ENG2023-0483 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
- N, Edmonds WA •:00i .
www.edmondswa.govi
Description: PUD - INSTALL PED AND INSTALL NEW UG CONDUIT ISSUED: 11/09/2023
Address: 23511 74TH AVE W EDMONDS WA 98026-8500
EXPIRES: 05/09/2024
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043200200100
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT MOE MATTHEWS 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 BRIAN F & NANCY DUFFY 23511 74TH AVE W, EDMONDS WA 98026-8500
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$126.00 $126.00
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: 11/09/2023
Printed: Thursday, November 09, 2023 10:56:30 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
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: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.
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Thursday, November 09, 2023 10:56:30 AM 2 of 2
OF FDA10
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
4c. 1 s90 Requirements outlined in Right -of -Way permit Handout E63.
iN3VW:JVd3a
If any field is not applicable to your project, write "N/M tMJ .Cng blank.
All fields required. Incomplete Applications will
SECTION A 9 n S 3 11
General•
Project Name UNDERGROUND SERVICE FOR 23511 74TH AVE W
Site Address or if no site address use Property Address at NW corner of project area: 23511 74TH AVE W, EDMONDS WA 98026
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of CompanySNOHOMISH COUNTY PUD NO.1 Franchise Ordinance No: N/A
Point of Contact KARL HAACK
Title DESIGNER
Address 21014 63RD AVE W
City LYNNWOOD State WA Zip 98036
Phone425-238-7372
EmailKJHAACK@SNOPUD.COM & permitsC@_snopud.com
Contractor and Authorized Agent of Owner
Name of CompanySAME 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: N/A
Email
State License No: 3 1 3-0055-741
® Contractor verifies it is currently bonded
® Contractor verifies it currently has general liability insurance
NOTE: ECDC18.6o.ozo requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
e Single family residential subdivision XSingle family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
s 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
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.)
INSTALL (1) NEW PEDESTAL 1' SOUTH OF EXISTING POLE. REBUILD EXISTING SECONDARY RISER ON POLE TO REPLACE PARALLEL 4/0 WITH 1 RUN OF 350.
REFEED EXISTING SERVICE THAT CROSSES 74TH AVE W INTO NEW PEDESTAL. NO TREE TRIMMING REQUIRED, NO PEDESTRIAN DETOUR. NO PAVEMENT CUT,
SOFT SURFACE WORK. PUD EQUIPMENT TO SET UP ON PRIVATE PROPERTY, ONLY 1 SMALL TRUCK WILL SET UP ON NORTHBOUND 74TH AS NEEDED, BETWEEN
23511 AND 23521 74TH AVE W. 1 V MIN. LANE WIDTH SHALL BE MAINTAINED. TRAFFIC CONTROL BY PUD AS NEEDED. NO PEDESTRIAN DETOUR. WORK TO OCCUR
BETWEEN THE HOURS OF 8:OOAM-4:OOPM FOR APPROXIMATELY 4 HOURS.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
NIA
Alley 72 hours +
LF
x
LF
SF
N/A
Parking 72 hours +
LF
x
LF
SF
N/A
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 a power ❑ gas
❑ water ❑ sewer ❑ storm
Details
1.
of Work to be Completed
1 Does the utility owner have existing overhead infrastructure in the area of work?
Yes
YES
No
2.
1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
YES
If yes, describe: PEDESTAL
YES
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
N O
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 utilitystem?
NO
5.
Does the work involve proposed additions to an aboveground utility stem? If es:
NO
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
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
NO
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
YES
How many are existing? 1 0 How many are to be added? I 1 UNDERGROUND
City of Edmonds ROW construction permit Application --Page 2 Of 3 Updated 3/25/2021
6b.
I Does your project involve poles? If yes:
NO
How many poles are existing in the project area?
What is the height of the existing poles?
How many poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additional poles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:.
N O
How many? What is the height of the poles after?
Describe the modification rebuild:
SECTIOINNT cC
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. .4
APPLICANT SIGNATURE:
APPLICANT PRINTED NAME: KARL HAACK
APPLICANT TITLE: DESIGNER
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
10/30/23
City of Edmonds ROW constriction permit Application --Page 3 of 3 Updated 3/25/2021
0
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 23511 74TH AVE W, EDMONDS WA 98026 LYNNWOODAREA
POLE No. PLI 15765 NW1/4S 32 T 27 R 4 DATE 8/24/23 ORDER 100104410
REASON FOR WORK INTCPT UNGD SVC AND INSTALL ENGINEER K HAACK OPERATION 0260
NEW PEDESTAL DRAFTER U.G. NO.
