APPROVED ENG2025-0087 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
98020 - 1 11'
www.edmondswa.gov i
Description: PUD - SET NEW POLE UG TO PROPERTY UPGRADE OH TRANSFORMER
ISSUED: 03/20/2025
Address: 310 DALEY ST EDMONDS WA 98020-3123
EXPIRES: 09/16/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434202600101
NAME TYPE NAME ADDRESS PHONE
APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-1000
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 AUGUSTUS J BUKOWSKI 1516 9TH AVE N, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$49.00 $49.00
ENG - INSPECTIONS-1.1.25
$548.00 $548.00
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: 03/20/2025
Printed: Thursday, March 20, 2025 11:57:51 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,...Ave
N, Edmonds WA 9:01 11:
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: Thursday, March 20, 2025 11:57:51 AM 2 of 2
of EOMoz
RECEIVED
RIGHT OF WAY CONSTRUCTION MAR 04 2025
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
p pp DEVELOPMENT
'V . i s')3 Requirements outlined in Right -of -Way permit Handout E6�. 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.
SECTION A
General •
Project Name 310 Daley St Pole Relocation and New Service
Site Address or if no site address use Property Address at NW corner of project area: 310 Daley St, Edmonds 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company Snohomish County PUD Franchise Ordinance No: N/A
Point of Contact Karl Haack
Title Sr Engineering Technician
Address 21014 63rd Ave W
City Lynnwood
State wA
Zip 98036
Phone 425-238-7372
Email kjhaack@snopud.com/permits@snopud.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company Same as above
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: 313-005-741
Email
State License No:
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.
e Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
e 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.)
Set new pole south of existing at property corner of 310 Daley St. Replace overhead CU distribution line with AL line. Install new riser on pole to bring service underground to new
customer installed service vault on private property. Upgrade overhead transformer on new pole. Work site in alleyway/driveway between Daley St and Edmonds St.
2 Separate day closure of alleyway, will allow space for residents to enter or exit. Traffic control by PUD. Asphalt cut and restoration by PUD if needed.
Work to take place between the hours of 8:00am to 4:00pm No tree trimming required.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
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
Yes
No
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
Yes
If yes, describe: \7ai it nn nrivata nrnnarty
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
IVO
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.
Yes
5.
Does the work involve proposed additions to an aboveground utility stem? 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 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? Yes
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: Yes
How many are existing? How many are to be added? I I untlergro . 1 mplacetl Zb egl u d
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?
45
How many poles are to be removed?
1
Are additional poles to be laced?
No
How many? I I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
Yes
How many? What is the height of the poles after? 45', same
Describe the modification rebuild: p n1r%rra+ar1
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: Karl Haack Mgi lly,ign byK,dH... k DATE: viaiza
D..: 2025,01.1414:29 09 -08W
APPLICANT PRINTED NAME: Karl Haack
APPLICANT TITLE: Sr Engineering Technician
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
RECEIVED
SNOHOMISH COUNTY CONSTRUCTION NOTES •
D2::'10E!1 OA AT PI 1225818 ON WO 100140258
MAR 04 2025
PUBLIC UTILITY DISTRICT NO I CITY OF EDMONDS
LOCATION 310 DALEY ST, EDMONDS 98020 AREA LYNNWOOD
POLE NO. PLI 225818 SW1/4S 24 T 27 R 3 DATE 1/14/25 ORDER 100140258
REASON FOR WORK RELOCATE POLE AND INSTALL ENGINEER K HAACK OPERATION 0060
NEW UG SECONDARY FOR DRAFTER UGND NO.
REFORM CONSTRUCTION SCALE 1" = 40'
APPROVED
DATE PRINTED
FOREMAN RECORDS
SIGNATURE
DATE WORK COMPLETED
❑ RESTORATION REQUIRED
❑ ADDITIONAL WORK REQUIRED
NOTES (i.e. REDLINE INFO):
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO#
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS
■ CITY EDMONDS
❑ SNO COUNTY (TCP)
❑ SNO COUNTY (BLANKET)
❑ SNO COUNTY (MAJOR)
❑ OTHER:
❑ NO PERMIT REQUIRED
❑ RESTORATION REQUIRED
❑ MULTIPLE JOB PHASES (i.e. OH, UG)
EASEMENTS ❑ REQUIRED
E# ■ NOT REQUIRED
REQUEST NO.
DATE APPROVED
FnRFTrNI rnNITArTC
PRIMAR RESTORATION LIMITS TO BE DETERMINED -
I-] RESIDE
❑ COMME BY CITY ENGINEERING INSPECTOR
OHDiu r r r a
LEU#
e s
MISCELLANEOUS FEES
VAULT S
PERMIT 5
s
TOTAL DUE S
DATE PAID
RECEIPT NO.
