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ENG2021-0053 ROW PERMIT REVISION 1OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds AveRIGHT 98020 ENG2021-0053531 www.cityofedmonds.gov Description: PSE-RESTORATION ONLY FOR EXPIRED PERMIT ENG2019-0168 ISSUED: 12/16/2021 Address: 22019 HIGHWAY 99 EDMONDS WA 98020 EXPIRES: 06/16/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27042900301900 i NAME TYPE NAME ADDRESS PHONE APPLICANT PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 CONTRACTOR PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 OWNER BEHAR EDMONDS VENTURES LLC 1000 SECOND AVE STE3330, SEATTLE WA 98104 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 ENGINEERING REVIEW FEE - OVER 3 REVIEWS $110.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00 TRANSPORTATION ENGINEER REVIEW FEE $130.00 $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. RELEASED BY THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW DATE 12/16/2021 Permit was initially issued 6/30/21. Revision 1 (revision to TCP) issued 12/16/21 with expiration date of 6/16/22. Printed: Thursday, December 16, 2021 12:36:42 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • Ave•:• •ENG2021-0053 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 A-1 JOB START E-7 TRAFFIC CTRL E-7 RESTOR LIMITS X-2 ENGINEERING FINAL** 11/23/2021 CORRECTI 12:00:00 AM ON REQUIRED X-2 ENGINEERING FINAL** i I Printed: Thursday, December 16, 2021 12:36:42 PM 2 of 2 ENG2021-0053 of E°MO"O, REVISION RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION DEC 09 2021 Complete and submit this Application in accordance with the Submittal is`0 Requirements outlined in Right -of -Way permit Handout E6�. CITY E EPMENDS fW q � X-p DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A General • Project Name 1o6354276 Site Address or if no site address use Property Address at NW corner of project area: 22oi9 Hwy 99 Associated Permits: BLD PLN ENG X Owner and Entity Holding Franchise (if applicable) Name of Company PSE/Infrasource Franchise Ordinance No: Point of Contact Susan Sid ick Title SR Permit Specialist Address 1660 Park lane city Burlington State WA Zip 98233 Phone 425-457-6353 Email susan.sidickapse.com Contractor and Authorized Agent of Owner Name of Company (see note below) Contractor Contacts During Construction Primary Name PSE/Infrasource Susan Sidick Agent Name PSE/Infrasource Title SR Permit Specialist Title SR Permit Specialist Mobile 425-457-6353 Address 1660 Park lane Email susan.sidick@pse.com City Burlington State WA Zip 98233 Secondary Name Phone 425-457-6353 Title SR Permit Specialist Email susan.sidick@pse.com Mobile City of Edmonds Business License No: Email State License No: INFRASL871 C2 [N Contractor verifies it is currently bonded d( Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ff©ther, please specify: Traffic plan approval for restoration only ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) vvorx nas peen compierea unaer (i­ RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + LF Ix I LF SF 1 SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power Exgas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? x If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? x 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing underground common utility stem? x 5. Does the work involve proposed additions to an aboveground utility stem? If es: x Are the additions for the purpose of serving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x Details of Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: x 6a. Does your project involve wires/cables/lines? If yes: x How many are existing? I I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: x How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: x How many? I I What is the height of the poles after? Describe the modification rebuild: SECTION C Traffic Control and Public Safety. 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. Restoration shall 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. