Engineering Permit FormRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
IL
- N, Edmonds WA •:0..
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Description: ROW - SIDEWALK CLOSURE AND CONSTRUCTION STAGING
ISSUED: 05/10/2023
Address: 100 5TH AVE N EDMONDS WA 98020-3145
EXPIRES: 11/06/2023
rmit Type: RIGHTOF WAY MINOR Permit Subtype: COMMERCIAL Parcel Number: 00434202103100
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT GABE DUNLAP 1400 AIRPORT WAY SOUTH, SEATTLE WA 98134 (206)549-0312
CONTACT MRJ CONSTRUCTORS 1400 AIRPORT WAY SOUTH, SEATTLE WA 98134 (206)549-0312
CONTRACTOR M R J CONSTRUCTORS LLC 1400 AIRPORT WAY SOUTH, SEATTLE WA 98008 (206)549-0312
OWNER CAMWEST INC 1404 GOATTRAIL LOOP RD, MUKILTEO WA 98275
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$252.00 $252.00
RIGHT OF WAY DISRUPTION FEE
$1,149.12 $1,149.12
RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00
REQUIREMENTSMM
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
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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.
RELEASED BY: NED DATE: 05/10/2023
Printed: Wednesday, May 10, 2023 12:15:43 PM 1 of 2
RIGHT OF WAY MINOR PERMIT
L
PERMIT NUMBE
City of Edmonds
...121
Sth Ave N, Edmonds WA 9:01 1 ::
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
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.
Pre -inspection required. Street to be cleaned of debris. Side sewer must be capped at property line.
DEMOLITION REQUIREMENTS
Water Service must be disconnected from Water Meter and or hose bib with AVB installed. Dump at
approved dump site only.
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:OOam to 6:OOpm on
SOUND AND 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 and activities must comply with the noise
limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
E
COMPLETE
AM,
X-2 ENGINEERING FINAL
E-7 PARKING OPEN -CLOSED
E-7 SIDEWALK OPEN -CLOSED
E-7 TRAFFIC CTRL
Printed: Wednesday, May 10, 2023 12:15:43 PM 2 of 2