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ENG2023-0616+ROW City_Application+11.29.2023_1.46.48_PM+3924128pF EP&104O RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal C. 1syo Requirements outlined in Right -of -Way permit Handout E6,1. If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A Name of Company N" Franchise Ordinance No: Point of Contact Title CoJ Address Cr'o { / j State Z1P City ... Phone Email gyagAc_�_.g Name of Company r Primary Name #/j l 41- �*� $ AgeTitlnt Name f � � � � �? Titl Title iv Mobile + - ttj 170 Address' — S �� Email i • 14CCC' J Cityr� State — I Zip 2 Secondary Name Phone 0 .._ sj % Title AQC' r`�, �y4 4 Email Ct� r /� ! f o a, ,;vt Mobile -42-15 > "+ . 8 City of Edmonds Business license No: Email LC , % - o A State License No:lcoc 4PLC t (..fi Contractor verifies it is currently bonded Contractor vees it currently has general liability insurance __1 __.2 L _a a Z nib— 4- nnnrnued hu the cite NOTE: ECDCls.6o.o2o requires rnar rne^ppcccauun ue aiy— uy u «��•��� �• - -- engineer. ❑ Multifamily residential ❑ Commercial ❑ City project Single family residential subdivision KSingle 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 well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/2,/2021 ❑ Utility Franchise Work (no associated development) 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 ip_✓ JNUV RIGHT-OF-WAY AREA TOTAL DURATION CLOSURE (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parkin 72 hours + LF x t a LF '7 SF M SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. Type of Utility 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 Ye's No Details of Work Lo be Compleled 1.7 Does the utility owner have existing overhead infrastructure in the area of work? 2. 1 Will any equipment be added underground.or above ground (e.g. pedestals, vaults, etc.)? 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? 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 system? 5. Does the work involve proposed additions to an aboveground utility system? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? 6. Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No than one lot or commercial development? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 If yes, answer the following questions related to project area, i.e. the actual area in which the project is ro osed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: 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: 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 feepg APPLICANT SIGNATURE: APPLICANT PRINTED NAME: AW t &. ow, G aclgQi MK APPLICANT TITLE: +'v"Alea enc 44-e twJ 24445'r— NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Washington State Department of Revenue Your request has been submitted and your confirmation number is 0-036-840-091 Below is information from your application Filing Date and Time 11/29/2023 12:51:41 PM Legal Entity Name UBI Payment Method Amount Due COCHRAN CONSTRUCTION L.L.C. 602-282-527 Credit or Debit Card $ 50.00 Card Processing Fee $1.35 Payment Amount $51.35 We will process your Business License Application within 10 business days. If city or state endorsements were applied for, allow approximately 3 additional weeks to receive the business license due to approval time. When possible, the license will be emailed to the Secure Access Washington (SAW) email linked to this business. To check the status of your application, click Manage My Profile, then select View, Edit, or Print Drafts or Submissions in the Drafts and Submissions area. For information on business resources, education, and workshops, go to dor.wa.gov/nextsteps.