SCALE 1" = 60'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE $
IN NO ❑ YES (SEE NOTES)
@$ _$
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
METER/CONV. POLE g
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
❑ COMMERCIAL
■ CITY EDMONDS
BASIC FEE 3
❑
EASEMENTS
LEU NO.
@$ -$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
DATE RELEASED
La _$
UNDERGROUND PLAT
FOREIGN CONTACTS
❑ JPN#
BASIC FEE S
FTADS '=$
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE—CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
q FTAdS '=$
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT S
■ ONE CALL DATE 9/20/23
PERMIT $
No. 23381476
STREET LIGHTING
COST ESTIMATE $ 3,940.39
$
❑ YES ■ NO
$
M&R
AS -BUILT
GIS
TOTAL DUE s 3,940.39
DATE PAID 9/27/23
GIS QC
M&R
GIS Ph
JOINT USE
RECEPT NO.1800054848/1800054924
SERVICE ORDER NO. I
LOCATION MAP PAGE 475—A2
LEGEND:
DATE
SUBSTATION BALINGER
CIRCUIT NO. 12-260 PHASE 132
ENGR'S TEL. #
425-670-3208
ENGR'S CELL #
425-238-7372
CONSTRUCTION NOTES:
AT POLE PLI 15765:
INSTALL NEW LRG SEC PIED (VO102) 1' SOUTH OF POLE PLI 15765 AS STAKED.
INSTALL (3) 5-POS TERM BARS (T1522) AND CABLE TAGS.
INTERCEPT EXISTING UNGD PARALLEL 4/0 SVC RUNS AND RE -FEED INTO NEW LRG SEC PED.
REBUILD SECONDARY RISER ON POLE PER ASSY AS1U707.
RUN 45' OF 350 KCMIL AL TPX FROM POLE PLI 15765 TO NEW LRG SEC PED.
N
I 23432 I
23431
I I I
� i I
� I I
RP 0/8 _
115831 — —
-100132 A
ENGINEERING DIVISION
,.. )TED
RESUB
1/08/2023
Oct 30 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
\I J \S
y `\� 23435-
--------S---------------
23510
S - -
---- — D--------_ ---—-n_--'--------
— --—
I
EXISTING PEDESTAL
23511
/ P P-7467-T '
PLI 15765
P NEW
WTO BE LRG E PEDESTAL
23521
i
— — I
EXISTING 3" DUCT j
Applicant shall repair/replace all Q
damage to utilities or frontage
improvements in City right-of-way \ i
per city standards that is caused or \ — X 23525
occurs during the permitted project.
o EXISTING POLE OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
X EXISTING POLE -TO BE REMOVED
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
• NEW POLE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
X NEW POLE TO REPLACE EXISTING POLE UTILITIES MAY REQUIRE A SEPERATE PERMIT.
LAYOUT
I 1" = 60'
SHEET 1 OF 1
Search
This standard was printed on: 11/7/2023
This standard should not be used as a reference for construction. Please visit Standards.Snopud.com for an up to date
standard.
V0101-4 - Secondary Rectangular Pedestals Revision 3
Mar 14, 2012
C.U.
Description
Load Rating
Qty
MID
V0101
Pedestal, Sec Small 13"W x 24"L x 15"H
Incidental Non -Vehicular Traffic
1
776015
V0102
Pedestal, Sec Large 17"W x 30"L x 18"H
Incidental Non -Vehicular Traffic
1
776031
V0103
Pedestal, Sec Small 13"W x 24"L x 18"H Polymer Concrete
Occasional Heavy Vehicle Traffic
(See Note 2)
1
1000086
V0104
Pedestal, Sec X-Large 24"W x 36"L x 18"H Polymer Concrete
Occasional Heavy Vehicle Traffic
(See Note 2)
1
775992
Notes:
1. The number and size of cables installed in pedestals shall be limited as follows:
Pedestal Size Maximum Number of Size of Cables
13"W x 24"L x 15"H 1 Set 350-4/0 & 2 Sets 4/0-2/0 Triplex
17"W x 30"L x 18"H 2 Sets 350-4/0 & 2 Sets 4/0-2/0 Triplex
13"W x 24"L x 18"H 1 Set 350-4/0 & 2 Sets 4/0-2/0 Triplex
24"W x 36"L x 18"H 4 Sets 350-4/0 Triplex
For other cable combinations contact Engineering Standards.
2. V0103 and V0104 are suitable for driveways, parking lots, and off roadway applications where subject to
occasional non -deliberate heavy vehicles (15,000 Ibs design load over a 10 sq inch area). If full traffic H-20
loading is required, refer to Compatible Unit V0201.
