ENG2021-0528-ROW Supplementals-12.22.2021r,
MyBui ldi ngPermi t. cem
Jurisdiction: Edmonds
Project Name: WO 100088972: T-Mobile Modification
Application ID: 1068126
Supplemental Name: Right of Way Construction Terms and Conditions
Will Right of Way construction necessitate the closure of the right of way for a duration over 72 hours?
No, there are no right of way closures expected at this time.
Right of Way Closures- Please provide the area sf of the portion of right of way that will be closed over 72 hours
and the length of the closure (number of months) below.
Sidewalk Area (sf) of Closure
Sidewalk Duration of Closure (months)
Alley Area (sf) of Closure
Alley Duration of Closure (months)
Parkiing Strip Area (sf) of Closure
Parking Strip Duration of Closure (months)
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.
Right of Way Terms and Conditions:
Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required by the
City Engineer or their respective designee. Every flagger 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. 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.
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 or
their respective designee. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all
applicable city ordinances, including but not limited to Edmonds Community Development Code 1 8.00; 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.
Owner/Applicant Signature
Kirsten McCarthy