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ENG2021-0064 ROW PERMITRIGHT OF WAY EUC PERMIT City of Edmonds ...0i 1 11.E www.cityofedmonds.gov Description: PUD-INSTALL UG SECONDARY RISER AND SET PEDESTAL ISSUED: 03/09/2021 Address: 1001 OLYMPIC AVE EDMONDS WA 98020-2513 EXPIRES: 09/09/2021 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00548900001203 Isle]' NAME TYPE NAME ADDRESS PHONE APPLICANT SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER HICKS KENNETH 1001 OLYMPIC AVE, EDMONDS WA 98020-2513 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00 REQUIREMENTS REQUIREMENT TYPE NOTES TRAFFIC CONTROL 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 posession. RESTORATION 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 WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED INDEMNITY The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 03/09/2021 RELEASED BY DATE Printed: Tuesday, March 09, 2021 9:52:08 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. ENGINEERING OTHER Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQ Maintain erosion and sedimentation control per City and SWMMW standard requirements. 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 HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. 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:OOam to 6:OOpm on SOUND OR NOISE weekdays and 10:OOam and 6:OOpm 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. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTION TYPE DATE RESULT NOTES COMPLETE F7 A-1 JOB START X-2 ENGINEERING FINAL** Printed: Tuesday, March 09, 2021 9:52:08 AM 2 of 2 ROW PERMIT NO.: ENG 2021-0064 ISSUE, DATE: 3/9/21 11-Vu / 01-4 RIGHT-OF-WAY C6 TRUCTION PERMIT APPLICATION FEB 25 2021 PROJECT NAME: \-y) CONTACT: kA C 4TRACTOR: Phone Mailing Add,,,,**,?o 1& 0)( Fax Email City Business License ff: F] Liabiljt�rVn'su'r"Rn'ce' F] Bonded ADDRESS OR. 0rMRSECTION OF CONSTRUCTION: oo'k AUi ROW WORK ASSOCUMD VnTH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision F1 city Project ffi Traffic Control (Only) F1 Multi -Family. [-I Single Family EUC (PUD, VERIZON, PSE, - COMCAST, OVWSD): Is this permit part of a blanket pQudt? 1-1 Other El yes., t4 NO ANY ASSOCIATED PERMITS? BLD#* ENGU DESCRIPTION OF PROPOSED WORK.(Be Specific): V) WAS STREET OVERLAYED WITHIN THE LAST FIVE �(5) -kEA1W - YES.Ej *NO -[I- Year:.: PAVEMENT CUT: F1 Yes ro No If yes, indicate size of cut.-. CONCRETE CUT: E] Yes [4 No If yes, indicate size of cut:- KA RIGHT-OF-WAY AREA CLOSURE TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF J.X LF . SF Alley 7-7 Hrs + LF X LF SF Parking 72 Hrs + LF X J 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 flabger must be trained as required by (WAC) 296-1`55-305 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 maybe 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 DATE 2 2-1 C ntractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE December2000 Page 6H-17 Figure 61-1-6. Shoulder Work with Minor Encroachment (TA-6) loafoid pall!waad a41 Buunp sin000 ao pasneo si 1e41 spiepuels Aj!o aad AeM-;0-lu61J A113 u1 sluawanoadwi abeluoaj ao sal3!I!ln of abewep Ile eoeldaa/aiedaa IIeys lueollddy 310VNIb21d aMd 2UfNOO NOISO J3 � Od 3�81SNOdS32J S .2JO O VUNOO/2J3NMO Note. See Tables 6H-2 and & -3 forthe meaning of the symbols and/or letter codes used in this figure. MAINTAIN TWO 11'.� TRAVEL LANES, �zoz/so/Eo OTHERWISE USE G3UON SVGDAO JddV FLAGGERS FOR NOISIA10 ONI2J33NIJN3 SINGLE LANE 5 CLOSURE. Truck -Mounted Attenuator (optional) via 1 00 4 1 /3 L Typical Application 6 sect 6tL01 FEB 25 2021 1N3W12JHd30 S30In213S K� O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 1001 OLYMPIC AVE ED 98020 LYNNAREA POLE NO. 282044 NE1/4S 24 T 27 R 03 DATE 2/23/21 ORDER 100070473 REASON FOR WORK INSTL UG SEC RISER PED ENGINEER MCALLISTER OPERATION 60 FOR NEW CONST DRAFTER U.G. NO. 30 KW CONN LD SCALE APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D IN YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@$ =$ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ 1=$ PERMITS (DATE GRANTED) METER/CONV. POLE S ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY BASIC FEE S ❑ LEU NO. EASEMENTS .@$ _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S @$ .=$ UNDERGROUND PLAT BASIC FEE S FT.@$ '=$ STREET LIGHTING (� FT.@$ =$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY rL FT.@$ _$ MISCELLANEOUS FEES VAULT S PERMIT S CSLER s s s S TOTAL DUE S DATE PAID RECEIPT NO. SERVICE ORDER NO. I r= rrFNn: DATE RELEASED FOREIGN CONTACTS ❑ JPN# ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV Is N/A POLE STENCILING FROM TO TAKE OFF POLE PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 454 H4 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE )10 NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION MF'L CIRCUIT NO. 346 PHASE 1 ENGR'S TEL. # 425-670-3216 ENGR'S CELL # 425-50101254 1N3AdMIAIG SONOA03 dO AilO FEB 25 2021 N OA POLE 282044 INSTL UG SEC RISER PED ASSY 1U801 ON POLE AND SET PED INSIDE PROPERTY CORNER AS STAKED um 2820 ---------- ---A w'-' '"" v v I %' ------------ v rU65 ------------- A-1662 929 15-4941 927—M—CDG I T 123 SHEET I OF a3AI303H