE, WA 95133 SEATTLE, WA 98133
('206) 949-5846
LICENSE 4: INTRACI:,599CZ EXP; 02114/2013
Occupying E bound lane of Olympic View Dr. to relocate approx 119"' of 2" strw gas main. Project is in coordination w/2013 waterline
replaccntent project. Open trenching approx 120'x 2.'
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: ( OXO ) DURATION IN MONTIIS: 0 IEE: $0.4.10 STREET' DISRUPTION TItENCH CUT: (OXO)
PAIU<ING: ( OXO ) DURATION IN MONTIIS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ! OXO I DURATION IN MONTHS: 0 FEE: ;$0.00
INDEMNITY.- The Applicant has signed an application which states helshe holds the City of drnonds har mless f'orar hrjuries,
damages or claims of any kind or descril)lion whatsoever-, foreseen or unforeseen, Mal may be raaade against the City ofFdmonds or
any of its delaartments or employees, including but not limited to the defense of any legal proceedings including defense casts and
altorncyfees by r'easora ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION ION AND ACCEPTANCE OF THE WORK.
* Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every fl'agger 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. Alt street -cut trench work shalt he 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.
THIS APPLICATION IS
CALL DIAL -A -DIG (1_$00-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
HOUR NOTICE REQUIRED FO ALL INSP'E,CTION
THE CITY ENGINEER OR FHS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT' IS ACKNOWLEDGED OWLEDGED IN
SPACE PROVIDED,
Printed: Friday, July 12, 2013
RELEASED BY DATE
4'1911 iS.I F)111V
STATUS: ISSUED ENG20130358
® 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.
® Conform to approved working drawings and Traffic Control plan.
® Public utilities maintain 5' separation from City Utilities.
• Verify clear bore crossings
® Utility patch restoration to be in accordance with Edmonds Standard detail 12.3
• Maintain erosion & sedimentation control. Keep street clean.
® Construction hours are Monday -Friday lam -bpm and Saturdays l0am-6pm. No work on Sundays or Federal Holidays.
® Call for required inspections as noted.
• 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 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 of 7:00am to 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 from the issuance fo this permit. Issuance of this pert -nit 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.
o E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: