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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106334014
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: N R-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7530 181 st PL SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑iC Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 515' W c/I of 74th AVE W
& 14' N c/1 of 181st PL Sw to install gas service 1 3x5 concrete cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1063;
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes ❑ No
❑ Yes ❑ No
If yes, indicate size of cut: _
If yes, indicate size of cut: 3
RIGHT-OF-WAY
CLOSURE
AREA
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
DATE 1 /12/2013
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106334014
12/18/17
Sno County
2/19/18
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
7530 181ST PL SW
EDMONDS, 98026
DONALD BARNES 858-735-7945
Jordan Cooper 425-623-5302
Job Description / Scope of Work
From End Of 2" STW IP 14' N Main (3704-1962) Run New 1 1/8 PE Scat Service 80' ( 30' Stub &
New Construction:
50' Ext) and Set A425-ROW 80'
Construction Method
All Scat / Trenchless
PLAT Map: 162067
:.........
t..................
f
2" STW EXISTING GAS
\
MAIN 14' N
h......
P/L
\
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..........:....... y
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I
7530181stPISW
—.\—..—..—..—..—..—..—..—..—..—.._
106334014
\
181st PL SW
......�......... I LJ
.........;.i .......:.........
1 118 PE
.........
........ ..........
\EXISTING Water
�..................'s.........
........ i..................
A425 MSA
............................................................................................ .... ...
P/L \
... ... ..................... ... .... ...
.................... .................... ....................
t.........;.1........:.........
I.........i.�... ...
.. ...
.............. I
........:..................
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r.........
:................................................:.................................... ..
.. ..
..................:..................:.......... .........:..........
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Work Location
Size of Cut
Surface Type
515'
W
of CL
74th Ave W
&
14'
N
of CL
181st PI SW
3x5
C
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Y
Arterial:
N
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
N
TCP:
Y
vucEr
SOUND ENERGY
Meter:
A425
Speed Limit:
25
No Parks #:
N
Meter Loc:
02 - OFL
Trolley Lines:
N
Mtr Hoods #:
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards:
1 2.5" # 4" #
ADA Ramps #:I
N
I Route #'s:
I N
7530
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
L f�
PUGET
' SOUND
ENERGY
Job#106334014
7530 181ST PL SW, SNOHOMISH COUNTY, WA
December 21, 2017
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
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RESIDENT(S) WILL BE
OD 1
I
INFORMED OF POSSIBLE1001
_
I
TEMPORARY DRIVEWAY
_
CLOSURE
C� O
— —
—
I
• • •_----
PL SW
10110
.
181ST
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
1 75
115
165
225
295
495
12
1 80
125
180
245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100,
25
Notes:
1. All signs and spacing to conform to the MUTCD and SNOHOMISH
COUNTY standards.
2. All sidewalks, driveways, exits and egresses shall be completely clear
unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian
access.
5. Crew is required to leave a minimum of 11' for traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
8. Work area will be 515' WCL of HOMEVIEW DR & 14' NCL of 181 ST PL
SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
80.763.3999
www.trafficmanagement.com
Traffic Control Services -Sales &Rentals �TMI
Permits &Consulting Engineering Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 31992 DATE: 1212112017-JR