ENG2022-0022 ROW PERMITOF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
AveRIGHT
••• • 1 11
www.cityofedmonds.gov• •
Description: PUD INSTALL UG RISER ON EX POLE AND SET PIED FOR NEW SFR
ISSUED: 02/03/2022
Address: 21705 96TH AVE W EDMONDS WA 98020-3953
EXPIRES: 08/03/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00373600700802
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681
CONTACT MARY MCALLISTER PO BOX 1107, EVERETT WA 98206 (425)670-3216
CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216
OWNER MAGDALENA & MIREL ROGOJAN 23828 BRIER RD, BRIER WA 98036
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00 $110.00
1111
•
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
02/03/2022
RELEASED BY
DATE
Printed: Thursday, February 03, 2022 8:24:08 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Ave•:• • 1 11
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.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Thursday, February 03, 2022 8:24:08 AM 2 of 2
WO `ao0<8cl� 1('-�q
OF EVA10
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
�Nc. 1690 Requirements outlined in Right-of-Wav permit Handout E6�.
1N3ni2]Vd30
If any field is not applicable to your project, write "��RWO, 6aving blank.
All fields required. Incomplete Applications i �� ueeA.
SEMONA a3AI303H
Project Name
eft— O O A
Site Address or if no site address use Property Address at NW corner of project area: -L% l O (V�jk_
Associated Permits: IBLD PIi ENG
Owner and Entity Holding
Name of Company 77) v3 t Franchise Ordinance No:
Point of Contact L
Title r
Address ';;�C>
City State (�I Zip ckC66
Phone L-g_s— (off —
Email VA
Contractor and Authorized Agent of O%vner
Name of Company 4.
(see note below)
Contractor Contacts During Construction
Primauyblame DES
Agent Name
'15t1e
Title
Mobile
Address
Email
City state
Zip
SecondatyName
Phone
Title
Email
Mobile
City of Edmonds Business License No:
Email
State License No: 070z. —
1 `
Contractorverifies it is currently bonded
Con tractor verifies it currently has general liability insurance
Nom. LCDC]tt.6o.o2o requires that theApplication be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
Type of ••apply
❑ Multifamily residential ❑ Commercial o City project
❑ Single family residential subdivision ❑ Single family -other o Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as well
Traffic Control Only (no associated development)
❑ Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021
Project Description
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.)
tx
fib Y�e_S
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
b
Parldng 72 hours +
LF
x
LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
. The work in the right of way is on or for the following type of facilities::
❑ telecommunications ❑ cable power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
. Does the utility owner have existing overhead infrastructure in the area of work?
Ypq-
No
2. 1 Will aEy equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
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?
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an e)dsting underground common utility system?
-
5.
Does the work involve proposed additions to an aboveground utility system? If es:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
Details
of Workto 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:
6a.
Does your project involve wires/cables/lines? If yes:
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;
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? What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How man ? 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 296-155-3o5 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.
Indemnifiication. 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 1-8; 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:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Cityof Edmonds ROW construction penmitApplicatiou--Page 3 of 3 Updated 3/25/2021
SNdfWISN COI/1TY
p� PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 21705 96TH AVE W ED LYNNAREA
POLE NO. 253516 NE1/4S 25 T 27 R 03 DATE 1/10/22 ORDER 100088169
REASON FOR WORK INSTAL UG SEC RISER PED FOR ENGINEER MCALLISTER OPERATION 50
NEW BUILDING DRAFTER U.G. NO.
GAS SCALE
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
@$ =$
SECONDARY OVERHEAD NESC VIOLATIONS
DATE
SUBSTATION 5CR
CIRCUIT NO. 1283 PHASE 2
ENGR'S TEL. #
425-670-321`
ENGR'S CELL #
425-501-1254
BASIC FEE g
■ NO ❑ YES (SEE NOTES)
'@$ =$
O
PERMITS (DATE GRANTED)
❑ TREE TRIM
STA E
cp NTH
METER/CONV. POLE g
II
E i 1 cr7i In
❑ COMMERCIAL
■ CITY
BASIC FEE $
❑
EASEMENTS
LEU NO.
