APPROVED ENG2025-0046 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NU E
City of Edmonds
- N, Edmonds WA 9:01 1 1 .
www.edmondswa.govi
Description: PUD - REPLACE 1 BO POLE ISSUED: 02/27/2025
Address: 20025 82ND AVE W EDMONDS WA 98026-6720
EXPIRES: 08/26/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00569400000900
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)238-7372
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER ROBYN & ALI HAMID S INGHAM 20025 82ND AVE W, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$49.00 $49.00
ENG - INSPECTIONS-1.1.25
$137.00 $137.00
ROW - STANDARD - 1.1.25 $411.00 $411.00
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: 02/27/2025
Printed: Thursday, February 27, 2025 12:42:47 PM 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
X-2 ENGINEERING FINAL**
Printed: Thursday, February 27, 2025 12:42:47 PM 2 of 2
RECEIVED
c 10 Of E D,igp�or
C. I S90
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right-of-Wadpermit Handout E6�.
JAN 31 2025
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.
Oivnerand Entity Holding Franchise (if applicable)
Name of Company Snohomish County PUD Franchise Ordinance No: NSA
Point of Contact Karl Haack
Title Sr Engineering Technician
Address 21014 63rd Ave W
City Lynnwood State WA Zip 98036
Phone425-238-7372
Email kjhaack@snopud.com/permits@snopud.com
WOR
Name of Company Same as above
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
❑ 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 well)
❑ Traffic Control Only (no associated development)
s Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
DescriptionPrqject
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 (t) depreciated bad order distribution pole with new same size CL2 wood pole. Replace suspect PCB transformer with new same size overhead transformer.
Transfer all existing overhead lines to new pole. Work site at 20025 82nd Ave W. 1 day lane closure of northbound 82nd ave W at 20025 82nd Ave W. Traffic control by PUD.
No pedestrian detour. No tree trimming required, no pavement cut, soft surface work. Work to take place between the hours of 8:00am to 4:00pm.
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
NIA
Parking 72 hours +
LF
x
LF
SF
NIA
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 e power ❑ gas
❑ water ❑ sewer ❑ storm
Details of •rk to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
Yes
No
2. Will any equipment be added underground or above ground (e.. 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?
N O
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 Worl< 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
Yes
project is 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:
Yes
How many poles are existing in the project area?
1
What is the height of the existing poles?
49
How many poles are to be removed?
1
Are additional poles to be laced?
Yes
How many? 11 1 What is the height of the additionalpoles? Same (45')
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
Yes
How many? 1 What is the height of the poles after? Same
Describe the modification rebuild: Replaced like for like
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:
Sr Engineering Technician
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
1 /30/25
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
SNOHOMISH COUNTY
UDEO=
PUBLIC UTILITY DISTRICT NO 1
LOCATION 20025 82ND AVE W. EDMONDS 98026 AREA SOUTH COUNTY
POLE No. PLI 9377 NE1/4S 19 T 27 R 4 DATE 1/28/25 ORDER 100143935
REASON FOR WORK REPLACE DEPRECIATED BO POLE ENGINEER K HAACK OPERATION 0030
PLI 9377 DRAFTER UGND NO.
FOREMAN RECORDS
NESC VIOLATIONS
FOREMAN
IN NO ❑ YES (SEE NOTES)
PERMITS
DATE WORK COMPLETED
❑ RESTORATION REQUIRED
■ CITY EDMONDS
❑ ADDITIONAL WORK REQUIRED
❑ SNO COUNTY (TCP)
NOTES (i.e. REDLINE INFO):
❑ SNO COUNTY (BLANKET)
❑ SNO COUNTY (MAJOR)
❑ OTHER:
❑ NO PERMIT REQUIRED
❑ RESTORATION REQUIRED
❑ MULTIPLE JOB PHASES (i.e. OH, UG)
FEES REQ'D ❑ YES ■ No
EASEMENTS ❑ REQUIRED
E# ■ NOT REQUIRED
PRIMARY OVERHEAD
❑ RESIDENTIAL
REQUEST NO.
❑ COMMERCIAL
LEO#
DATE APPROVED
$ -$
FOREIGN CONTACTS
■ JPN#
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ JOINT TRENCH ZIPLY & CATV
❑ COMMERCIAL
❑ JOINT BORE ZIPLY & CATV
BASIC FEE i
❑
LEU#
POLE STENCILING
FROM TO
TAKE OFF POLE
MISCELLANEOUS FEES
VAULT
PRE-CONST. REQUIRMENTS
PERMIT 8
❑ BACKHOE ■ FLAGGING
$
■ ONE CALL DATE 1/30/25
No. 25037869
$
FIBER
TOTAL DUE 96
❑ YES ■ NO
DATE PAID
STREET LIGHTING
RECEIPT No.
