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APPROVED ENG2024-0514 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . Edmonds•:0 edmondswa.govi Description: OVWSD - EMERGENCY WATER MAIN REPAIR RESTORATION ONLY ISSUED: 11/26/2024 Address: 9510 EDMONDS WAY EDMONDS WA 98020-5936 EXPIRES: 05/25/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27033600101000 i 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 RENFRO ROBERT A & STACY A 9510 EDMONDS WAY, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $396.00 $396.00 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: 11/26/2024 Printed: Tuesday, November 26, 2024 4:22:10 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBER 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** E-7 RESTOR LIMITS Printed: Tuesday, November 26, 2024 4:22:10 PM 2 of 2 RECEIVED pF EDM� C, J` "VC. 1890 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E6�. NOV 01 2024 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 Emergency Water main Repair Site Address or if no site address use Property Address at NW corner of project area: 95th & Edmonds Way Associated Permits: BLD PLN ENG Owner and Entity Holdingapplicable) Name of Company Olympic View Water and Sewer District Franchise Ordinance No: Point of Contact Marty Henninger Title Lead Utility Worker Address 8128 228th St SW city Edmonds State Wa zip 98026 Phone (425)&&4-7769 Email marty@ovwater.com 11636n, Imme 1PRIFT11111161• •-• Name of company Olympic View Water and Sewer District • Primary Name Agent Name Marty Henninger Title Title Lead Utility Worker Mobile Address8128 228th 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: ECDCi8.6o.o2o requires that the Application be signed by a licensed and bonded conb•actor unless otherwise approved by the city engineer. Type of D• •apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial Demo and rebuild or from vacant land? ❑ Other, please specify: a Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) XUtility 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.) This was an emergency water main repair. All work was hydro excavated. Traffic control was set up to standard. All work took place in the sidewalk and no road cuts were made. The repair was completed on Oct,29,2024 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x I 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. .• of 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas Xwater ❑ sewer ❑ storm Details of Work to be CompletedNo Does the utility owner have existing overhead infrastructure in the -area of work? X 1. 2. 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 underground common utility stem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: Are the additions for the purpose of seivin new commercial develo ment? . X Are the additions for the purpose of serving a single-family residential subdivision? Details of • to be • • • Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No 6. 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? I N/A How many are to be added? N/A City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: X 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: 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: c DATE: /d /�IO / 2ooq Ma Ader ea ti ity Worker NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 1 yz m I l6 _ 966 [-090VZ N ; I -.111iLl uwuia t atmore 11/22/2024zz r, ON 92n-20-' / 9-20 cjf'Aro.0 00 sz-20 `\ ' 2 OS8z2' rn <o6zz 7ddVH0 ,V,LVVD,LS,7.1 X m r z s39VA J d5-VA-Co �zn z0 9661-0901?Z Ia .,8 _ zZn_zO 8—�0 sz8zz I i 4£li CID I o�8zz � o / r 8096 Ozss \\ ! 1 I 27.96 \ \ t SKUY 1 I �,LY'O,LS,7�L 1 VNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE '9 ar/y \ 91S6 6056 0656 \ '� 62n S6 T 9-VA-20 I��J S 6656 . r! _ , pZ �-�� ! ! __-i , gyp, 8 .___.._ ._. _ o ,��� I t oro rLz)-- I,L—zozo �zn-zo c :t. �M>l 18dS ;Z. ';:: 6—Z0 rI 1NDAi\8Vd34 S301A\83S 1N3WdOl3A3a SaNOWa3 -�O kil0 VZOZ W /SON a3AI333U t s<8zz 266 [-22OZZ-J I 1W 5686 I 116S6 I 6066 t t mm, w 1 , , a q �zn z0 9661-0901?Z Ia .,8 _ zZn_zO 8—�0 sz8zz I i 4£li CID I o�8zz � o / r 8096 Ozss \\ ! 1 I 27.96 \ \ t SKUY 1 I �,LY'O,LS,7�L 1 VNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE '9 ar/y \ 91S6 6056 0656 \ '� 62n S6 T 9-VA-20 I��J S 6656 . r! _ , pZ �-�� ! ! __-i , gyp, 8 .___.._ ._. _ o ,��� I t oro rLz)-- I,L—zozo �zn-zo c :t. �M>l 18dS ;Z. ';:: 6—Z0 rI 1NDAi\8Vd34 S301A\83S 1N3WdOl3A3a SaNOWa3 -�O kil0 VZOZ W /SON a3AI333U t s<8zz 266 [-22OZZ-J I 1W 5686 I 116S6 I 6066 t t mm, w 1 , , a q V62n-20 ! N I. -VA -CO ! ! -P O-Vn-20 I ! I W ! OZ km 6�and full width v lay will be r quire epe ing SOS6 of dis urbance. Wher 60SFbne trpvel Ia (he o utility patches all erlay4&� x d t ! centetline of roadwa . Where utility p tc E I both gavel lanes the&a-full width ove lay , RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR 90 ti vz-co i f 8o8zz 908zz i /01 bo8zz � r . 601 m I ,�o8z2 so8zz ; so8zz dMr half I to extent tire y wW49'2' 1 Oz,Gzz I he e nd into \ re So,G6 NL Z.L QCS V / Q R N SCHEDULE ALL INSFa0v"t1fIONS THROUGH MYBUI SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 3-MILE QUEUE WARNING SYSTEM MESSAGES TRAFFIC SENSORS PCMS 2 PCMS 1 B A 1 2 1 2 IGGER SPEEC 2.0 SEC 2.0 SEC 2.0 SEC 2.0 SEC 35+ 35+ • RIGHT 1S MPH MPH (Blank) LANE MILES • • CLOSURE AHEAD 3S+ � 35 LANE TRAFFIC SLOW OR NEXT MPH MPH CLOSURE BACKUPS STOPPED 15 3 MILES PRESENT TRAFFIC MILES < 35 < 35 SLOW OR NEXT USE TAKE MPH MPH STOPPED 3 ALL TURNS AT TRAFFIC MILES LANES MERGE I EXISTING I EXISTING I EXISTING I EXISTING I RECOMMENDED SIGN SPACING = X (1) STATIONARY TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R SHOULDER LANE LANE SHOULDER LANE OPEN 4•BIKE WORK AREA TO TRAFFIC SEE NOTE 13(F) RURAL HIGHWAYS 60-65 MPH 800't HOST VEHICLE WEIGHT LESS THAN 22,000 IDS. HOST VEHICLE WEIGHT 22,00D, IDS. RURAL ROADS 45-55 MPH 500't (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, ATGRADE INTERSECTIONS AND DRIVEWAYS. 45-55 MPH 60+ MPH 45.55 MPH 60+ MPH In 123' 172' 100' 150' v I ! v SECTION (A -A SEE NOTE 8 SEE QUEUE WARNING SYSTEM SPECIAL PROVISION OR RFP FOR DETAILS. LOCATE PCMS. PER STD. SPEC 1-10.3 3 C WHEN PCMSv7RAFFIC SENSORS PLACEO BEHIND BARRIEPJGUARDRAILTRANSVE��E TRAFFIC DRUMS ARE NOT REQUIRED. ADJUST OWS COMPONENTS AS NEEDED TO AVOID CONFLICTS WITH AVOID THIS CVOiSIBiLOIlYDOFI SEDUEN7ROW RROW DSIGN. INTERSECTIONS. OR TO CONFIGURATIONAT ■ MAINTAIN INTERSECTIONS & RAMPS. IN THE EVENT OF A SYSTEM FAILURE SEE SPECIAL PROVISIONS OR RFP "QUEUE WARNING SYSTEM FAILURE PROTOCOL". �Av/ JL LANE CLOSURE TAPER LENGTH = L SPEED (MPH) 45 50 55 60 65 LONGITUDINAL BUFFER SPACE = B 12' L (feet) 540 600 680 720 800 45 50 1 55 60 65 Avold redutln9 lane tlosure length on 45+ mph roadways. �-D(MPH) et) 360 425 1 495 570645ce may fie adjusted (:) bawd .. Few condaion.. (OPT36 NAL) INOTICEI urn DOUBLE �.• m 120-301 (Brno W20-1 �I MAXIMUM CHANNELQATION DEVICE SPACING (feet) MPH TAPER TANGENT 5 _a ACTUAL NUMBER OF 1 LANES MAY VARY ON THIS SIDE. A " B VARIES, SEE NOTE 3 I- ���• 4-MIN BI LANE �— o 120' ®® 40'MAX �o'y�a NR3-17 .WORK •�'y�F SEE NOTE 1 td ®a•�e�• \ 63.^ AREA A x SEE 1O.N. 1 IIINN —.