@$ _$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
DATE RELEASED
La _$
UNDERGROUND PLAT
FOREIGN CONTACTS
BASIC FEE g
❑ JPN#
( ppotnbaa si AeVano 1
Q qTeTI 'f 96blell,16 I y
Oq
STREl30RUtPMQ s@gojed Aj!j11n
�j BR nn a ICF61YIIJGIL
as
UO
jO
FA}gk}n aaayMT690Ueganjsi
WORK i{#�d�h��al4 �la�yr�I sE)goje
❑ PRIMAR
au} uo 5uipuada
I�OJFacrium Aej.lan0 R
IM
❑ SECONDAuRY}xa
rcm(DoomwNstaq pw Kim q
Jj".dq gip!AA imi pue pa
in
fl
MISCELLANEOUS FEE�0��I
ANYARJ NOISIA1&
0PW M2J '9�flIligflfA WS
NC
J�1LL`d00
�I �E�l�2��K4lOb2ilNOO/ J
N�
CSLER g
g 210:
g
g
TOTAL DUE S
DATE PAID
RECEIPT NO._
SERVICE ORDER NO.
i �r_�nln•
UODdSM �w Enn(13HOS
-nv
IS02J3
1N O/ J3NM0
M&R AS -BUILT
GIS
GIS QC M&R
GI Ph
LOCATH N MAP PAGE
sm000
ao pasneo si 1eyj spiepue;s Alp aad
Aem-10-146u Aj!3 ul s;uawanoadwi
a6e;uoa� ao saif!l!f o} a6ewep
O EXISTING POLE Ile aoeldaa/aiedaa Ileys;ueoilddV
X EXISTING POLE -TO BE REMOVED
• NEW POLE zzoz/zo/zo
NEW POLE TO REPLACE EXISTING PAIN SVG3IAQJddV
1N3NINWd3O
630IM3S 1N3Wd013A30
SONOWO3d0,W0
(AAD POLE 253516
INSTL UG RISER PED ASSY 12U705
ON EXISTING POLE
RUN 45' OF 350 UG SEC FROM XFMR #25-385715
axe
21701
I -c
'c
cc:
3
a
cr.
I:
C
6
SHEET OF
LL
NOISIAI4 0N12J33NI0N3 ZZOZ tZ uer
SEC. 08, TJYN. 27N, RNG. 04E, 114 SW
SD —SO—So—
so
� —�
217TH ST \ \
_-----------------
\ \
MAXIMUM DRIVEWAY 51<0PE
\
ALLOWED 14`!-b
0
a
I
App,_a, shall repaidreplace all
3 daage to ullink's Or frontage
m
\ EJ 0 t0
Scale I' = 10,
VICINITY MAP
H.T.S.
BYREMVTM OIffd1OW
aEvt gx FXES �
K(FTAIID D6PERSYAY I� �J/4' tAEIED
r Mx
r&
OfAN TSsx FAESj i:—� � EOTIN d SFfS
it 112' - 314' rASEO !%
aPAE7 ROCK j'y ?;, 6'Y71 momSCW.
OVERFLOW FLOW DISPERSION TRENCH DETAIL
N.T.S.
e4 improvements in City nghf-of-way \ CONSTRUCTION SEQUENCE: PROJECT CONTACT LIST:
per CRY standards thal is caused or '\ \ CML ENGINEER:
1. 423-7SCHED1 A D(E 13A. TW AY (48 MIN 07Y IS FLRPAS d'IRYIV AT
Occurs during the permitiM ptojerL \ \ \ .IS-77t-DIM Exr. rJ16. rM0 DAY (Id x4) I:DiN2 u PEa.NL0. ,DMA A Py
1 \ \ \
IKI'<r• [J60) 79I-6911
2 An" 106'(RARY ERMI AND PHO
SE01"T CONTROL WIM SNE.- V{ rA
AINO
or
PARCEL A GIAlJ6GID]l111N6 EMAL doem6-eatermncoaLME
•�. 3 CALL FOR unrrr LOCATES
. \ \ SURVEYOR:
4. A'SIAB. IESO Y ALRAKS"14 NIAEI DUST CNPIE IRLC ONE KN/AOS C RROAIKE OF
A ANY AteAS Or WGUADON OUTRX aE CON'SIRCCDON ZONE
Sr.sw6Er A1C
I' ` ImPN'46Y I2a01' \ \ 1WRE(VA 60Ig-1610
IAYP1/oE mttR \ I \ S HAWAW TM AL NTDO ILlS1A@S 1RSWN A BY CITY N" ENGINES aM FES MUSTAG M". G 6or-
1A IE1>>dIS a'}sAENEWT A•.SPEOIOtAOIf1E0RMYSFD9EIlTATXAAwDeLeoAcOrrRaItEASI.HrwsreEA
as reQ ACCEPTABLE TIGHTLINE PLACE Ayr AdPECim Aw m AVY C(NSIRVC" OR 91E CLU%N4 DWM AAM °L'1 '"firir0o
(£ I Sw Ail=36.i8 FA ( A'AI=3B275 rA `E MATERIAL: SELaYiMTAIXP/ COIIRO PRACDOS AAA/aR OEI/RS SNAIL BCYAATAAm wn.