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: Susan Sidick DATE: 12/9/2021 APPLICANT PRINTED NAME: Susan Si is APPLICANT TITLE: Sr Permit Specialist NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM REVISION Job #: 106354276 Date: 11 /8/17 Jurisdiction: Edmonds ROW Permit: Yes Est. Start Date: 6/17/19 Est. Duration: 5 Days DEC 09 2021 Puget Sound Energy Gas Pre -Inspect Form CITY OF EDMONDS DEVELOPMENT Address: 22019 Highway 99 SERVICES DEPARTMENT City / Zip: Edmonds, 98020 Customer: Ware Malcomb/Kirt Neal 425-582-5515 PM / Inspector: Jordan Cooper 425-623-5302 Job Description / Scope of Work From 2" STW IP 46'W (9151-1966) Run New 2" PE Commerical Service 310' (95' Stub & 215' EXT) New Construction: and Set 3 Meter Manifold( LEFT HAND SET) OB and Set 3 A630s. PLEASE NOTE HIGH PRESSURE Construction Method 16" STWP 30' W MAIN All Scat / Trenchless PLAT Map: 165070 / .• N ................ ................ o........... . _.._.._.._............. _.._.._.._.._.._.._ _.._.._.._. ............................................................. 220th St SW 16" HP EXISTING ..........2...........................................:.................... ...E' XISTING...GAS ...MAI GAS .E MAIN /' Utility patches shall be combined and full width or half ............a.....46kIll.C/.L..... / ♦ / 30' .............. I / / / width overlay will be required depending on the extent 0' / of disturbance. Where utility patches fall entirely within ................................. .......................... /�/ / .' I P/L one travel lane, the overlay shall extend to the •••••• ........................••............•••..... / / / / centerline of roadway. Where utility patches extend into •• 1... ♦ ♦♦ / both travel lanes then a full width overlay is required. ................€...................... ♦ / WOR ♦ AREA ......••• / — /' / / 22019 Hwy 99 .............. ♦ ♦ / A630 MSAx3 / 0 , �0 I ' Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way P/L per city standards that is caused or / occurs during the permitted project. // / 12"Storm ......• •• ♦ / ENGINEERING DIVISION .................o........................ ♦ / APPROVED AS NOTED 1/ ♦�/ OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING 12/16/2021 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY VV / EXISTING 8" Water """" ♦ UTILITIES MAY REQUIRE A SEPERATE PERMIT. ....................o...............a. / ................. ' / / OWNER/CONTRACTOR IS RESPONSIBLE FOR / I EROSION CONTROL AND DRAINAGE Work Location Size of Cut Surface Type 160' S of CL 220th ST SW & 46' W of CL HWY 99 5x5 160' S of CL 220th ST SW & 1' E of CL HWY 99 3x5 160' S of CL 220th ST SW & 46' E of CL HWY 99 3x5 C Service Information Street Information Job Type Diameter: 2" PE Flaggers #: Y Arterial: Y New Commercial Svc EFV: 2" - 10000 9998737 Police #: N TCP: Y PUGET SOUND * ENERGY Meter: A630 I I I Speed Limit: 45 No Parks #: Y Meter Loc: 07 - OR (rear) Trolley Lines: N Mtr Hoods #: N Del Press: 2 PSI Traffic Signal: Y Bus Stop: N Bollards: 2.5" # 4" # 3 ADA Ramps #: N Route #'s: SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM Puget Sound Energy Traffic Control Supervisor: Safaa Al Neema Card No. 012611 Card Exp. 10/31/2024 Safaa.alneema@ps�e.com� (425)398-6077 LEGEND 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW s Po« UNIFORMED POLICE OFFICER FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW CHEVRON ARROW BOARD REVISION DEC 09 2021 I . I - 1 I I I I I I ' I CITY OF EDMONDS DEVELOPMENT I = SERVICES DEPARTMENT 11 V311 V o 111. I i avoa Otl3H pl I i � Iv 03SO1� o� - � S3NV10M1 �i _ ' X HDIN I I o I ? OI 1 �I I dE La of 0 3ava3a I D `nI ?oo P �Z'3A BUSINESS/ RESIDENT WILL BE INFORMED OF DRIVEWAY CLOSURE 10 DAYS IN ADVANCE. CREW CAN MOVE (SHIFT) CONES AND EQUIPMENT IN THE EVENT OF EMERGENCY VEHICLE ACCESS. SIGN SPACING MPH "X" 60/65 1000' 45/55 500' 35/40 350' 30 200' 25 100, PUGET SOUND ENERGY JOB# 106354276 22019 Hwy 99, Edmonds, WA 98026 2/17/2021 safaa.alneema@pse.com (425) 398-6077 SHEET 1 of 3 I = TEMPORARY TRAFFIC CONTROL PLAN z - I I I I I i NOTIFY WSDOT 48-72 HOURS PRIOR TO START OF WORK. CONTACT BONIE NAU AT 206-440-4471 I -I •: I ! WORK HOURS - OFF PEAK ONLY M-F 9 AM TO 3 PM NO FEDERAL HOLIDAYS. I = I * OV3Htl 1 • •\ p N210M Dvoa RESTORATION REQUIREMENTS TO MEET WSDOT = I x STANDARDS (SEE LAST PAGE OF PERMIT) PLACE W20-1 SIGNS ON ALL I ADJACENT STREETS WITHIN I I I 2500 FEET OF WORK AREA I _ I I x 1 � ROAD m: ^ vr WORK AHEAD `J I i ~ �03y6 dLpZN` my� 12.11'11112 11.11.12 I Q I i SO- -� 0 0 o 12 11 11 1�2I13 BE � RETOTOPPARE i� • I I S ROAD WORK N AHEAD CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 22019 Hwy 99 Edmonds WA 98026 USA ENGINEERING DIVISION APPROVED AS NOTED JP11 LVIAX,H.44z 12/16/2021 VV 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. Use traffic drums (barrels) with steady burning Type C lights on all State Routes and Hwys. 4. Sign size can be a minimum of 36" x 36" 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 . and unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m 8. Work area will be 162' SCL of 220th St SW & 32' WCL of Pacific Hwy 99. 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: Safaa Al Neema Card No. 012611 Card Exp. 10/31/2024 Safaa.alneema@ps�e.com� (425)398-6077 TEMPORARY TRAFFIC CONTROL PLAN aV3HaoHVM o avoa CD atlBHtl 03501� � ; (P Ntll lj3 I r I o �I 1H01 ? 30a3W OlddVal v aH .T7 of dO1S '0 O1 ' 3avaBa 3e p 1 of O D i ' 01 0 --- 1211111:13 �? : P IXIJA BUSINESS/ RESIDENT WILL BE INFORMED OF DRIVEWAY CLOSURE 10 DAYS IN ADVANCE. CREW CAN MOVE (SHIFT) CONES AND EQUIPMENT IN THE EVENT OF EMERGENCY VEHICLE ACCESS. I LEGEND I f 28" TRAFFIC CONE ® WORK PIT =:> TRAFFIC FLOW UNIFORMED J� POLICE OFFICER %r FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW CHEVRON ARROW BOARD SIGN SPACING MPH "X" 60/65 1000' 45/55 500' 35/40 350' 30 200' 25 100, IVIHV p xaOM avoa X PLACE W20-1 SIGNS ON ALL ADJACENT STREETS WITHIN 2500 FEET OF WORK AREA X ROAD WORK AHEAD PUGET SOUND ENERGY JOB# 106354276 22019 Hwy 99, Edmonds, WA 98026 2/17/2021 safaa.alneema@pse.com (425) 398-6077 SHEET 2 of 3 ••'' i 22019 Hwy 99 Edmonds WA 98026 USA _U U to to Eo � o � BE PREPARE co TO TOP i I 0 0 o !I a CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 REVISION DEC 09 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ENGINEERING DIVISION APPROVED AS NOTED l P11 (V1&.Z 1,,44z 12/16/2021 VV NOTIFY WSDOT 48-72 HOURS PRIOR TO START OF WORK. CONTACT BONIE NAU AT 206-440-4471 WORK HOURS -OFF PEAK ONLY M-F 9 AM TO 3 PM NO FEDERAL HOLIDAYS. RESTORATION REQUIREMENTS TO MEET WSDOT STANDARDS (SEE LAST PAGE OF PERMIT) 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. Use traffic drums (barrels) with steady burning Type C lights on all State Routes and Hwys. 4. Sign size can be a minimum of 36" x 36" and shal 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 . and unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m 8. Work area will be 162' SCL of 220th St SW & 0' WCL of Pacific Hwy 99. 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: Safaa Al Neema Card No. 012611 Card Exp. 10/31/2024 Safaa.alneema@ps�e.com� (425)398-6077 TEMPORARY TRAFFIC CONTROL PLAN I I OV3HV o NYOM Dvoa 'd01 01 o 3Wd3d 3� o o D in of i I \ fwVl I V � PUGET SOUND ENERGY JOB# 106354276 Dtl3Htl 22019 Hwy 99, Edmonds, WA 98026 I xaonn DVD21 X 2/17/2021 : I PLACE W20-1 SIGNS ON ALL safaa.alneema@pse.com ADJACENT STREETS WITHIN (425) 398-6077 2500 FEET OF WORK AREA rn SHEET 3 of 3 X ROAD 00 5: rr^^ vJ WORK AHEAD `) i �- I i I _ �a o$ o v b�aoyy 12:11'11112 11:1112 a I �.41 • v1✓ I I I 411tC'"' 22019 Hwy 99 00 1211111 12:11,11 13 / 20� :d b b14:4:d' �2p0� t 4_ v1 - P 1 BUSINESS/ RESIDENT WILL BE INFORMED OF DRIVEWAY CLOSURE 10 DAYS IN ADVANCE. CREW CAN MOVE (SHIFT) CONES AND EQUIPMENT IN THE EVENT OF EMERGENCY VEHICLE ACCESS. I LEGEND I f 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW 4LIC UNIFORMED 11 POLICE OFFICER %r FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW CHEVRON ARROW BOARD SIGN SPACING MPH "X" 60/65 1000, 45/55 500' 35/40 350' 30 200' 25 100, REVISION DEC 09 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Edmonds Or WA 98026 USA T� 1 THIS TRAFFIC CONTROL U PLAN IS NOT APPROVED. NO RESTORATION WORK NEEDS TO BE COMPLETED AT THIS LOCATION. I 7� , o � ! EE 1 • REPARE j TO i - TOP CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 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. Use traffic drums (barrels) with steady burning Type C lights on all State Routes and Hwys. 4. Sign size can be a minimum of 36" x 36" and shal 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 . and unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m 8. Work area will be 162' SCL of 220th St SW & 32' ECL of Pacific Hwy 99. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done.