REVIEWED BLD2021-1065+ROW APP+8.30.2021_3.11.49_PM+2383837of
°"'Y RECEIVED BLD2021-1065
Aug 31 2021
CITY E ROW PERMIT NO.: ENG
DEVELOPMENT
SERVICES 7 7
DEPARTMENT ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
ei, 1690 PERMIT APPLICATION
PROJECT NAME: 214 Main St. Siding + Paint CONTACT: Liam Sosinsky
CONTRACTOR: Noam Yogev
Mailing Address:10831 113th Ct NE Kirkland, WA
State License #: seattb*804m2
City Business License #:
ADDRESS OR INTERSECTION OF CONSTRUCTION:
Phone #: 425-361-6146
Fax #: N/A
Email #: liam9595@gmail.com
® Liability Insurance ® Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
® Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ® Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ® No
BLD# 2021-1065 ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Contractor will be repairing siding and painting
the entire building. The contractor will require 3ft of space to complete this work around the entire perimeter
of 214 Main. The surround sidewalks, alleys, and walkways will not have to be closed due to this
scope of work.
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ® NO ❑ Year2021
PAVEMENT CUT: ❑ Yes ® No If yes, indicate size of cut: X.
CONCRETE CUT: ❑ Yes ® No If yes, indicate size of cut: X.
RIGHT-OF-WAY
AREA
CLOSURE
1
TOTAL
DURATION
(NUMBER OF MONTHS)
1
Sidewalk 48 Hrs + 25 LF
X
3 LF
75 SF
0.066 months = 2 days
Alley 72 Hrs + 2 LF
X
125 LF
250 SF
0.13 = 4 days max
Parking 72 Hrs + o LF
X
o LF
o SF
0
APPLICANT TO READ AND SIGN
*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 is to 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.
Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above statements nderstand the permit requirements and acknowledge that I must
follow all requirements in or r t e permit to be valid.
SIGNATURE DATE 8/30/21
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE