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ENG2023-0458 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU BE City of • • . 98020 ENG2023-04581 www.edmondswa.gov i Description: OVWSD-RESTORATION FOR EMERGENCY WATER LINE REPAIR ISSUED: 10/19/2023 Address: 8609 MADRONA LN EDMONDS WA 98026-8652 EXPIRES: 04/19/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00504700100900 NAME TYPE NAME ADDRESS PHONE APPLICANT MARTY HENNINGER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 CONTACT OLYMPIC VIEW WATER AND SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 DISTRICT CONTRACTOR OLYMPIC VIEW WATER & SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)670-1856 DISTRICT OWNER SUGIYAMA RICHARD M & STEADMAN 8609 MADRONA LN, EDMONDS WA 98026-8652 JAN E FEE INFORMAj��. DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 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. RELEASED BY: MAJ DATE: 10/19/2023 Printed: Thursday, October 19, 2023 9:16:06 AM 1 of 2 OF WAY EUC PERMIT PERMIT NUMBE City of Edmonds ,... - •:� 1 1RIGHT www.edmondswa.gov • • CONDITIONS CONDITION TYPE 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 COMPLETE A-1 JOB START X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Thursday, October 19, 2023 9:16:06 AM 2 of 2 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6S. RECEIVED Sep 08 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write'W/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A General • Project Name 8609 Madrona Lane Site Address or if no site address use Property Address at NW comer of project area: 8609 Madrona Lane Associated Permits: BLD PLN ENG Owner Name of Company Olympic View Water and Sewer District Franchise Ordinance No: Pointofcontact Marty Henninger Title Utility Lead Address 8128 228th St SW city Edmonds state Wa zip 98026 Phone (425)774-7769 Email marty@ovwater.com below)Contractor and Authorized Agent of Owner (see note NameofCompany Olympic View Water and Sewer District Primary Name Agent Name Marty Henninger Title Title Utility Lead Mobile Address 812n28th St SW Email City Edmonds State Wa zip 98026 Secondary Name Phone (425)774-7769 Title Email Marty@ovwater.com Mobile City of Edmonds Business License No: Email State License No: Contractor verifies it is currently bonded ❑ Contractor verifies it currently has general liability insurance NOTE: ECDCs8.6o.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 a Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) ci Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page a of 3 Updated 3/25/2021 Project Description 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.) This was an emergency water service replacement. All work was hydro excavated. Work has been completed. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of UtiliN Facilities 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. -. a. Does the utility owner have existing overhead infrastructure in the area of work? Yes No x 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 existing under ound common utility stem? x 5. Does the work involve proposed additions to an aboveground utility stern? If�es; x Are the additions for the pui pose of sei ving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x. 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? x If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: x How many are existing? Howmany are to be added? 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 mainy poles are existing in the project area? What is the height of the existing poles? How many pojes are to be removed? Are additional poles to be laced? How many.? What is the height of the additionalpoles? ......:.....:......................: 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? What is the height of the poles after? Describe the modification rebuild: . 