— • —� • NOTE 4 SPACING R (OPTIONAL) 160' BIKE SEE NOTE 5 48•' ;�µ��` 48•• . TRAFFIC CONTROL INSPECTION SHALL BE W2o_7 120-301 (BWi OPTIONAL W20-5R W4.2R REQUIRED WHENEVER WORK ZONE IS SET UP NOTES: 11.ADD W21-30SERIES SIGNS (48'x48", FHEIGHT) SOO't PRIOR TO FREQUENT LEGEND: CONSTRUCTION VEHICLES INGRESS/EGRESS INTO THE OPEN LANE(S). N TEMPORARY SIGN LOCATION (1-MIN HEIGHT) 1. FULL-SIZE PCMS (11'x 6' DISPLAY) MAY BE USED IN LIEU OF mPCMS. PCMS MESSAGES MAY BE MODIFIED. 72. PEDESTRIAN ACCOMMODATIONS, WHERE FACILITY OPEN TO PEDESTRIANS: 0 TEMPORARY SIGN LOCATION (5'MIN HEIGHT) 6.IF USED, DOWNSTREAM TAPER DEVICE SPACING IS 20. 21F FEASIBLE, AVOID PLACING LANE CLOSURE OR LANE SHIFT TAPERS (A) KEEP ADJACENT SIDEWALK OR PATHWAY OPEN. B)CLOSE ADJACENT SIDEWALK OR PATHWAY. PROVIDE PEDESTRIAN DETOUR, S TRAFFIC SAFETY DRUM WITHIN OR IMMEDIATELY FOLLOWING HORIZONTAL CURVES. 7. 28" TRAFFIC CONES, J6' TRAFFIC CONES, 42" TALL CHANNEUZING ALTERNATE ROUTE, OR FREE SHUTTLE (WORK TRUCK VAN, OR BUS OKI. (C) STOP WORK OPS. B ESCORT PEDESTRIANS THROUGH WORK AREA. ■ CHANNELIZING DEVICE (SEE NOTE 7) DEVICES, OR TRAFFIC SAFETY DRUMS ALSO OK 3. DISTANCE INCREASES AS WORK AREA MOVES DOWNSTREAM. (D) ENGINEER TO ACCEPT ANY ALTERNATIVE STRATEGIES. PORTABLE TUBULAR MARKER (SEE NOTE B) S. 28" TRAFFIC CONE, 36" TRAFFIC CONE, 42" TALL CHANNELIIKE DEVICE 4. REDANHITE OR BLACKIYELLOW CHEVRON PATTERN OK. ADDITIONAL OKDEVICE MAY SHIFT LATERALLY TO PROVIDE VMIN BIKE LANE. 13. BICYCLIST ACCOMMODATIONS, WHERE FACILITY OPEN TO BICYCLES: I TRANSPORTABLE ATTENUATORS MAY BE ADDED BEHIND EACH WORK CREW. (F)pROVIOE TEMP. 4'MIN BIKE LANE THROUGH LANE CLOSURE ADJACENT TO ,i, OWS TRAFFIC SENSOR 9. SIGNS ARE BLACK ON ORANGE UNLESS OTHERWISE INDICATED. VEHICLE TRAFFIC. yyy SEQUENTIAL ARROW SIGN S. IF USED, PLACE DEVICES TRANSVERSELY ACROSS CLOSED LANES AT 45't AND VSPACING AT STRATEGIC LOCATIONS. 10. PLAN IS APPLICABLE TO LANE CLOSURES OF 7 DAYS OR LESS. TRANSPORTABLE ATTENUATOR (TL-3) 4—LANE DIVIDED HIGHWAYS: SINGLE RIGHT LANE CLOSURE miniNRTABLE CHANGEABLE MESSAGE SIGN (PCMS OK, SEE NOTE 1) - _ NOT TO SCALE FILE NAME CAU,cmUU ,ftFAOn DrNe -Wxhln lon State Depannent cITm,spo,atoMD*c1nop1Work Zone TCP.1361 MLH-4S.IRLL ...d n n own Y�_/� �I/ Washington State Department of Transportation / D RECEIVED K V NOV 01 2024 Plet 22 TIME 10:36A0 AM tei0i rr•rr FED -All PROJ.NO. TC361 DATE 9/24/2024 10 AS PLOTTED BY U..F GNED BY aF 4 a a ENTE2ESIRED BY CHECKED BY .e�m�n tee.,•. .e. TYPICAL TRAFFIC CONTROL PLAN:i PROJ. ENGR. REGIONAL ADM. REVISION DATE BY LIGHTED ARROW BOARD REQUIRED ON SR-104. ENGINEERING DIVISION CITY DEVELOPMEONT S APPROVED AS NOTED SERVICES DEPARTMENT Jeff11 /22/2024 OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 951" & Edmonds Way Scope of Work: Emergency water main repair. Repair was performed and completed on 10/29/2024. All work took pace in the asphalt sidewalk. Excavation is cold patched. Asphalt or Concrete Cut: Yes Start date: 10/29/2024 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: Billy Ward E-mail: Billyw@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 NOV 01 2024 O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED NOV 01 2024 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Rig ht:-fWK`Afiimkation #1569569 - Emergency watermain repair 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 95th & Edmonds Way 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: 10/30/2024 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1569569 - Emergency watermain repair 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: Emergency watermain repair Description of We made an emergency watermain repair. Repair has been completed. We had to cut the Work: asphalt sidewalk. No road cuts were made. all excavation was hydro excavated. excavation is cold patched awaiting paving. Project Details Project Information Job Number 18 Page 2 of 2