Magic Toyota ROW application.pdfof EDA4n.
INC. 1 SOO
ROW PERMIT NO.: ENG r
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Magic Toyota
CONTACT: Jeremy Webb
CONTRACTOR: Foushee & Associates Phone #: 425-941-3733
Mailing Address: 3260 118th Ave SE Bellevue, WA 98005 Fax #:
State License #: 600-259-643 Email #: jwebb@foushee.com
City Business License #: N R-024316 ❑X Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 21300 HWY-99, Edmonds, WA 98026
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
X❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
DECEIVED
❑ EUC (PUD, VERIZON, PSE, JUL ' 2017
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
ENGINEERING DIVISION
El Yes El No
BLD# IU ENG# -—
DESCRIPTION OF PROPOSED WORK (Be Specific) :
DEMOLITION OF EXISTING STRUCTURE AND CONSTRUCTION OF NEW
DEALERSHIP. WORK TO AFFECT CITY ROW INCLUDES: NEW SIDEWALK WORK AND
LANDSCAPING AT 212TH ST SW AND HWY-99.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO ❑ Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: X.
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: X.
DURING
SIDEWALK
WORK
LURING
_ANDSCAPI
NORK
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +
LF
X
LF
SF
Alley 72 Hrs +
LF
X
LF
SF
Parking 72 Hrs +
LF
X
LF
SF
SIDEWALK AT 212TH
3293 SF
2 WEEKS
SIDEWALK AT HWY-99
3230 SF
2 WEEKS
SIDEWALK AT 212TH
3293 SF
2 WEEKS
SIDEWALK AT HWY-99
3230 SF
2 WEEKS
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 requirenie is in or i it to be valid j
SIGNATURE A DATE _! i" / dw2 b`l
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE