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ENG2023-0630 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT :i 1 1. 1 www.edmondswa.gov i Description: PUD - REPLACE 2 BO POLES ISSUED: 01/22/2024 Address: 8726 185TH PL SW EDMONDS WA 98026-5755 EXPIRES: 07/22/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00630900001400 I 11-14111 a 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 DAVID SAND SHANA P KESSELRING 8726 185TH PL SW, EDMONDS WA 98026-5755 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $378.00 $378.00 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: 01/22/2024 Printed: Monday, January 22, 2024 11:23:15 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: Monday, January 22, 2024 11:23:15 AM 2 of 2 RECEIVED of EpM04O� /'V . i s') 3 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. DEC 15 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. General • Project Name BO Pole Replacements - PLI 8977, 8975, 8953 (WO# 100119479) Site Address or if no site address use Property Address at NW corner of project area: 8726 185th PI SW, Edmonds, WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company SNOHOMISH COUNTY PUD NO.1 Franchise Ordinance No: N/A Point of Contact KENNETH LUU Title DESIGNER Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone 425-670-3214 Email KCLUU@SNOPUD.COM & PERMITS@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: N/A Email State License No: 3 1 3-005-74 1 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? ❑ Other, please specify: • Utility Franchise Work associated with development (check one of the above boxes as welt ❑ 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.) Replace 2 poles (NW and SW corner of the site address property) along the east side of 88th Ave W and 1 pole (SE corner of 18514 88th Ave W) along the west side of 88th Ave W. Transfer primary and neutral wires, transformers, and street light onto new poles. Install (1) primary and (1) secondary riser on poles by site address and tie to existing underground conduit. 150' section of northbound lane and 50' section of southbound lane of 88th Ave W to be closed for 12 hours total between the hours of 8:00AM - 4:001PM. Sidewalk closure between 185th and 187th PI SW. No tree trimming needed. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk '72hours + LF I x LF SF N/A Alley'72 hours + LF Ix I LF SF N/A Parking 72 hours + LF I x 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 e 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. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X If yes, describe: pnlac ricar 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 underground common utility stem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: X 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 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: X How many are existing? 1 1 1 How many are to be added? 1 0 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 many poles are existing in the project area? 3 What is the height of the existing poles? 30', 45' How many poles are to be removed? 0 Are additional oles to be laced? No How man ? I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 13 1 What is the height of the poles after? (1) 35' and (2) 50' Describe the modification rebuild: Pole replacement adjacent to existing location 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: Kenneth Luu DI91tallyebnWbyKe..e U. DATE: 12i13i2023 Date: 2023.12.19 OBMS9-OB'00' APPLICANT PRINTED NAME: Kenneth Luu APPLICANT TITLE: Designer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SNO-O-I II COUNTY p T� PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 8726 185TH PL SW, EDMONDS, WA 98026 LYNNWOODAREA POLE NO. MULTIPLE NW1/4S 18 T 27 R 4 DATE 09/27/2023 ORDER 100119479 REASON FOR WORK PUD MAINTENANCE ENGINEER K. LUU OPERATION 0030 BO POLES - PLI 8977, 8975, DRAFTER U.G. No. 1259-3 & 8953 SCALE 1" = 50' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@$ '=$ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ =$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY BASIC FEE S ❑ EASEMENTS LEU NO. QS I=$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE 8 DATE RELEASED @$ '=$ UNDERGROUND PLAT FOREIGN CONTACTS JPN# BASIC FEE S FT.@$ =$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING CL FT.@$ '=$ ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR CL FT.@$ '=$ MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT 8 ■ ONE CALL DATE PERMIT No. $ STREET LIGHTING $ ■ YES ❑ NO $ M&R AS -BUILT ;; GIS TOTAL DUE S N/A DATE PAID N/A GIS QC M&R GIS Ph JOINT USE RECEIPT NO.N/A LOCATION MAP PAGE 454 J3 SERVICE ORDER NO. 09931111018-3 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION PRV CIRCUIT NO. 12-93 PHASE 123 ENGR'S TEL. # 425-670-3214 ENGR'S CELL # 425-870-9753 N SET 50' CL1 POLE TIGHT SOUTH AT DEPTH OF 6.5' (PW1050) FRAME POLE AS 7.2KV 3PH TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. PI T 8977 SET 50' CL1 POLE TIGHT NORTH AT DEPTH OF 7' (PW1050) PLI 8975 OVHD OVHD FRAME POLE AS 7.2KV 3PH SINGLE TANGENT PER 12F303 NEW 25 KVA INSTALL 1PH SEC RISER TO EXISTING PED (1U705, NO V0101 & T1522) REROUTE EXISTING 350KCM & 3" COND TO NEW RISER XFR EXISTING OH PRI, NEUT, AND OH SVCS RECEIVED PLI 8977 OVHD 5 KVraL RMV 37 KVA OH XFMR & EXISTING SEC RISER DEC 15 2023 NEW 37.