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ENG2022-0474 ROW PERMITOF WAY EUC PERMIT o PERMIT NU City of Edmonds EdmondsRIGHT •:0i www.cityofedmonds.gov Description: PUD-REPLACE BO CABLE EX UG CONDUIT EXP PERMIT ENG2021-0507 ISSUED: 10/11/2022 Address: 8909 238TH ST SW EDMONDS WA 98026-8984 EXPIRES: 04/11/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00463300600300 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)783-5681 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER EDMONDS CREST LLC 10903 WILLOWICK RD, WOODWAY WA 98020-5230 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00 REQUIREMENTS 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 10/11 /2022 RELEASED BY DATE Printed: Tuesday, October 11, 2022 3:19:33 PM 1 of 2 oe e n,y RIGHT OF WAY EUC PERMIT PERMIT NU M City of Edmonds 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 RESTOR LIMITS E-7 TRAFFIC CTRL Printed: Tuesday, October 11, 2022 3:19:33 PM 2 of 2 (Old Permit No. ENG2021-0507) "Reapplying for Expired Permit" PUD WO #100015367-60 ��� "Scope of Work Has Not Changed" RIGHT OF WAY CONSTRUCTION RECEIVED PERMIT APPLICATION SEP 22 2022 Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS /Ivc. 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 ulanl:. All fields required. Incomplete Applications will be denied. SECTION A General• Project Name Replace bad order primary cable at Edmonds Crest apartments Site Address or if no site address use Property Address at NW corner of project area: 8909 238th St SW, Edmonds 98026 Associated Permits: BLD n/a PLN n/a ENG n/a Owner and Entity Holdingapplicable) Name of Company Snohomish County PUD Franchise Ordinance No: n/a Point of Contact Richard Dumo Title Engineer Address 1802 75th St. SW, MS02 City Everett State WA Zip 98206 Phone 425-783-5110 Email rsdumo@snopud.com Contractor and Authorized Agent of Owner Name of Company same as above (see note below) Contractor Contacts During Construction Primary Name same as above 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 Is 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? is Other, please specify: PUD Utility work ❑ 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 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.) Scope: Replace bad order primary cable in conduit at Edmonds Crest apartments. Crews will setup on the side of 238th St SW while the other half of the crew will setup and feed new cable in the private parking area. There is no sidewalk but flaggers will be on hand to assist any pedestrians Please include any minor ground restoration if needed and minor vegetation trimming work for permit use. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF n/a Alley 72 hours + LF x LF SF 8 hours Parking 72 hours + LF Ix I LF SF n/a 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 ❑ 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.. 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 existingunderground common utilitysystem? 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? n/a Are the additions for the purpose of serving a single-family residential subdivision? n/a 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? 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: Primary and Secondary underground cables. X How many are existing? 1 1 1 How many are to be added? I none City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: (Existing take off pole to remain) X How many poles are existing in the project area? 1 What is the height of the existing poles? 45' How many poles are to be removed? 0 Are additional poles to be laced? no How many? I n/a I What is the height of the additionalpoles? n/a 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 0 1 What is the height of the poles after? n/a Describe the modification rebuild: Old conduit riser will be replaced with new together with primary cable. 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: Ie Awo DATE: APPLICANT PRINTED NAME: Richard Dumo APPLICANT TITLE: Engineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 9/21 /2022 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SNOMOMISM COUWTv pEOo LAYOUT LEGEND: V] PAD MOUNTED TRANSFORMER ® SUBMERSIBLE TRANSFORMER �J ABOVE GROUND J-BOX �J SUBMERSIBLE J-BOX �S SECONDARY VAULT ❑ PULLING VAULT O PAD MOUNTED SWITCH CABINET O SUBMERSIBLE SWITCH CABINET © SMALL SECONDARY PEDESTAL © LARGE SECONDARY PEDESTAL SL STREET LIGHT PEDESTAL PRIMARY UNDERGROUND CABLE —•—•—•-----#350 SECONDARY UNDERGROUND CABLE — — — — — — — — 4/0 SECONDARY UNDERGROUND CABLE 1/0 SECONDARY UNDERGROUND CABLE --—-—STREET LIGHT CABLE SERVICE CONDUIT POLE AND OVERHEAD LINE PROPERTY LINE —RIGHT-OF-WAY LINE U EXISTING UNDERGROUND CABLE EXISTING DUCT — — — — FUTURE DUCT ------- S------ SANITARY SEWER/MANHOLE ------- D------ STORM DRAIN/CATCH BASIN - ------."J-----b WATER MAIN/METER r FIRE HYDRANT $c STREET LIGHT * UNDERGROUND LOCATOR MARKER SCHEMATIC: REFER TO SHEET S1 CONSTRUCTION NOTES: AT PLI 15276 REMOVE EXISTING 1/0 TERMINATION & RELATED MATERIALS, INSTALL NEW 1/0 UG TERMINATION ASSY (12ULD. INSTALL CABLE TAG PER SCHEMATIC. AT VAULT A-5763 EXISTING TREE, TREE STUMP & ROOTS AROUND VAULT WILL BE REMOVED PRIOR TO ELECTRICAL WORK. REMOVE EXISTING 75 KVA 240/120V SUBM XFMR. DIST S- -X SER MAKE INSTALL NEW 50 KVA 240/120V PADMOUNT XFMR (BC12R). UTC SER MAKE INSTALL (2) NEW LOADBREAK ELBOWS (T1105). RECONNECT PRI & SEC CONNECTIONS. INSTALL CABLE TAGS PER SCHEMATIC. NOTE PULL IN EXTRA 20 FEET OF CABLE SLACK INTO VAULT FOR FUTURE POLE REPLACEMENT. AT VAULT A-5764 REMOVE EXISTING 100 KVA 240/120V SUBM XFMR. DIST T- -X SER MAKE INSTALL NEW 37.5 KVA 240/120V PADMOUNT XFMR (BC12P). UTC SER MAKE INSTALL (1) NEW LOADBREAK ELBOW (T1105). INSTALL NEW DUST CAP (T1701). RECONNECT PRI & SEC CONNECTIONS. INSTALL CABLE TAG PER SCHEMATIC. I I I I CABLE ALL FOOTAGES APPROXIMATE FROM PLI 15276 TO A-5763 270' OF (1) 1/0 AL 15KV CNCTRC NEUT JCKTD PRI IN EXISTING 2" PVC MAKE PO REEL FT MARK TO FROM A-5763 TO A-5764 105' OF (1) 1/0 AL 15KV CNCTRC NEUT JCKTD PRI IN EXISTING 2" PVC MAKE PO REEL FT MARK TO TOTAL FOOTAGE OF 1/0 CABLE INSTALLED: 375' CABLE NOTES: FROM PLI 15276 TO A-5763, REMOVE PRIMARY UGND CABLE# 9585. FROM A-5763 TO A-5764, REMOVE PRIMARY UGND CABLE# 9586. TOTAL FOOTAGE: 370' BLDG B r- 23 BLDG A I AYnIIT 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. ENGINEERING DIVISION APPROVED AS NOTED %01 tU-1,X,.1,4z 10/06/2022 VV OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. Utility patches shall be combined and full width or half width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. I LOCATION 8909 238TH STREET SW EDMONDS 98026 AREA LYNNWOOD POLE NO PLI 15276 SWI/4S 31 T 27 R 4 DATE 11/24/21 ORDER 100015367 REASON FOR WORK REPLACE BO CABLE FOR ENGINEER DUMO OPERATION 0060 EDMONDS CREST DRAFTER McPHERSON UGND No 3243-2 APPROVED SCALE NOTED DATE DATE WORK COMPLETED FOREMAN SUBSTATION WESTGATE INSPECTOR CIRCUIT NO 12-407 PHASE 3 DATE FEES REO'D ROAD CROSSINGS ONLY PRIMARY OVERHEAD APPV DATE DESCRIPTION ❑ RESIDENTIAL ❑ COMMERCIAL LEO- ❑ YES ■ NO REVISIONS @$ =$ APPV No. DATE DESCRIPTION PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE % LEU- SECONDARY UNDERGROUND BASIC FEES S WORK IN RIGHT OF WAY AS -BUILT ❑ PRIMARY ❑ SECONDARY APPV N0. DATE DESCRIPTION FT @ S = $ MISCELLANEOUS FEES VAULT $ PERMIT $ $ TOTAL DUE$ 'DATE D ECEIPTw ENGINEER RICHARD DUMO CUSTOMER PHONE (425) 783-5110 PHONE DISTRICT PROJECT LEADER: PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ EDMONDS EASEMENTS ❑ REQUIRED E# ■ NOT REQUIRED REQUEST NO. DATE APPROVED FOREIGN CONTACTS ❑ JPN+ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR REQUIREMENTS ■ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ ■ ONE CALL DATE STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT CIS GIS QC M&R CIS Ph JOINT USE LOCATION MAP PAGE 474, H2 rc ED ONDS IL zzoTW ST sw 3 e° �o c 0o zsm sT SW f ��g s -WORK - SITE WOODWAY .-..