e 6FAnr luei x � p rpVtj. AT 36L .fi:.r P4c a tx _ ecrfir m • \ \ t `\ snu ss PONAWNT I'ETi'rArm s E33 BILFRO. APPLICANT. x0cowr
28
` RY G0. EL�75NS ly 1E=35312 3 G45 tDE + - ` V W _ _.. + \ FS C SCH H aCOH 6. aEvam I N I AS RER� m A5rAi1 fF iEAilA35 7PrrO5E SLOW I6
N 12 7 ROUGH E PXED ORANA ETEA EA
0 \
A1V 3�6nIs FA .y"6 \ E t7 — � ` \ Dn_s I•r a CUSAR. GHA A ROUGH GUM VIE: RE GETAIKN OTSTU D AREAS NOT Se"F ro �� (��.�
' I 1 PFn 0 (Rf/D ADUS�IIP.) _ \ FJ6r5 4� W +A\ \ %4S SILL BE S �Im PER MXN �TAM ROM W-ADW RO NOTES Sao*) (ODE? E>A75ED
r Ex HER l2F PrY l v Vc+' r .•
IA .I TIAWNI W/ 11\ �y'"{c £ NSTALL U71NE3 NO OIrEt 9lE YPROt17OR$ /X1LkkV: rRNU(E 6fPR04£YEttIS
IRAFFR WRE a+; \
ii W v W 11 SEWGFTAAA9 F 017 r STE ALL UPOSID SGItS Pb0't ro
1EIARIS11N Dr IA sr E IRM UTILITY CONTACT LIST:
PRNOS'D rA i If. ESTARESr UALL BEAD RA PUPON fWT K ?E ST49 ALL R-YPLAARP DWORWAL YCFTY
ROP0 \ `\ YLISXEr VIAIL i R,]ID1m L4d'! IiVAL 9R SO807AlIOl Aim NN'ROYAL BY arr SFµ£R & CITY OF EDMONDS
YV-- W— Ds 1070MSm 2714 ff HOUSE_ -- - m' Lave /f\1EL \ INSPECTOR, WATER IEDLIOVOS YI9A 8026
Utility Cold— sha8 be cornbmed R M full xidtn u 1 W t
_ \ IF=.I - a'ffrRsai DERgI (475) 77I-0241
'AIII j }RWM W27 ASAGl7 DAYWfr DOWSPOUT ROMS ( wiMh ovcttry odl be mqU dep6ndH!g an the 2x1Ent
11aKRAy ro DffVMY SURFACE \ Ay® \� of dis!urbance Whwa .!MyW i�Hrs tall entirety u:tnln
•gIV EL. N OaW one travel lane, the overlay shall extend to tha
r 1 \ 1' ,gry jt3 Ra6t.6 \ I terEne of rwmn'ay. Whet Wiity, Pa!dt66 ertertd into
Wn. f@YCI !ants then a IW wdth oveday IS reryard.
��a N,/IOtrX/d EF � � � � + b45i 4 /6'-- ��.. \
S
wRi SWFINASIC COA E rllrl IK bt
ROW SOUL BE NIP[EIEO 8Y DE Lw 7x- OIRACE
C'OVIRACTUR NOT FIE cry OF nx,%vs �- y-ClN \ ��fE ar•'.---.' 6 f
RdX 8 \
ELECTRIC: SWWOMISH COUNTY P.U.D.
