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APPROVED ENG2024-0344 ROW PERMIT
RIGHT OF WAY EUC PERMIT PERMIT of EdmondsNUMBER ILCity www.edmondswa.gov i Description: PUD-RELOCATE PAD MOUNTED TRANSFORMER FOR NEW SFR ISSUED: 07/30/2024 Address: 727 BELL ST EDMONDS WA 98020 EXPIRES: 01/30/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434208603300 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 PETER CHUNG 8904 231ST PL SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 ROW - STANDARD - 4.1.24 $396.00 $396.00 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: 07/30/2024 Printed: Tuesday, July 30, 2024 3:37:20 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE City of Edmonds 31 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: Tuesday, July 30, 2024 3:37:20 PM 2 of 2 of EOA404O. RIGHT OF WAY CCONSTRUCC`Il'IGhT P ERIMT AP P'ILIICCA'II'IION Complete and submit this Application in accordance with the Submittal iNc. i sa° Requirements outlined in Ri ht-of-WaLpermit Hand6ut9W3ydd3O013A30 S0NOW03 d0 kilO If any field is not applicable to your project, write "N/AP&M94$ 4r%aving blank. All fields required. Incomplete Application s�yill lle�jed— SECTION Ai General Info Project Name UG PRI LE - 727 BELL ST Site Address or if no site address use PropertyAddress at NW corner of project area: 727 BELL ST, EDMONDS WA 98020 Associated Permits: BLD PIN ENG ONvner and Entity Holding Name of CompanySNOHOMISH COUNTY PUD NO. 1 Franchise Ordinance No: Point of Contact KARL HAACK Title ENGINEERING TECH II Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone 425-238-7372 Email KJHAACK@SNOPUD.COM Contractor and Authorized Agent of 0ivner Name of Company SAME AS ABOVE (see note beloNv) 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 ® Contractor verifies it is currently bonded o Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.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 e Single family residential subdivision ❑ Single 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 constntction permit Application --Page i 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.) RELOCATE EXISTING PADMOUNT TRANSFORMER APPROX & EAST FOR NEW CUSTOMER INSTALLED DRIVEWAY. PUD SET NEW VAULT AND TRANSFORMER ON SAME PARCEL. 1 DAY PARTIAL LANE CLOSURE OF WESTBOUND BELL ST BETWEEN THE HOURS OF BAM TO 4PM. WORK SITE AT 727 BELL ST. CUSTOMER PERFORMING ALL GRADE BREAKING ACTIVITIES ON PRIVATE PROPERTY. PUD TRUCKS SET UP IN ROW TO SET VAULT AND TRANSFORMER ON PRIVATE PROPERTY. NO PEDESTRIAN DETOUR, TRAFFIC CONTROL BY PUD. NO TREE TRIMMING REQUIRED. SOFT SURFACE WORK. 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 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 of Worl,to be • 1. Does the utility owner have existing overhead infrastructure in the area of work? NO 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? NO 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? NO 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existingunderground common utilitystem? N O 5. Does the work involve proposed additions to an aboveground utility system? 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 CompletedNo 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 YES ro'ectis proposed: 6a. Does your project involve wires/cables/lines? If yes: NO How many are existing? I I How many 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: 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 additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: N O How many? I I 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: 04k� DATE: 7/8i24 KARLHAACK ENGINEERING TECH II NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 LAYOUT LEGEND: ® PAD MOUNTED TRANSFORMER ® SUBMERSIBLE TRANSFORMER Q ABOVE GROUND J-BOX QJ SUBMERSIBLE J-BOX Q SECONDARY VAULT PULLING VAULT O PAD MOUNTED SWITCH CABINET Q SUBMERSIBLE SWITCH CABINET © SMALL SECONDARY PEDESTAL © LARGE SECONDARY PEDESTAL 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 O POLE AND OVERHEAD LINE PROPERTY LINE RIGHT-OF-WAY LINE U EXISTING UNDERGROUND CABLE EXISTING DUCT FUTURE DUCT S----O SANITARY SEWER/MANHOLE D-----D STORM DRAIN/CATCH BASIN W- OWATER MAIN/METER 'e FIRE HYDRANT + STREET LIGHT * UNDERGROUND LOCATOR MARKER SCHEMATIC LEGEND: • 10 TRANSFORMER 3 0 TRANSFORMER O SUBMERSIBLE TRANSFORMER ❑ 200 AMP J-BOX ■ 600 AMP J-BOX k FUSE PRIMARY UNDERGROUND CABLE ---------- ABANDONED PRIMARY UNDERGROUND CABLE OVHD EXISTING OVERHEAD I I— DISCONNECT SWITCH, NORMALLY OPEN —4-F— DISCONNECT SWITCH, NORMALLY CLOSED STANDOFF BRACKET — • • FEEDER LINE $ PULL THRU BOX i— FEED THRU BUSHING ON TRANSFORMER FAULT INDICATOR --ADDITIONAL UGND TAPPED AT T/O POLE CONSTRUCTION NOTES: AT VAIII T A- -INSTALL (1) OPEN BOTTOM 1PH XFMR VAULT V0301A -RMV 25-351387 -SET NEW 37.5 KVA 1PH 120/240V PADMOUNT XFMR -RELOCATE EXISTING SVC FED TO 1'NORTH OF NEW VAULT -INSTALL 10 XFMR ASSY AS12U612 (10 PADMOUNTED XFMR W/RADIAL TAP) -NSTALL (1) 1/0 LOAD BREAK ELBOW (T1105) -INSTALL (1) DUST CAP (T1701) -INSTALL 32' BULKHEAD V0705 -ABANDON VAULT A-39513 GENERAL NOTES: -CUSTOMER TO PROVIDE VAULT PIT (60"yx 60" x 28") W/A 6" BED OF 5/8 MINUS GRAVEL -ALL PRIMARY CONDUIT BENDS SHALL BE RIGID STEEL OR FIBERGLASS ELECTRICAL CONDUIT W/A MINIMUM RADIUS OF 36" -THE TOTAL OF BENDS SHALL NOT EXCEED 1B0° -CUSTOMER TO PROVIDE TRENCH WITH A MINIMUM DEPTH OF 3FT TO TOP OF CONDUIT. MAXIMUM ALLOWED DEPTH IS 5FT -ALL CONDUITS SHALL ENTER THE VAULT PARALLEL TO THE FLOOR AT 90° TO THE VAULT WALL AND IN SUCH A WAY AS TO MAINTAIN CABLE ROTATION AND NOT INTERFERE WITH OTHER CONDUIT ENTRANCES -TRANSFORMERS SHALL BE PROTECTED BY GUARD POSTS WHEN EXPOSED TO VEHICLE TRAFFIC PER WAC 296-46B-450 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRANSFORMER 7200-240/120V BY PUD OR PUD'S CONTRACTOR A— 1 37.5 KVA UTC SER MAKE VAULT BY PUD A-1 42" x 42" x �O" CONCRETE OPEN BOTTOM W/A 21" x 25' ACCESS HOLE I I 204 NEW SFR I 731 739 I EXIST. RETAINING WALL P A_1 TO REMAIN I CABLE ALL FOOTAGES APPROXIMATE BY PUD OR PUD'S CONTRACTOR FROM POLE PLI 715 TO A-1 183' OF (1) 02 AL 15KV CNCTRC NEUT JCKTD PRI IN 2" PVC MAKE BICC PO 1D277 REEL 690649 15' OF 350 KCM AL TPX SEC IN 3" PVC DUCT O 145' OF 2" PVC (EXISTING) O 8' OF 2" PVC BY CUSTOMER W/ (1) FIBERGLASS 90° ELBOW II I 1 745 1 747 1 753 1 1 I I SNOHOMISH COUNTY p Ur o PURLR) UTUTY DISTRICT NO I LOCATION 727 BELL ST.EDMONDS WA 98020 AREA LYNNWOOD POLE NO PLI 715 SW1/4S 24 T 27 R 3 DATE 3/20/24 ORDER 100130943 REASON FOR WORK PROVIDE to PRIMARY ENGINEER K HAACK OPERATION 0060 UNDERGROUND SERVICE FOR DRAFTER UGND NO CHUNG APPROVED SCALE NOTED CW & DATE DATE WORK COMPLETED FOREMAN SUBSTATION WESTGATE INSPECTOR CIRCUIT NO 12-404 PHASE 3 DATE FEES REQ'D ■YES ❑NO ROAD CROSSINGS ONLY PRIMARY OVERHEAD APPV DATE DESCRIPTION ❑ RESIDENTIAL ❑ CDMMERCIAL EONI REVISIONS 0 f s APPV NO. DATE DESCRIPTION PRIMARY UNDERGROUND ❑ RESIDENTIAL PERMITS (DATE GRANTED) ❑ COMMERCIAL ❑ TREE TRIM BASIC FEE S LEU• ❑ STATE N R) f�'= s ❑ COUNTY NORTH SECONDARY UNDERGROUND • ctTY EDMONDS BASIC FEES ❑ R! s_/'= s EASEMENTS ❑ REQUIRED E* 47241 IN NOT REQUIRED PROPOSED DRIVEWAY U ABANDON A-39513 VAULT A GUARD POSTS BY COST R-5333-X PLI 715 PER WAC 296-46B-450 AS RQD SL-130390-A BELL ST — ------S--------------- S--------------- S---- --S--------- ----S-------------S--------------- ------W--------------- W-------------W-------------W---------------W---------------W--------------W-'------------ TIII I 739 I LAYOUT 1" = 30' S 12 A-39513 404 