ENGINEER K HAACK
PHONE 425-670-3208
CELLULAR 425-238-7372
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE—CONST. REQUIRMENTS
❑ BACKHOE ❑ FLAGGING
■ ONE CALL DATE
No.
FIBER
❑ YES ■ NO
STREET LIGHTING
❑ YES ■ NO
M&R IN AS -BUILT
GIs M&R OUT
GIS QC JOINT USE
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
LEGEND:
o EXISTING POLE
X EXISTING POLE -TO
DATE
REPLACE POLE WITH NEW 45'CL2 POLE AT PROPERTY PIN AS STAKED. SET POLE 6.5'DEEP W/GRNDS. DEVELOPMENT
SERVICES DEPARTMENT
FRAME POLE PER ASSY AS12V109 (10 7.2kV VERTICAL DEADEND). INSTALL 3/8" SIDEWALK GUY L = 7' NORTH (GO107).
INSTALL OH SINGLE PHASE XFMR MOUNTING (AS12V601). INSTALL (2) 4" SECONDARY RISERS (FO107).
INTERCEPT EXST SERVICE RUN INTO EXST SECONDARY VAULT. CONN SECONDARY RISER TO CUSTOMER INSTALLED 4" PVC.
RUN X' OF 350 KCMIL AL TPX FROM NEW POLE TO NEW SECONDARY VAULT.
SUBSTATION MAPLEWOOD TRANSFER (1) OH PRI AND NEUT TO NEW POLE. TRANSFER (4) OH SVCS TO NEW POLE. RMV 100-403988. INSTALL 167 KVA 120/240V XMFR
CIRCUIT NO. 12-343 PHASE 3 UTC OLD UTC 403988
N
SER
MAKE
OLD SER M15F11462
OLD MAKE PROLEC GE
STRIP AND TOP OLD POLE TO COMMUNICATIONS.
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
RMV 80' OF #4 CU SOL PRI AND NEUT FROM PLI 296232 TO 225818. STRING APPROX 70' OF NEW #2 ACSR PRI AND NEUT FROM
PLI 296232 TO NEW POLE. RE -FUSE LATERAL NORTH FROM PLI 296232 FU 65AMPS.
C312 1
2
3
4
NEW POLE \
O
/voS
303
DALEY ST
/100-403988
PLI 225818
303
/ o \ 303
303 303
303
S
T 315 \
PL 1 296232
301 .
s
ENGINEERING DIVISION '0,
BE REMOVED APPROVED AS NOTED' V1
AY I OU'
• NEW POLE
✓.10 ,nnt 03/20/2025
)KNEW POLE TO REPLACE EXISTING POLE 1" = 40'
- PUD TO ENFORCE POLE ATTACHMENT
AGREEMENT.
- PUD IS RESPONSIBLE FOR ENSURING THAT THE
OLD POLES ARE REMOVED.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
305 � 167
316 _ K V A
303
_v'(yo
ty
0 V, AMPS
SCHEMATIC
1
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE CLOSURE ON A LOW VOLUME ROAD
(NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS)
N
NORTH
I
Rpm
49
L. D
20�4 c gp40 '}
AyFgpFp
\ 0
0
0
0 0
O
0
0
0
O
0
O O 0
ROAD
CLOSED /
ST
Oq4
cry
Sr
VICINITY MAP
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
RECEIVED
ENGINEERING DIVISION MAR 04 2025
APPROVED AS NOTED
jpJJ WQ✓j,$,o42 03/20/2025 CITY OF EDMONDS
Vill DEVELOPMENT
SERVICES DEPARTMENT
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
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.
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 F(;FNn:
O
CHANNELIZING DEVICE
r
FLAGGING STATION
PORTABLE SIGN AND SUPPORT
�®
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
RECEIVED
MAR 04 2025
CITY OF EDMONDS
Right-of-Way Application #1621483 - WO 100140258
MyBuildingPerrnit_rn-
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) 783-1000
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
310 DALEY ST
City Zip Code County Parcel Number
EDMONDS 98020 00434202600101
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
Augustus J Bukowski
Number Street Apartment or Suite Number
1516 9TH AVE N
City State Zip
EDMONDS WA 98020
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: 3/4/2025 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1621483 - WO 100140258
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
Project Name: WO 100140258
Activity Type
Utility Work
Scope of Work
Disturbance of Surface
WO 100140258: PUD crews to set new pole to bring service UG to new customer installed
Description of service vault on private property. Will also upgrade OH transformer. Work site located in
Work: alley/driveway between Daley St and Edmonds St. Need two separate day closure of alley but
will allow space for residents to enter and exit. Asphalt cut and restoration performed by PUD, if
needed. Work to take place 8am to 4pm. No tree work needed.
Project Details
Project Information
Job Number
WO 100140258
Page 2 of 2