21016 HIGHWAY 99,
EDMONDS 98026
(425) 670-3200
GAS* PUCE? SOUND ENERGY
10885 NE 47H ST
BELLEW& WA PAD (42 52 123t8w4
xoi ` RECEIVED
What FoR- _ _ Ao>F•EmKnAY aarr .0 \ �pp�
mm lox \ ^ID' FOOINO dew � a �AIE REr rA az Acffs �� RMATIONmmm �'736Ctl7aMDz �N ls.zozD
STE ALO M 2t70 Mri AI£ W
aI' \ /� •`\ APPLIES WITH AP CABLE LEGAL DESCRIPTION.• Emtaax a 94020 fork 9E ARFA 4712 ff (a2 Aa7ES)
CITY STROMWA. E CODE THE WST 126 FEET 0- DE sway m FEET OF C Fy, %V N!.W cowry SHEET /pTDE{••
s . _ - . _ _ _ _ _ _ tOrOLdPr'k50 m �BLOCK Z ADd7 YWOP Att9 QASSYlY.17XIk 9IACL 7 '. VIE PM & ARANACE
_ A r1EiFCf, rEC1YdkD W PRO fC (a0ar AT EH.)
_ _ _ _ _ _ _ __ _ _ _ _ _ PROEDi 9/E; LAEOXIY 2 7ESC
_ _ _ _ _ - CAW Ug AKOiPORAIM OrY
3 Ig16 AID DETAa6
\OS DARECIfI DOAIIXVI RDIIS \ Rp IOIAE ID Cr Mi5 PAGE 4 R'CN3lS OF
MAX" OENSriE S3
NNE: F T I m An£RT IRAARar ro LF7KlOtY 9AFACE - E'36LEfi 3!15.20Z 1 LYCIEN, rASl101a( MAX" COifNACL` 3Sx See separate plan sheet Jul 28 02C
m EXCEEDS 6 Fr DEN DE CN/RACIlAR R ' b •fGI7IIfCIRAJI r E rim rY_a,J AFrEvwx Mff IEaI! 25.0 P
m NRiAE A TIPS F MAwRxrGcompleted by contractor for
NSTAI[Ed AO/EFE PANS ' SOEDIAE 40 PM CARE AND PHONE - _..- - ._.- - Fa:
AtL NEW / SS3'f4'46 i P2601• -o o:en x=;:e r.�-ont �75• water, sewer, and dry utility
RI BE AO]mTO Q flp _ \ REAR IS' Iocalions!requimmenls.MY
to
WW4wiREAIr or �'�" � "+� , REFS TO SHEET 3 F btI f�D 6fORETEYDO,V PLAN77NG PLAN
ITNr INV1 30 a EXSIING BOUNDARY & SITE FEATURES NOTE APPROVED FOR CONSTRUCTION
C D,Q a 5 c � \ Q„(�f�. 5� Q�2o` Mh-,Oj13A30 top or am R=3620 BOUNDARY wA9 Osmmo FRov REcoo DID SURI£Y ay BT
at' tec9��0 SURVEYS WC. TQP"APHYWAS DOWNED FRW SxwOV�eH CITY OF EDMONDS
P1Asx (RATE OR cAsr ANv aMIE :f, dsPERSN P/D xRi=.rbt_5 ? S' \�= COUNTY CIS MAPS E#SRNG, U UWT PROVIDED IN A HAND
-� BiORETENi>ON SOIL MIX., 6 PIA, 1 Know what's below, 'WE7t i FROM GFENE INFORMAD04 /S A FAR AND 3123!2021
NOTE _ _ _ " - - BIORETEN7ICW SLYi ✓S COMMONLY REFERRED TO AS 60/40 MHx �jlt + ,i �S Call 811 two business days ��� �RE�TARON OF VIE FEA NRES HOWWR IS _
mIE-aazt rlaF.s _ AND SNAEE CQVVST OF DIE FOLL08ING MIXTURE L FlHf SAND
FUR YARD 9ASAV5 AND COMPOST, MEASURED ON A VOLUME BAYS SOL LAM? 1: 3' NOT GUARANTEED R ACCURATE TO GENERALLY ACCEPTED s
rmJAXWE , SURIfttNGSTANOAROS
areEcmrs sox - lOAsallo 1 � CNRi avPosr before you dig, - � -
O 30l - sa>t .v[
42 )LAX
CCWPOST EFFECT DEPIN
`l 5a N 1Y AE149YN/27-l-men ID PER OTY Er Yawi AINA3Ss aDatar PATH IV? Dry RLISEI M[YDWED 21 2m0 CITY ENGINEERING DIVISION' \ D 7 '�'H / \ Sdr UKR 2 18' HENS V R 5-31-20 PER OTY Or EDV0A24 SIONNAIN REIEF COAENIS W" 4-2-20 AAO MR REIEx CMR7LIS =0 h30-20