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: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 13HS 11V13(1 33S I I � 90.98 I 8098 ( bN8 9z8 6£6£2' I 6z6£z r n I I I I I I I I I c i B 1�£6698�Yi 6298; I6�6£ZG11G0098 I Q ' 1� 0� r-----Ir---r-I-J•�—M----� N DL6 -- -- �n-�a < 3NOZ IH 966£2 _ . ..._ _ r (3N Z H0IH Q. O L OL6l--V OZZ `.) m 9[6£2 �— -- -- — -- L r -( A� 1`11 S rid H r�R5�C.JKQHCl)NVrlV T s1,-ta 3NOZ IH 606£9 y I 908 i £2'68 I 6£68 1 Z098 1 gm Zz98 , toga i 6098 i 608 1 9z98 1 60%8 1 ,G0/,8 1 96,G8 4z�a 066£2 i I p L 6i�z cn--- ---`— f-- --- / 1....1 ; rr ' _/i P. ' 1 ? 3NOZ IH £06£z F ,... -; 606£z __ _ _ o ___ o _ LOZ_-_0 O bZ �\ LLNVOVd I I ! I I I I I I I I I I ! UJ 6668 2'2'68 0£68 6098 9198 Oz98 8z98 z098 0198 6698 kOZ8 z£98 80118 9118 6z118 3IN I I 1 1 az—va I,z-1Va S '� d G E E r 0££2 I 9268 i 6£ 8 1 £098 1 6698 I 6198 1 �298 1 098 1 6698 _ ENGINEERING DIVISION IN V 1 669 0/13/202' : <68 I Oz68 I 21098 18098 I 6199 z2'98 I 0 98 I n98 I 0198 i �� - 3 ` 3NOZ 01I H88 I 0088 8088 0£88 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING WNER/CONTRACTOR IS RESPONSIBLE FOR �- ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY � \ UTILITIES MAY REQUIRE A SEPERATE PERMIT. EROSION CONTROLAND DRAINAGE --1S1 '' £069 \ �6! damage to utilities or frontage I Q9 improvements in City right-of-way- , RESTORATION LIMITS TO BE per city standards that' caused or a BY CITY ENGINEERING INSP occurs during the permitted project. I I I N Z i 9zz£2' 8 1 l3a OS 6z98 I 0£98 , 90118 I 01Z8 I OU8 I gaza __ __.i.. �... i i,. __. — — -- — — — 3NOZ H �.. OL6l�6bOZZ (31�OZ HOIH)110 „9 --- -- Va — �I CITY OF DM ! S d �J �� �� O DE D A TT IC `/ I ' - 0 1 _ 6z68 1 Zak'8 19098 I 6098 : , -_-D98 : _ I 6£918�:.,J £098_� 1198 1 9698 1 92,98 i 90118 1 £6Z8 1 6618 i ,Ga,Ga o (o 5z ra J � I O2,98 Taa.98 8098 6z6£z l I \ i I i oz 8 i <zz£z otz£z £iz£z cc 9z8a oe M$ qd _ 9za8 I ,cz8a o£c£z OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 8609 Madrona Lane Scope of Work: Emergency water service replacement Asphalt or Concrete Cut: Yes Start date: 8/30/2023 Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Marty Henninger E-mail: marty@ovwater.com Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Bob Danson E-mail: Bobd@ovwater.com • Traffic control shall be in accordance with the MUTCD. • All flaggers shall be trained and certified as required by WAC 296-155-305. • Restoration shall be in accordance with City of Edmonds standards. • All asphalt or concrete cut surfaces shall be patched with City of Edmonds approved materials prior to the end of the day. RECEIVED Sep 08 2023 CITY OF EDMONDS DEVELOPMENT SERVICES O:ISHAREIPERMITS RIGHT OF WAYSIEdmonds DEPARTMENT MINIMUM LANE CLOSURE TAPER LENGTH = L (feel) LANE Posted Speed (mph) (rpD 25 3p 1 35 40 45 M 55 m 65 TO 10 105 ,50 1 205 270 450 S00 $50 11 i15 165 225 295 495 550 605 6W - - 12 125 IsI 245 22D 540 6W 660 { 720 7W aW MINIMUM SHOULDER TAPER LENGTH = L13 (foot) SHOULDER Posted Speed (mph) WIDTH Ow 25 I 30 35 40 4S 50 55 W 65 ;b B 40 I 40 I 60 90 120 I IV 150 160 170 190 1C 40 6a 90 90 ,so TTG t90 200 MD 240 USE A IKMM'UM 3 DEVICES TAPER FOR SMULDER LESS THEN r, 48' Applicant shall repair/replace all ROAD damage to utilities or frontage WORN improvements in City right-of-way per city standards that is caused or AHEAD occurs during the permitted project. 48' W20-i LEGEND N TEAMRARY SIGN _OCATION W TRAFFIC SAFETY DRUM �D SECUEN71AL ARROW SIGN TRANSPORTABLE ATTENUATOR f PCMS PORTABLE CHANGEABLE MESSAGE CLOSED ARM W20SR SIGN SPACING = X (1) FREEWAYS 6 EXPRESSWAYS 55 l70 MPH 15W'= RURAL MGHWAYS --- -- 6D ISS MPH BO It RURAL ROADS 45 f55 MPH 500= R:IRAL ROADS a LRSAN ARTERIALS 3514C MPH 35G2 RURAL ROADS S UFMAN ARTERIALS 25130 MPH =rt C2) RESID Mkl L BUSINESS 3=r-TS URBAN STREETS 25 MPH CR LESS 10C= (i)ALL SPACING MAY RE ADJUSTED TO ACCOVAC ATE INTERCHANOEE RAMPS.AT.GRADE INTERSECTIONS AND DRIVEWAYS. aI TMIS SPACING MAY BE REDUCED IN URBAN AREAS TO PIT ROADWAY CONDmON3. W4.21L) CHANNELIZATION DEVICE SPACING fee MPH TAPER TANGENT s 70 1 40 11 1 35145 1 30 1 50 25/3(1 1 20 1 40 USE FLAGGERS IF LESS THAN TWO 11" nt'� TRAVEL LANES (SEE `V ATTACHED TCP) me I SEE NOTE 4 BUFFER DATA LONGITUDINAL BUFFER SPACE B SPEED (YPH) 25 30 1 35 1 40 45 1 56 55 1 60 I 65 70 LENGTH (fm0 155 2W 250 305 ]5C d25 4% SIC 6c5 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R H057 VEHiC1E WEK1,T 9.9W TD 22W0 Dw11 HOST VEHICLE VTGHT > 22.000 IOc < 45 YPH 4555 MPH > 55 MPH < 45 MPN 4555 MPH 55 MPH 107 ,ZY 177 T. I 1W 150' ENGINEERING DIVISION A 1-M-1A � A"0TED OWN 0/13/2022 PCMS 2 RIFT , uLE uNs ,�D cLD6vaE zc sec 2D sEc RL3D LOCATE / MILE ' IN ADVANCE CF LANE COSLA2E SLGNING. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS NOT TO SCALE NOTES I. SEE SPECIAL PROMSICNS FOR WORK HOUR RESTRICTIONS. 2. EXTEND DEVICE TAPER AT US ACROSS SHOULDER. 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE 4. USE TRANSVERSE DEVICES M CLOSED (AYE EVERY 1000(F1') (RECOMMENDED). 5. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 2r7 (FF 7). 6. ALL SIGNS ARE SLACK ON ORANGE snE. YAYG �A 1NE A 671 AY "-"I FED.AID PROJUt0. ^""" DATE I=eI. WAS � TC3tl PLOTTED BY WOelf DESIGNED DY .,w INaStdr[9ton State WrERED BY Department ofTransportaft— a TRAFFIC CONTROL PLAN .�. RECADNAL ADN REVISION DATE BY RECEIVED Sep 08 2023 CITY OF EDMONDS DEVELOPMENT SERVICES BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT I > 22,000 lbs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 172' 74' 100, 150, PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED 300' ONE LANE .� ROAD AHEAD 48" 48" W20-4 48. W20-7A ROAD BE WORK PREPARED AHEAD TO STOP 48" 48" W20.1 W20-7111 W20.7B (OPTIONAL IF 40 MPH OR LESS) LEGEND FLAGGING STATION b TEMPORARY SIGN LOCATION D CHANNELIZING DEVICES PROTECTIVE VEHICLE SIGN SPACING = X (1) RURAL HIGHWAYS 60 165 MPH 800't RURAL ROADS 45/55 MPH 500'i RURAL ROADS & URBAN ARTERIALS 35/40 MPH 350't RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200't (2) URBAN STREETS 25 MPH OR LESS 100'i (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 50. TO 100' 6 DEVICE MIN I I R O RK AREA 59TO 100' 6 DEVICE W20-7A ONE LANE ROAD AHEAD� W20-4 W20_7B (OPTIONAL IF 40 MPH OR LESS) 481, 48' BE ROAD PREPARED WORK To STOPrr AHEAD 48" 48" 48. 48' Or . W20.713 ONE LANE W20.1 ROAD AHEAD 48" 48" W20-7A W20-4 BE PREPARED > W20-713 IONAL IF 40 MPH OR(OPTLESS) TO STOP 48' W20-7B 48' ROAD CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50/65 10 TO 20 80 35/45 10 TO 20 60 25/30 1 10 TO 20 40 WORK NOTES AHEAD 48' 1. ALL SIGNS ARE BLACK ON ORANGE. ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE 2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS FOR ADDITIONAL DETAILS. 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. Plot 1 TIME 3:05:14 PM s•"•s "WAS FED.AID PROJ.NO. .e " E Amokxnx � �I/ Washington State Department of Transportation .ss TC7� DATE 1/212018 PLOTTED BY Ilddelf DESIGNED BY +". x... Ex sx.E. o. ENTERED BY CHECKED BY c"x.xnm x"wnox xo. TRAFFIC CONTROL PLAN PROJ. ENGR. REGIONAL ADM. REVISION DATE BY RECEIVED M BuildingPermit.com Sep 08 2023 CITY OF EDMONDS CITY OFEDMONDS DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1372083 - 8609 Madrona Lane Applicant First Name Last Name Company Name Marty Henninger Olympic View Water and Sewer District Number Street Apartment or Suite Number E-mail Address 8128 228th St SW marty@ovwater.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 774-7769 Contractor Company Name Contractor Unknown 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location 8609 Madrona Lane Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 9/6/2023 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1372083 - 8609 Madrona Lane Project Contact Company Name: Olympic View Water and Sewer District Name: Marty Henninger Email: marty@ovwater.com Address: 8128 228th St SW Phone #: (425) 774-7769 Edmonds WA 98026 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 8609 Madrona Lane Description of Work: Emergency water service replacement. Project Details Project Information Job Number 13 Page 2 of 2