ENG2021-0501 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
121 5th Ave N, Edmonds ...0i 1 1 1
www.cityofedmonds.gov
,71
Description: PSE-INSTALL GAS SERVICE WITH SIDEWALK AND PAVING CUTS
ISSUED: 01/24/2022
Address: 817 7TH AVE N EDMONDS WA 98020-3055
EXPIRES: 07/24/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032400202200
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 SMITH STEPHANIE 817 7TH AVE N, EDMONDS WA 98020-3055
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
ENGINEERING INSPECTION FEE
$110.00 $0.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE
$330.00 $0.00
•
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
01 /24/2022
VAI!>/F9:1H ]1
DATE
Printed: Monday, January 24, 2022 12:43:58 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Ave•:• • 1 1 1
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.
TRAFFIC CONTROL
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
E-7 CONCRETE SIDEWALK
Printed: Monday, January 24, 2022 12:43:58 PM 2 of 2
ENG2021-0501
of EDM0
4os RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION DEC 02 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. 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 1o6382694
Site Address or if no site address use Property Address at NW corner of project area: 817 7th Ave N
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 ExSingle family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ 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.)
To install gas service at approx 23' E to io' W c/l of 7th AVE N & 78' S c/l of Vista PI (1) 3x5 Sidewalk cut and (1)
3x5 paving cut anticipate
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-day
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 ix gas
❑ 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
x
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?
x
If yes, answer the following questions related to project area, i.e. the actual area in which the
project is proposed:
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: 12/2/2021
APPLICANT PRINTED NAME: Susan Si is
APPLICANT TITLE: Sr Perm .- 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
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
Puget Sound Energy Gas Pre -Inspect Form
106382694
12/13/21 Address:
Edmonds City / Zip:
Yes Customer: Nicole Schroeder
1/24/21 PM / Inspector: Ariella Emlen
1 Day (8 Hours)
817 7th AVE N
Edmonds, 98020
815-341-2100
804-944-7012
Job Description
Project Scope: From 2" STW main on 7th AVE N -
Install approx. 83' of 1-1/8" PE scat svc (53' Stub / 30 ' Ext) in PSE provided trench
New Construction:
No
and set A425 meter out left
Applicant shall repair/replace all
ENGINEERING DIVISION
OWNER/CONTRACTOR IS RESPONSIBLE
FOR damage to utilities or frontage
improvements in City right-of-way
^ ^ ^ "OTED
Construction Method
EROSION CONTROL AND DRAINAGE
per city standards that is caused or
occurs during the permitted project.
I� 1/21/2022
All Scat / Trenchless
_
PLAT Map: 162.066
N
Crew to maintain 5' clearance from all City utilities, manholes, catch basins etc. per City of Edmonds
v
5/8" PE
1993
825
34
5/8" PE
_ 313s
1 1 /8"MPE
1979�3
_ _- _
2018-E
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1985
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5X MPE
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2003
N
'
13
a
'
N
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KEEP 5'
SEPARATION FROM
Gas main in
STORM MAIN
sidewalk
School Speed Limit Sign Manhole - install gas
service at least 5' away
Work
Location
Size of Cut
Surface Type
23'
East
of CL
7th Ave N
&
78'
South
of CL
Vista PL
3 X 5 X
SW
10'
West
of CL
7th Ave N
&
78'
South
of CL
Vista PL
3 X 5 X
A
of CL
&
of CL
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
0
Arterial:
Yes
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
0
TCP:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
20
No Parks #:
0
Steel -
1" Sery x 1/8" PE Outlet (MOP) - 125
9997039
Meter Loc:
03 - OL
Trolley Lines:
No
Mtr Hoods #:
0
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
No
SNO
YRD - Snohomish '
Bollards:
2.5" #
4" #
ADA Ramps #:
0
Route #'s:
RESUB
JAN 10 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
i56
908 I `v
633 905
5/8" PE
1993
5/8" PE
1988
40FE
^ 4� F 1993PE
825
5/8" PE
5/8" MPE 634 1979
1995
5/8" MPE
2004
817
w 619
h
v
v
44TE
w
v
5/8" MPE 5/8" MPE
2004-E 2003
813
616
830 724
824 726
313'S
1 1/8" MPE
2018-E
ww
wco
V
3'S T T 1 1 /4" PE IP 3'S
ISTA PL 1 1 /4" PE
w
10 843222 Nu 'u
LO 222
5/8" PE 5/8" PE
1985 1984
5/8" PE 5/8" PE
1984 1984
706 710 714 718
Ill's
L--807--
REC IVED
DEC 02 2021
1
6'N 3/4" STW-U
172'S
1965
625
199PE2
CITY OF EDMONDS
801
11J
co
802
DEVELOPMENT
ERVICES DEPARTMENT
5/8" PE
1994
a
—
/8" PE
N
990
729
CV
1 /2" STW-U
5/8" PE
1968
1987
No electric grid information available Scale 1:675
S 160062, Q 162066
Q PUGET SOUND ENERGY
'� �x+or Qo astir rH
11-09-2021 Lat\Long=47.8167,-122.3723 OD
The information on the attachetl maps is subject to change without notice. Puget Sound Energy makes no warranty. expressed or implied concerning
the suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any o}her person orentity.
unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (call 811)."
TEMPORARY TRAFFIC CONTROL PLAN
Ot/3Hb
o Ni Jom
(C 02i.
817 7th Ave N
Edmonds
WA 98020
USA
PLACE SIGNS
BOTH SIDES OF
WORK AREA
MAINTAIN TWO 11'
TRAVEL LANES
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 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 9 a.m. and 4 p.m
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 78' SCL of Vista PI @ 23' ECL
and 10' WCL of 7th Ave N
0
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1100'
ENGINEERING DIVISION
.,..,7TED
11 /21 /2022
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
00
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DETAIL.
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RIGHT M
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CLOSED j
ROAD
WORK o
' AHEAD N
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SIDEWALK CLOSED
AHEAD
7 %--
CROSS HERE
a �
SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500,
35/40
350'
30
200'
25
100,
RESUB
JAN 10 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50
55 60 65 70
10
70
110511501205
270
475
500
550
-
-
11
75
11151
165
225
295
495
550
605
660
12
80
11251
180
1245
320
540
600
660
720
780
840
T
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
30
60
X/45
0
20
40
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
Row -
Puget Sound Energy REV
PUGET Designer: Traffc Control Supervisor:
GregSOUND Kaitlynn Davis Co'dNo 01223d 12/17/2021 1
Card No. 012238
ENERGY 209-456-0264 Card ry.hamood@ps Job #
g regory, ha rwood@pse. com
kaitlynn.davis@pse.com (425)424-6425 106382694
Project Address:
817 7th Ave N, Edmonds, WA Page 1 OF 2
TEMPORARY TRAFFIC CONTROL PLAN
N* OVDHt/
o N80M
ovo�l
03SOID
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r
817 7th Ave N
Edmonds
WA 98020
USA
CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
PRIOR TO PROJECT START
MAI NTAI N TWO 11'
TRAVEL LANES
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 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 9 a.m. and 4 p.m
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 78' SCL of Vista PI @ 23' ECL
and 10' WCL of 7th Ave N
0
0
0
0
0
0
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VISTA PL
PLACE SIGNS
BOTH SIDES OF
WORK AREA
ry
O
CV
C
SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500'
35/40
350'
30
200'
25
100'
RESUB
JAN 10 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50
55 60 65 70
10
70
105
150
205
270
475
500
550
-
-
-
11
75
115
165
225
295
495
550
605
660
-
-
12
80
125
180
245
320
540
600
660
720
780
840
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW -
Puget Sound Energy REV
PUGET Designer: Traffic Control Supervisor:
GregrySOUND Kaitlynn Davis Co'dNo 012238 12/17/2021 1
Card No. 012238
ENERGY 209-456-0264 Card ry.hamood@ps Job #
g regory, ha rwood@pse. com
kaitlynn.davis@pse.com (425)424-6425 106382694
Project Address:
817 7th Ave N, Edmonds, WA Page 2 OF 2
817 7th Ave N
Edmonds
WA 98020
USA E40
PEDESTRIAN BYPASS DETAIL
RECEIVING
PIT
THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREA
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 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 9 a.m. and 4 p.m
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 78' SCL of Vista PI @ 23' ECL
and 10' WCL of 7th Ave N
I
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VISTA PL
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CROSS HERE--------
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ALOHA ST
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SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500'
35/40
350'
30
200'
25
100'
Designer:
Kaitlynn Davis
209-456-0264
kaitlynn.davis@pse.com
Project Address:
817 7th Ave N, Edmonds, WA
RESUB
JAN 10 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50
55 60 65 70
10
70
105
150
205
270$495�
550
-
-
-
11
75
115
165
225
295
$50
605
660
-
-
12
80
125
180
245
320
660
720
780
840
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
=>
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
REV
12/17/2021 1
Job #
106382694
F2