� 91S W 3A siss'w S J J KING z^aTM sT sw COUNTY RECEIVED VICINITY MAP SEP 22 2022 TAGS Z a o� VAULT: EXISTING LA �^ CITY OF EDMONDS CABLE: 111889 & 111890 IV DEVELOPMENT _ SERVICES DEPARTMENT 3M ISO LLo SIGN SPACING = X FREEWAYS & EXPRESSWAYS 55/70 MPH 1500'± RURAL HIGHWAYS 60 /65 MPH 800'± RURAL ROADS 45 / 55 MPH 500'± RURAL ROADS & URBAN ARTERIALS 35 /40 MPH 350'± RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH RESIDENTAL & BUSINESS DISTRICTS 200'± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. ONE LANE, TWO-WAY TRAFFIC TAPER SPECS TAPER TYPE LENGTH (feet) # OF DEVICES UPSTREAM TAPER 50' TO 100' 6 DEVICE MIN. DOWNSTREAM TAPER 50' TO 100' 6 DEVICE MIN. CLOSURE AFFECTS RESIDENT DRIVEWAY. PROPERTY OWNER PERMISSION REQUIRED TO BLOCK DRIVEWAY. NOTIFY AFFECTED RESIDENT OF WORK TIMES/DATES. TABLE (1) CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50/65 10 TO 20 80 35/45 10 TO 20 60 25/30 10 TO 20 40 DURING HOURS OF DARKNESS, FLAGGER STATIONS SHALL BE W70, ILLUMINATED WITHOUT CAUSING GLARE TO THE TRAVELING PUBLIC USING PORTABLE LIGHT TOWER OR APPROVED ALTERNATIVE. WAC 296,155,305 SECTION 9(C) SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM W3.4 238fh St SW L Q ROAD WORK t AHEAD W204 MANDATORY DURING NONWORKING HOURS, TRAFFIC CONTROL SHALL BE REMOVED AND ROW SHALL BE OPENED TO ITPS FULL WIDTH GENERAL NOTES: 1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD SPECS. 2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND DATES (OPTIONAL). 3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD CONDITIONS. 4. PROTECTIVE VEHICLE RECOMMENDED.MAY BE A WORK TRUCK. 5. ALL SIGNS MIN..48'° K.48'° UNLESS OTHERWISE SPECIFIED. 6. CHANNELIZATION DEVICES ARE 28"' REFL. CONES (see TABLE (1) for spacing distances). 7. ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE AT.GRADE INTERSECTIONS AND/OR DRIVEWAYS. 28" REFL. CONE MAINTAIN 11' MIN. TRAVEL LANE WIDTH ADDL. NOTES: W20.Pa ■ �W20.Pa BE � PREPARED Q TO STOP W3.4 RDaD WORK AHEAD w2o.; Typical One.Lane, Two.Way Operation TRAFFIC CONTROL PLAN EDMONDS, wA O E/B 238th St SW closed between Edmonds Way & 9th PI W. \ \ O FLAGGERS shall alternate' traffic, as needed. N \ O ¢s, O Sidewalk on the south side of 238fh St SW closed within \ \ fy \ O the work area. Due to limited crosswalk access, a Pedestrian Escort will «T E •• \ 0,� s safely escort pedestrians through +the work area. RECEIVED \ O Parking Lane closed within the work area. S \ \ (see TCP for locations) SEP 22 2022 \ O Bike Lane not present. NOT TO SCALE \ O Transit Route not present. PREPARED TO\ CITY OF EDMONDS STOP W3 4 \ \ O REASON: To replace BO cable for Edmonds Crest Apt. Bldll. DEVELOPMENT \ from GKlsting Pole # PLI 15276. SERVICES DEPARTMENT \ \ SPEE0 D ADVANCE WARNING SIGNS \ \ SPACED @ (K) OR AS PER \ \ SITE CONDITIONS. REFER TO SIGN SPACING CHART. W20.Pa Edmonds Crest Apts: \ \ 8833 238fh St SW \ \ Edmonds, WA 98026 \ \ ■�' ONELANE W20.Pa AHEAD W20.4 too< \ \............................................................ .......................................... \ ......... \ PLI 15276 \ \ III PARKING FROM 0 \ 10 \ TO I 1 RESIDENCE: --AREA \ \� 8826 238'th St SW F� \ Edmonds, WA 98026 DISPL/YED IP2 HRS IN fop''''•. \� DV/ NCE OF CLOSURES LEGEND �y -RAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP ENGINEERING DIVISION APPROVED AS NOTED 1p11 LVIxX,,.,44p 10/06/2022 vv 41 WORK AREA 28" REFL. CONE SIGN LOCATION PROTECTII/E/WORK VEHICLE FLAGGING STATION NO PARK BARRICADE POLE LOCATION (PLI 15276) 19'ASh'12, GTOA S: A E TRAFFIC COP, ROL SUPERVISOR ROAD WORK &'AVE: Greg Siler AHEAD TCS CARD # 012604 EXP. DATE 1013112024 Greg suer ROAD WORK AHEAD w2o.; RECEIVED SEP 22 2022 '.'PITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Rig ht-ofs SAP9fid511on #1205206 - WO 100015367 Reapply expired permit ENG20'9 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 (425) 783-5681 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 8909 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00463300600300 Associated Building Permit Number Tenant Name ENG2021-0507 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name EDMONDS CREST LLC Number Street Apartment or Suite Number 10903 WILLOWICK RD City State Zip WOODWAY WA 98020-5230 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: 9/21/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1205206 - WO 100015367 Reapply expired permit ENG20'9 Project Contact Company Name: Snohomish County PUD Name: Moe Nave Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 783-5681 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100015367 Reapply expired permit ENG2021-0507 Description of WO 100015367 - PUD crews will replace bad order primary cable at Edmonds Crest Work: apartments. The previous permit ENG2021-0507 expired so we are reapplying and the scope of work has not changed. Project Details Project Information Job Number 100015367 Page 2 of 2