� �FU65 UTC #37-2663 CITY OF EDMONDS SER#----------------- DEVELOPMENT SERVICES DEPARTMENT HANG NEW 37KVA OH XFMR (BA21P, 12F601) UTC# ----------------- SER#--------- t�7 SINGLE TANGENT PER 121`303 - PUD TO ENFORCE POLE ATTACHMENT UJJJ INSTALL 1PH UG TRM POL ASSY AGREEMENT. (12U111, T1013) W/ FUG5 (E1065) - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 18520 XFR EXISTING OH PRI, NEUT, AND OH SVCS RMV 15 KVA OH XFMR & EXISTING PRI RISER UTC #15-14231 SER#----------------- HANG NEW 25KVA OH XFMR (BA21N, 12F601) UTC# ----------------- SER# ----------------- XFR STLT# SL-129724-A STRIP & TOP POLE TO COMMS (45', CL2, 1968) 18522 --------- SET 35' CL2 POLE TIGHT EAST AT DEPTH OF 5.5' (PW2035) XFR EXISTING OH SVCS 9 9 1968) 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. ENGINEERING DIVISION APPROVED AS NOTED 1p�/ (A/Q✓..,il H.i,np 01 /11 /2024 VV 18524 2 WORK AREA �► i606 11 Id� VICINITY MAP 1 1 21 31 SCHEMATIC NTS 85TH PL SVV • pp scant s a 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. 51 8726 SL-130636-A 14 �18605 9 SHEET OF SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP LANE CLOSURE BEYOND AN INTERSECTION (WORK AREA ON THE THROUGH ROAD) ROAD W20-1 WORK = AHEAD x ONE LANE W20-4 ROAD AHEAD = X W20-7A �� x 0- zQ 0 _6 O 04 rp ~ 185TH PL SW M M M STOP X X X ROAD WORK AHEAD ONE LANE W20-1 ROADAHEADW20-7A W20-4 0 LLJ Q L OF - to No z~ 0 7 7 48" x 24' = ROADNWORK G 2 0 — 2 X,, (OPTIONAL) 0 0 x �� W20-7A X�', ONE LANE s ROAD W20-4 AHEAD X ROAD s WORK W20-1 AHEAD W20-7B BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS 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. ENGINEERING DIVISION APPROVED AS NOTED jX 01/11/2024 vv RECEIVED DEC 15 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TABLE 1 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 I 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. 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 LEGEND: O CHANNELIZING DEVICE r FLAGGING STATION = PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP LANE CLOSURE IN ADVANCE OF AN INTERSECTION (WORK AREA ON THE THROUGH ROAD) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A �� x W20-76 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS 48" x 24' t s ROAD G 2 0- 2 x (OPTIONAL) W20-4 Lli 0 ONE LANE W20-7A ROAD W20-1 AHEAD Q . 0 ROAD WORK AHEAD F- X X X 00 00 STOP 7 I 185TH PL SW x s �� W20-7A x �', ONE LANE s ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD N NORTH I ENGINEERING DIVISION APPROVED AS NOTED ddI LVL,11,.44?_ 01/11/2024 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. RECEIVED DEC 15 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TABLE 1 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 I 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. 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 LEGEND: O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA SIDEWALK CLOSURE (PEDESTRIAN DETOUR) 185TH PL SW SIDEWALK CLOSED SP-6 USE OTHER SIDE i TYP BARRICADE, >I Q I SIDEWALK CLOSED 00 00 SIDEWALK CLOSED 4- SP-5 USE OTHER SIDE 187TH PL SW RECEIVED s ROAD WORK W20-1 DEC 15 2023 AHEAD CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SNOHOMISH COUNTY IFUM) M) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO I PROJECT PUD MAINTENANCE - REPL BO POLE (PLI 8977, 8975) LOCATION 8726 185TH PL SW, EDMONDS, WA 98026 ENGINEER KENNETH LUU DATE 12/13/2023 ORDER 100119479 PHONE (425) 670-3214 CELLULAR (425) 870-9753 RECEIVED DEC 15 2023 CITY OF EDMONDS CITY OF EDMONDS M BuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right V application #1416445 - WO 100119479 - (3) BO Pole Replacements 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 8726 185TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00630900001400 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 David S And Shana P Kesselring Number Street Apartment or Suite Number 8726 185TH PL SW City State Zip EDMONDS WA 98026-5755 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: 12/13/2023 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1416445 - WO 100119479 - (3) BO Pole Replacements 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 Disturbance of Surface Project Name: WO 100119479 - (3) BO Pole Replacements WO 100119479 - Crews will replace 2 poles along the east side of 88th Ave W and 1 pole along the west side of 88th Ave W. Transfer primary and neutral lines, transformers and streetlights Description of onto the new poles. Install (1) primary and (1) secondary riser on poles by site address and tie Work: to existing underground conduit. 150' section of NW lane and 50' section of SB lane of 88th Ave W to be closed for 12 hours total between the hours of 8am and 4pm. Sidewalk closure between 185th and 187th PL SW. No tree trimming required. Project Details Project Information Job Number 100119479 Page 2 of 2