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ENG2022-0212 ROW PERMITOF EI�� ~ � O RIGHT OFPERMIT City of Edmonds PERMIT NUMBE Edmonds WA 9:1 1 �1 i gad • - • • • • • 022401 Description: PUD - REPLACE 10 BO POLES (EXPIRED APPLICATION ENG2020-0360) ISSUED: 06/13/2022 Address: 709 MAPLE ST EDMONDS WA 98020-3436 EXPIRES: 12/13/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434208903500 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4355 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER JEFF & KRISTI COATS 709 MAPLE ST, EDMONDS WA 98020-3436 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $330.00 $330.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • 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 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 06/13/2022 RELEASED BY DATE Printed: Monday, June 13, 2022 11:35:30 AM 1 of 2 RIGHT OF WAY EUC PERMIT City of Edmonds PERMIT NUMBER, - 98020ENG2022-0212 www.cityofedmonds.gov / 425i CONDITIONS CONDITION TYPE NOTES ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. 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. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS 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. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites and 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. INSPECTIONS INSPECTION TYPE DATE RESULT NOTES COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL E-7 CONCRETE SIDEWALK E-7 CURB GUTTER E-7 CURB RAMP E-7 RESTOR LIMITS E-7 TRAFFIC CTRL Printed: Monday, June 13, 2022 11:35:30 AM 2 of 2 Of EDAgO�O� 1390 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E63. RECEIVED May 05 2022 CITY OF EDMONDS 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. General • Project Name Replace 10 Utility Poles Site Address or if no site address use Property Address at NW corner of project area: 709 Maple St. Associated Permits: BLD N/A PLN N/A IENG ENG2020-0360 HoldingOwner and Entity Name of Company Snohomish County PUD #1 Franchise Ordinance No: N/A Point of Contact Ben Ice Title Engineer Address PO Box 1107 City Everett State WA Zip 98206 Phone 425.783.4355 Email btice@snopud.com Contractor and Authorized Agent of Owner Name of Company Same as above (see note below) Contractor Contacts During Construction Primary Name Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: 313-005-741 a Contractor verifies it is currently bonded ® 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? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) e 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.) Replacing 10 old utility poles with new. The final height of the new poles will be the same as the old ones. The poles are being moved as far from the pavement as is feasible given the existing property rights. All poles in the sidewalk are moving behind the sidewalk. Work will include the necessary tree trimming. Reapplication for same set of poles as ENG2020-0360 with a different PUD work order. Work will take place during normal work hours, subject to city ordinance. Anticipated duration per location: 2 days. 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 SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable n power ❑ 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 x No 2. 