CRw;PPE BASN - - ' " __ _ g0RERATR Xt SDE LAY SE1r.9O411 3-2-30 PER CITY O" ENGINES SrMMAER AM CMOWTS MAD 12-27-I9 A O PLW R1EI CpWCMS 69AD 1-19-m
IYWiANRE DIOEror_, Tm OF mar=.r6zD �- , �I 1 L B DONNA BRESKE &ASSOCIATES, LLC BLD2010.1496
w N1^E APE - rrRErDrTIN DIErdLOR SITE PLAN AND DRAINAGE
LL=MIS =c1A A JP�.I- HAND USE PLANNING &C3VIL ENGINEERING
a FOR
6' IBC 9420 Rear -_ o rASED NeAx lmac 4- 6' —� , �"- 1 " AN \ �-- ; uIER s �� � y� -• � _ 21 AVE A. SURE 4 MIREL & MAGDALENA ROGOJAN
tdAK SONSNOHOMISH, WA 98290
YARD BASIN DETAIL PHONE 360-294-8941 TAX PARCEL* 00373600700502
WASHED ROCK OVERFLOW WEIR o v36r ti ORIGINAL ISSUE DATE: 10-02-18
N.T.S N.T.S. BIORETENi]ON DETAIL Ems nsT �.�` rye _I_.
HONFL C� \ vdyN.DONNABRESKE.com SCALE: 1" = 10' SNEEY: 1 of 6
1.
DIFERVIOUS AREA
AREA 7W FOOTAGE
sroam"FAwn
ROWRIP 2724 SF
/M17ETENlIOI
9YE AMERAY POS W27
B`O;FMRx
OFF-STIE OAWAUY PRIS 3107 1
R4Yd'Ltom
IOIAL W.OV3D APERaCUS SAVACL4896 ff
December 2000 Page 6H-17
Figure 61-1-6. Shoulder Work with Minor Encroachment (TA-6)
1N3VMJVd30
S301n2i3S 1N3 �0
SONOW03 dO.A,110 lllO N
ZZOZ-VZ uef
3nI303N
Note: See Tables 61-1-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Q \--1 OG
Truck -Mounted
Attenuator
(optionat)
Typical Application 6
`� O W C `0S v rQ-- SCCL 6UL01
RECEIVED
M BuildingPermit.com Jan 24 2022
CITY OF EDMONDS CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Right -of -Way Application #1080620-100088169 - Riser Ped
Applicant
First Name Last Name Company Name
Moe Nave Snohomish County PUD
Number Street Apartment or Suite Number E-mail Address
PO Box 1107 jointuse@snopud.com
City State Zip Phone Number Extension
Everett WA 98206 4257835681
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
21705 96TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00373600700802
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Magdalena & Mirel Rogojan
Number Street Apartment or Suite Number
23828 BRIER RD
City State Zip
BRIER WA 98036
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 1/24/2022 Submitted By: Moe Nave
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1080620-100088169 - Riser Ped
Project Contact
Company Name:
Name: Mary McAllister Email: mmmcallister@snopud.com
Address: PO BOX 1107 Phone #: 4256703216
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: 100088169 - Riser Ped
Description of Work: Install underground secondary riser on existing pole and set pedestal at the base. No
Boring or trenching. No paved cuts or disturbance of surface.
Project Details
Project Information
Job Number
100088169
Page 2 of 2