RESUB
Oct 30 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
Additional File Submittal DEPARTMENT
Permit Number: ENG2023-0483
Project Name: WO 100104410 - Install UG service and new pedestal
bmission Date & Time: 10/30/2023 12:26:23 PM
Reason for Submittal: Response to Reviewer Comments
Brief Description of Changes: City utilities have been marked. Existing
pedestals vs pedestal to be placed now clearly marked. Location of pedestal
clearly marked. See photo. Existing conduit crossing 74th Ave W has been clearly
marked as existing. Confirmed that one 11' travel lane will remain open while
working on 74th. Only 1 small truck will set up on road as needed. Other PUD
equipment to be set up on private property.
Name of Jurisdiction Contact(s):
Uploaded Files: 23511 74th Ave W Photo.pdf(Other), 23511 74TH AVE W -
DESIGN.pdf(Site Plan), 23511 74TH AVE W - TCP.pdf(Traffic Control Plan), 23511
TH AVE W- Signed Right -of -Way Application.pdf(City Application)
eCitvGov Alliance, P.O. Box 90012, Bellevue, Washington 98009-9012
LANE CLOSURE ON A TWO-LANE ROAD
(TWO FLAGGER OPERATION)
ROAD
W20-1 WORK
AHEAD
x
ONE LANE
W20-4 ROAD
AHEAD
W3-4 x
W20-7A <4x
—
a
f
3
LLJ
zx
r
00
N K)
T
O
x
G20-2 ROADNWORK =I
48" x 24"
(OPTIONAL)
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.
n
48" x 24"
i ROADNWORK G20-2
X,, (OPTIONAL)
0
0
S IOT
N
NORTH
I
ENGINEERING DIVISIOI
JTEG
� (j7 Ow 1 /08/2023
VICINTY MAP
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
RESIDENTIAL & BUSINESS DISTRICTS
25-30 MPH
200'± (2)
URBAN STREETS
1 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.
z!�
`J Mi�in TRAFFIC CONTROL INSPECTION SHALL BE
' REQUIRED WHENEVER WORK ZONE IS SET UP
x
s *T',
W20-7A
W3-4 W20-78
x
ONE LANE BE
i ROAD W 2 0— 4 PREPARED
AHEAD TO STOP
x
ROAD OPTIONAL IF
WORK W20-1 40 MPH OR LESS RESUB
AHEAD
Oct 30 2023
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING CITY OFEDMONDS
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY DEVELDEPARRTMENTTMENT oPMICES
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
THIS PLAN MAY BE MIRRORED FOR
OWNER/CONTRACTOR IS RESPONSIBLE FOR OPPOSITE SIDE OF ROADWAY USING
EROSION CONTROLAND DRAINAGE SAME SIGNS AND SPACING.
YES ■ NO ❑ INITIAL KJH
GENERAL NOTES:
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD.
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 MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED.
6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1
FOR SPACING DISTANCES.
7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
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
1 570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 LBS.
HOST VEHICLE WEIGHT
> 22,000 LBS.
< 45 MPH
45755 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100'
123'
172'
74' 1
100'
150'
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
I r nr mn-_
O
CHANNELIZING DEVICE
r
FLAGGING STATION
PORTABLE SIGN AND SUPPORT
�®
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
RECEIVED
Sep 21 2023
CITY OFDEVELOPMENT
EDMONDS CITY OF EDMONDS MyBuildingPermit.com
DEVELOPMENT SERVICES
DEPARTMENT
Right -of -Way Application #1378812 - WO 100104410 - Install UG service and new pei
Applicant
First Name Last Name Company Name
Moe Matthews Snohomish County PUD
Number Street Apartment or Suite Number E-mail Address
PO Box 1107 permits@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
23511 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043200200100
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
Brian F & Nancy Duffy
Number Street Apartment or Suite Number
23511 74TH AVE W
City State Zip
EDMONDS WA 98026-8500
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: 9/20/2023 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1378812 - WO 100104410 - Install UG service and new pei
Project Contact
Company Name: Snohomish County PUD
Name: Moe Matthews Email: permits@snopud.com
Address: PO Box 1107 Phone #: (425) 783-5681
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 100104410 - Install UG service and new pedestal
WO 100104410 - Install new pedestal at the base of the existing pole located at 23511 74th
Description of Ave W, Edmonds. Re -feed existing UG service into pedestal and install new service in ped.
Work: No tree trimming or pedestrian detour required. No pavement cut, soft surface work. NB lane
of 7th Ave W to be closed for 3 hours between the hours of 8am - 4pm.
Project Details
Project Information
Job Number
100104410
Page 2 of 2