25-351387 R OVHD O 57750 FU 25 AMPS BELL ST SCHEMATIC (BEFORE) NTS SG 12 A -NEW 404 25-351387 R 0 57750 OVHD FU 25 AMPS BELL ST SCHEMATIC (AFTER) NTS 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. A ❑ PRIMARY AS -BUILT ❑ SECONDARY APPV NO. DATE DESCRIPTION FT 0 s = f MISCELLANEOUS FEES VAULT S PERMIT f s s s TOTAL DUES DATE PAID RECEIPT - ENGINEER K HAACK CONTACT LEIF HELLEREN PHONE 425-670-3208 PHONE 425-770-1970 REQUEST NO. DATE APPROVED FOREIGN CONTACTS ❑ JPN- ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV ■ N/A POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR REQUIREMENTS ■ FLAGGING ❑ PUD LOCATOR ■ VACTOR ❑ ■ ONE CALL DATE 7/5 * 242788§3 STREET LIGHTING ❑ YES- ■ NO LOCATION MAP 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 ddl LO-zl,,,�04,g 07/30/2024 VV VICINITY MAP E TAGS RECEIVED VAULT CABLE: Jul 08 2024 CITY OF EDMONDS Z DEVELOPMENT SERVICES DEPARTMENT X 40 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE CLOSURE ON A TWO-LANE ROAD TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP (TWO FLAGGER OPERATION) c� O W20-4 ONROADNE Q -Ph. 1 AHEAD u co ! 1. • � ��z X o W20-7A ROADWORK W20-1 r A �0 200' MIN AHEAD �- - X 300' MAX X X X O � O 0 0 0 0 0 0 0 0 o BELL ST N SHALL MAINTAIN 11' NORTH �� MIN. LANE WIDTH M M M J �xx X TAPER B 0-1 50' MIN ROAD 100' MAX WORK 'n, AHEAD E LANE . W20-1 ROAD ON AHEAD W20-7A W20-4 W20-7B BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS VICINTY MAP M R 100' X o E ODX D G� p r � 0 ENGINEERING DIVISION APPROVED AS NOTED jdl L0,, it rtf,.44z 07/30/2024 vv 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 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. RECEIVED Jul 08 2024 THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING CITY OF ETSERVI SAME SIGNS AND SPACING. DEVELOPMENT SERVICES DEPARTMENT YES ❑ NO ❑ INITIAL 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 1 30 35 40 45 50 55 60 165 70 LENGTH (FEET) 155 1 200 250 305 360 425 495 570 1645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LBS. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 1 123' 1 172' 74' 1 100' 1 150' 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 FC,FNn: O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT VEHICLE WITH FLASHING LIORK GHT WORK AREA SNOHOMISH COUNTY G°ICOMD TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT UG PRI LE - 727 BELL ST LOCATION 727 BELL ST, EDMONDS WA 98020 ENGINEER K HAACK DATE 7/8/24 ORDER 100130943 PHONE 425-670-3208 CELLULAR 425-238-7372 RECEIVED // Jul 08 2024 CITYELO M EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1513750 - 100130943 - UG Service Vault/Transformer 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 727 BELL ST City Zip Code County Parcel Number EDMONDS 98020 00434208603300 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 Peter Chung Number Street Apartment or Suite Number 8904 231 ST PL SW City State Zip EDMONDS WA 98026 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: 7/8/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1513750 - 100130943 - UG Service Vault/Transformer 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 Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: 100130943 - UG Service Vault/Transformer Relocate existing padmount transformer approx 8' E for new customer installed driveway. New Description of vault and transformer will be on same parcel. 1 day partial lane closure of westbound of Bell ST Work: between 8am-4pm. Work site is at 727 Bell ST. Customer will be performing all grade breaking activates on private property. PUD trucks will be set up in ROW and vault and transformer on private property. All soft surface work. Project Details Project Information Job Number 100130943 Page 2 of 2