1 Will any equipment be added underground or above ground (e.g. 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 system? If es: x 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 • 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 x project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 14 1 How many are to be added? I o 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? 10 What is the height of the existing poles? 45 How many poles are to be removed? o Are additional poles to be laced? X 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? 1 1 o I What is the height of the poles after? 145 Describe the modification rebuild: Replace Pole, transfer equipment 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: /' � � '; rl—, DATE: 5i2/2022 APPLICANT PRINTED NAME: Benjamin ice APPLICANT TITLE: engineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 S NOHO MISH COUNTY p[oo PUBLIC Ui1L1iY OISiRICi NO 1 N NORTH DAYTON ST VJ QF—FT77— F- ua 21 709 749 p W 25- 94837 746 2 �5-326340 SL-130238-A O MAPI F CT J r 11-1 7 71 716 16 17 310 (I PUGET SOUND WORK ZONE © 116281 808 T21 826 832 838 48 85 PLAN VIEW 1" = 100' WOODWAY SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM O POLE PLI # 749 FENCELINE SET 45 CL 2 POLE (PW2045), 5'N 2'E SET DEPTH = 6.5' NEW POLE USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 10 TANG ASSY (12V101) SIDEWALK 6' RMV DG XFR EXIST 25 KVA XFMR 25-394837 (12V601) OLD POLE (� T EXT OH SEC SVCS (CO302) 1 RMV EXIST SEC UG RISER CURB INSTL 3SEC RISER & 4 POS PED OU705) VW OF POLE INTERCEPT EXIST UG SEC TPX RUN RUN 350 KCMIL TPX TO PED L= 40' RESTORE SIDEWALK AFTER STUB REMOVAL FENCELINE NEW POLE O POLE PLI # 747 SET 45'CL 2 POLE (PW2045), 5' N SIDEWALK 6' SET DEPTH = 6.5' USE 5/8' GRVL BCKFLL, CMPCT IN 6" LFTS OLD POLE T FRAME 10 TANG ASSY (12V101) CURB RESTORE SIDEWALK AFTER STUB REMOVAL O POLE PLI # 746 SET 45'CL 2 POLE (PW2045), 5'N 1'W SET DEPTH = 6.5' ROW NEW USE 5/8' GRVL BCKFLL, CMPCT IN 6" LFTS LINE POLE FRAME 10 TANG ASSY (12V10U 7' XFR EXIST 25 KVA XFMR 25-326340 (12V601) XFR OH SVCS INSTL 10'STLT ARM (10504) FACING E SIDEWALK XFR LUMINAIRE # SL-130238-A 6' RMV EXIST SEC UG RISER OLD INSTL 3SEC RISER OU705) O POLE CONNECT RISER SEC TO NEARBY PED EDGE OF RUN 350 KCMIL TPX TO PED L= 50' PAVEMENT ADA CURB RAMP REPLACEMENT REQUIRED O POLE PLI # 743 SET 45'CL 2 POLE (PW2045), 5 N SET DEPTH = 6.5' ROW LINE USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS NEW POLE FRAME 10 TANG ASSY (12V10D RMV 50 KVA OH XFMR 6' UTC # OLD POLE 1(� T SER# _ _ CURB1.I HANG 37 KVA OH XFMR (BA21P, 12V601) UTC # SER#------- EXT SEC SVCS (C0302) OM POLE PLI # 742 ROW LINE SET 45'CL 2 POLE (PW2045), IN PLACE SET DEPTH = 6.5' NEW POLE IN PLACE USE 5/8 GRVL BCKFLL, CMPCT IN 6" LFTS 6' FRAME 10 DE ASSY XFR EXIST SG (12V109) XFR EXIST 50 KVA XFMR 50-358249 (12V601) T XFR OH SVCS INSTL 8'STLT ARM (LO503) FACING S CURB XFR LUMINAIRE # SL-130251-A XFR EXIST SEC UG RISER - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. CURB 1, ON POLE PLI # 116281 OLD POLE SET 35 CL 2 POLE (PW2035), 7.5'S SET DEPTH = 5.5' USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS 8.5' INSTL DBL SPOOL (10102) EXT SEC SVCS (CO302) RMV EXIST SEC UG RISER & OBSOLETE FED NEW POLE INSTL 3" SEC RISER & 4 POS FED OU705) RUN 