❑ YES ■ NO
ENGINEER K HAACK
M&R IN
AS -BUILT
PHONE 425-670-3208
GIS
M&R OUT
CELLULAR 425-238-7372
GIS QC
JOINT USE
11001:1111119211
o EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
SCALE 1" = 50'
APPROVED
& DATE PRINTED
DATE
SUBSTATION MAPLEWOOD
CIRCUIT NO. 12-344 PHASE 2
20014
I
20024
I
I
I
I
CONSTRUCTION NOTES:
OAT POLE PLI 9377
SET NEW 45' CL2 WOOD POLE 1' SOUTH. SET POLE 6.5' DEEP W/GRNDS AS STAKED.
FRAME POLE PER ASSY AS12V101 (10 VERTICAL TANGENT 0-50). INSTALL SL BRACKET (C.U. 1001480).
INSTALL 10 XFMR MOUNTING AS12V601 ON NEW POLE. RMV 25 KVA XFMR FROM OLD POLE
UTC N-2983-X
SER 7034950
MAKE LINMAT
SET NEW 10 25KVA 120/240V OH XFMR ON NEW POLE
UTC
SER
MAKE
TRANSFER (1) OH SPAN OF •2 ACSR PRI AND NEUT TO NEW POLE. TRANSFER (4) OH SVCS TO NEW POLE.
TRANSFER SL-117005-A TO NEW POLE. STRIP AND TOP OLD POLE.
y
N-28185-X`y
— PLI 9376�
00
N
z
M
C
N-2983�y 11
---- PLI 937777
SL-117005-A
II
20032
� oil
37.5-356221
PLI 197596
SL-145256-C
*TRANSFER OF UTILITIES, REMOVAL OF POLE
AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S)
AND JOINT OWNERSHIP POLE AGREEMENT.*
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
20017 UTILITIES MAY REQUIRE A SEPERATE PERMIT.
— — OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
I
20025
A
_ I
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
20031 occurs during the permitted project.
i
I �
I �
ENGINEERING DIVISION
APPROVED AS NOTED
20033 ^ ill U%1%1,1,44p 02/25/2025
IVV
LAYOUT
— — — 1" = 50'
1 --
RECEIVED
JAN 31 2025
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SHEET 1 OF 1
LANE CLOSURE ON A LOW VOLUME ROAD
(NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS)
ROAD
W20-1 WORK =
AHEAD
x
ONE LANE if
W20-4 ROAD =
AHEAD
x
O
O
O
°
Ld
Q ° FM
O
0 O
CN °
00 O
O
O
END
OF ROAD
VICINITY MAP
Ce I z:*
W M=.
Log
x
s ONELANEE W 2 0- 4
AHEAD
x
ROAD
= WORK W 2 0 -1
AHEAD
ENGINEERING DIVISION
APPROVED AS NOTED
jgfi (Ali✓ joe,44z 02/25/2025
vv
RECEIVED
JAN 31 2025
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
N
NORTH
I
ORK
TE
TABLE 1
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.
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
I p'rp'Nn--
O
CHANNELIZING DEVICE
r
FLAGGING STATION
=
PORTABLE SIGN AND SUPPORT
VEHICLE WITH FLASHING
LIORK GHT
WORK AREA
Ln
M
0)
M
0
O
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1608273 - WO 100143935
JAN 31 2025
MyBuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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
20025 82ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00569400000900
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
Robyn & Ali Hamid S Ingham
Number Street Apartment or Suite Number
20025 82ND AVE W
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: 1/31/2025 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1608273 - WO 100143935
Project Contact
Company Name: Snohomish County PUD
Name: Karl Haack Email: kjhaack@snopud.com
Address: PO Box 1107 Phone #: (425) 238-7372
Everett WA 98206
Project Type
Utility Purveyor
Activity Type
Utility Work
Scope of Work
Disturbance of Surface
Project Name: WO 100143935
Description of Work: WO 100143935: PUD crews to replace BO pole. Need 1-day lane closure of NB 82nd
Ave W. No tree trimming required. Work to take place between 8am and 4pm.
Project Details
Project Information
Job Number
WO 100143935
Page 2 of 2