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100028043 Permit App (2).pdfof EDA,10 0 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: Nb {gyp q6c 1 aG o3`= CONTRACTOR: S,�InaM�S�► G�nih pub Mailing Address: State License #: City Business License #: CONTACT: L � S Mq-,rJ o Phone #: tA 1 V�o - -5;04 Fax #: Email #: LF A LV ARADOCMIA LLF Ro (2_ 5vo eaa' co •''� ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 1 138 a L� U , e L,-, 9L_ F-,L : J5/ WA q 8--2o ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family X EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Other ❑ Yes ❑ No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : '9e f1kce_ 4 reAOG�4e- �a.0o' 1, Po►e °"t1 guy w.rc }o -ove_ 15/ SW �� eAts 12:. \ocy�.`o�1. 9econJ.cy rises Q1SSc �.0 qc inS�,��ec� pry new tP°��. �esJt25lz,\ i-o se4-. C l �S fec�erl }� new, . p� �e 0. mod! V G s cCVj4tce co v ke4 4 pe a sx� WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY AREA CLOSURE TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN *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 is to 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. Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason of granting this permit. I have read the above statements and understand the permit requirements and acknowledge that I must follow all requirements in order for the permit to be valid. SIGNATURE N�4I �ILr DATE 0-3 /o'9 / t Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE SNOHO4191 COUNTY o PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 18824 SOUND VIEW PL EDMONDS WA 98020 LYNNWOODAREA POLE NO. 120034 SE1/4S 13 T 27 R 3 DATE 03/16/18 ORDER 100028043 REASON FOR WORK PUD TO REPLACE BO POLE ENGINEER ALVARADO OPERATION 30 PL1 120034. DRAFTER U.G. NO. PUD MAINTENANCE SCALE 1" = 100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. SECONDARY OVERHEAD BASIC FEE S @$ '=$ METER/CONY. POLE s PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE 8 LEU NO. NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ EDMONDS EASEMENTS @$ '=$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE s DATE RELEASED @$ '=$ UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# 100028043 BASIC FEE S FT.@$ '=$ ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV STREET LIGHTING POLE STENCILING FROM TO WORK IN RIGHT OF WAY ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR (. FT.@$ _$ MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT s ■ ONE CALL DATE 03/13/18 PERMIT s No. 18092608 s STREET LIGHTING $ ❑ YES ■ NO $ M&R } AS -BUILT $ GIS TOTAL DUE DATE PAID GIS QC M&R GIS Ph JOINT USE RECEIPT NO. SERVICE ORDER NO. LOCATION MAP PAGE 454 G3 ldr/dy�ial O EXISTING POLE EXISTING POLE —TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION MAPLEWOOD CIRCUIT NO. 12-345 PHASE 1 ENGR'S TEL. # 425-670-3214 ENGR'S CELL # 425-327-5623 PL 1120034 SET 35' POLE 15' SW OF EXISTING POLE 120034, 5.5' DEEP AS STAKED. INSTALL NEW GUY WIRE & ANCHOR 12' NE AS STAKED. FRAME NEW POLE PER ASSEMBLY 1U705. INSTALL PED 15' N OF POLE AS STAKED. RUN 45' OF 4/0 AL TPX FROM NEW POLE TO PED. INSTALL #1 SPOOL & TRANSFER EXISTING OH WIRE SERVING 18824 SOUND VIEW PL COTTAGE. 15' SPLICE WILL BE NEEDED RMV MAST ON EXISTING POLE THAT FEEDS 18812 DIRECT FROM XFMR#25-25710 TRENCH 12' FROM EXISTING POLE TO NEW PED. SET 12' 2.5" PVC, INTERCEPT WIRE AT THE BASE OF POLE AND RUN EXISTING SVCE FROM 18812 AND CONNECT IN PED. STRIP, TOP, AND ABANDON EXISTING POLE TO FRONTIER \\,\ \18910 18902 SHEET___LOF__L_ LANE CLOSURE ON A LOW VOLUME ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) SOUTH W20-1 z m W20-4 _ Q 0 0 JED 0- Ld > w � - m w 0 Z � Z 0 Lnmo Q i - W20-4 n m era, s . W20-1 NORTH NORTH SNOHOMISH COUNTY ERaomD TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO t PROJECT PUD TO REPLACE BO POLE 120034 & SET SEC RISER LOCATION 18824 SOUND VIEW PL EDMONDS WA 98020 ENGINEER LUIS ALVARADO DATE 04/03/2018 ORDER 100028043 PHONE 206-670-3214 CELLULAR 206-327-5623 SPEED SIGN SPACING BUTTER A, B (FT)