350 KCMIL TPX TO FED L= 30' ROW LINE O POLE PLI# 735 SET 35' CL 2 POLE (PW2030), 5' W SET DEPTH = 5' NEW OLD USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS POLE POLE INSTL INVERTED COMBO GUY HOOK (R1306) O LARKING XFR EXIST SG INSTL (1) 12' AHR L = 5' W (AO102) INSTL (1) UNINSULATED 3/8" DG (GO307) SIDE 15 RMV EXIST SEC UG RISER WALK INSTL 3" SEC RISER & 4 POS PED OU705) RUN 350 KCMIL TPX TO PED L= 30' RESTORE SIDEWALK AFTER STUB REMOVAL OLD POLE PARKING LANE CURB O 5 LE P SIDE WALK AT THIS LOCATION WE ARE SETTING A TALLER POLE DEEPER, SO WE ARE NOT CHANGING THE VIEW NEW ROW 6' POLE LINE OLD O POLE SIDEWALK 6' EDGE OF PAVEMENT POLDE PARKING LANE CURB O ' LE 5PO SIDE WALK AT THIS LOCATION WE ARE SETTING A TALLER POLE DEEPER, SO WE ARE NOT CHANGING THE VIEW O POLE PLI# 947 SET 50 CL 1 POLE (PW1050), 5' E SET DEPTH = 10' USE 5/8 GRVL BCKFLL, CMPCT IN 6" LFTS RAKE POLETOP 4' E FRAME 30 ALLEY ARM TANG ASSY (12F337) FRAME 10 DE ASSY (12V109)FU 15 T XFR SG RMV 15 KVA OH XFMR UTC # SER# HANG 15 KVA OH XFMR (BA21L, 12F601) UTC # SER# XFR OH SVCS INSTL 10'STLT ARM (10504)FACING W XFR LUMINAIRE # SL-131640-H RESTORE SIDEWALK AFTER STUB REMOVAL EDMONDS LOCATION 709 MAPLE ST.EDMONDS AREA LYNNWOOD POLE No MULTIPLE SE VAS 24 T 27 R 3 DATE 5/2/2022 ORDER 100085761 REASON FOR WORK REPLACE 10 BO POLES ENGINEER BEN ICE OPERATION 0030 IN EDMONDS DRAFTER UGND No APPROVED SCALE NOTED DATE PRINTED DATE WORK COMPLETED FOREMAN SUBSTATION REFER TO SCHEMATICS CIRCUIT No SCHEMATIC PHASE 1 2 33 FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ENGINEER BEN ICE ❑ RESIDENTIAL PHONE 425 783 4355 ❑ COMMERCIAL LEO# @f -S PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE $ LEU# SECONDARY UNDERGROUND BASIC FEES_ @S�=$ UNDERGROUND PLAT BASIC FEES_ ENGINEERING 6 FT @ 3 = f PLAT CONSTRUCTION tFT @S = i STREET LIGHTING 6 FT @ I = f CROSSINGS C FT @ f = S WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONADARY fFT@$ $ MISCELLANEOUS FEES VAULT $ PERMIT $ S f t TOTAL DUE$ DATE PAID RECEIPT - NEW SVCE APPLICATION- 231 F15 1525 TO FIVE CORNERS I 25 0 25 50 CKT 12-1283 �• • • • • i�_ OFIVE CORNERS 50 50 FCKT 12-1283 OPEN 15 BEFORE TO WESTGATE CKT 12-404 O POLE PLI # 948 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING SET 4SETP LDETH 6 c52045>, 6' E ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY FRAME U30 ALLEYR ARM TA c' ASSY T(12F33"7) UTILITIES MAY REQUIRE A SEPERATE PERMIT. FTS 231 INSTL (1) 3/8 PRI DG (GO113, A0101) & (1) 8" AHR, L= 5 E FRAME 10 DE ASSY (12V109) FU 65 T N.O. XFR EXIST SG XFR OH SVCS, ATTACH SVCE Q NEUT HEIGHT INSTL 16' STLT ARM (L0507) FACING W XFR LUMINAIRE # SL-131647-H ADA CURB RAMP REPLACEMENT REQUIRED O POLE PLI# 983 SET 50' CL 1 POLE (PW1050), 5' E SET DEPTH = 10' USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 30 ALLEY ARM TANG ASSY (12F337) RMV 15 KVA OH XFMR UTC # SER# HANG 15 KVA OH XFMR (BA21L, 12F60ll UTC # SER# XFR OH SVCS RESTORE SIDEWALK AFTER STUB REMOVAL NESC VIOLATIONS ❑ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY 11 EASEMENTS ❑ REQUIRED E# ■ NOT REQUIRED DATE SENT TO R/W DATE APPROVED FOREIGN CONTACTS ■ JPN- ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV ED POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ ❑ 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 G6 C/G & SIDEWALK FORM INSPECTIONS REQUIRED OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE F15 O 5 25 TO FIVE CORNERS I 25 0 25 50 CKT 12-1283 �• • • • • O TO FIVE CORNERS 50 37 F65 CKT 12-1283 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. OPEN 15 AFTER TO WESTGATE CKT 12-404 SCHEMATIC NTS ENGINEERING DIVISION APPROVED AS NOTED %U (A1&.7,u.,440 06/10/2022 VV RECEIVED May 05 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W70-1 40" LANE W20-1 DHPoaD AnaD PDA W 20 ao NE W20-4 DN NDAD E o U) J Q W20-1 O W20-4 W20-7A • • o_ W20-7A *o- o L -� W20-4 z� W20-7A o • p W20-1 M a .�ArW20 7A E O ° H- • r L© —�J(® _ 100 100' 10K N 00' r H- • Ld i 1 0 m ~ • ®© m • • 8TH AVE S~ : ° a • 0= �Z=- • • < o -=Z o O ♦W20-7A = 0 = ♦W20-4 M M M OO 100' 100' 100' �- W20-7A o ° ♦W20-7A o ♦W20-4 O ♦ ♦ W20-7A o ♦ W20-4 o � W20- t ♦1 W20-1 oo T W20-1 ♦ W20-4 / s ♦ W20-1 T FOR USE AT LOCATIONS I. J, L, & M FOR USE AT FOR USE AT LOCATION N LOCATION K CREW TO THROUGH WORK CONDUCT WHEN NECESSARY W20- YNPP - / AHEAD O T CHE AANE W20-4 xoa0 EAD Pao W20-1 _ POE W20-1 AVP AHEM aNq LArE W20-4 AHEADp p W20-7A� ENGINEERING DIVISION APPROVED AS NOTED o 0 • W20-7A a � AHEAD o DNE IANE O W20-4 A o • � ; Q � o O •. � e 1 (I/ 06/10/2022 �/ �/. LU.& j j�, 4zvv o • o o W20-7A = f ° - • W20-4 r LL.I (n �� 0� o ¢3 W20-7A W20-1 Q LLJ o . J- O CO Ill ° N Nod H 100' 100' 100' © 00' . • w z °. O N • o ®© • • MAPLE ST o ♦W20-7A a W20-7A W20-4 RECEIVED o N_DHE W20-L AHEAD + o O - ♦W20-1 May 05 2022 0 w�0-1 i p AHEM 0 100' 100' 100' o O W20-7A CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT D ♦ o O FOR LOCATIONS USE AT P & R FOR USE AT LOCATION 0 W20-1 ® W20-7A W20-4 0 0 0 W20-4 + / W20-1 I 0 TRAFFIC CONTROL PLAN FOR USE AT LOCATION 0 PROJECT REPLACE 10 UTILITY POLES LDGATIGN 709 MAPLE ST EDMONDS 22 100085761 ENGINEER BEN ICE DATE 5/2/20ORDER PHONE 425 783 4355 RECEIVED May 05 2022 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1136884 - WO 100085762 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 709 MAPLE ST City Zip Code County Parcel Number EDMONDS 98020 00434208903500 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 Jeff & Kristi Coats Number Street Apartment or Suite Number 709 MAPLE ST City State Zip EDMONDS WA 98020-3436 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: 5/4/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1136884 - WO 100085762 Project Contact Company Name: Snohomish County PUD Name: Benjamin Ice Email: btice@snopud.com Address: PO Box 1107 Phone #: 425-783-4355 Everett WA 98206 Project Type Utility Purveyor Project Name: WO 100085762 Activity Type Utility Work Scope of Work Disturbance of Surface Replacing 10 old utility poles with new poles of the same height. Pole are being moved as far from the pavement as is feasible given the existing property rights. All poles in the sidewalk are Description of being moved behind the sidewalk. Anticipated duration per location is 2 days and work will take Work: place during normal work hours, subject to city ordinance. PUD is not removing the old poles. Old pole stub removal and the associated restoration needed after removal is the responsibility of the last communications attacher to transfer off the old poles. Project Details Project Information Job Number WO 100085761 Page 2 of 2