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106340485-23305 97 PL W.pdf0 \:L L?,11(7. -,NC. 1 s`) u ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106340485 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: 23305 97th PL W 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 14' W - 20' E c/I of 97th PL W & 240' N c/I of 234th ST SW. To install gas service (1) 3x5 paving cut and (1) 3x4 paving 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: 3 If yes, indicate size of cut: _ x5 x 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. °iNuany,yea nys�:a�sim 1 Susan Sidick ° °°° ,m, °9 me° ° M 5/31 /2018 SIGNATURE °"'700`' m `_°= DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Job #: Date: Jurisdiction: ROW Permit: Est. Start Date Est. Duration: 106340485 5/20/18 EDMONDS Yes 7/23/18 Puget Sound Energy Gas Pre -Inspect Form Address: City / Zip: Customer: PM / Inspector: 23305 97TH PL W EDMONDS, 98020 JEREMY TURNER 206.552.1166 Kevin Williams 425-691-7573 Job Description / Scope of Work From 1-1/4 PE main run new complete 1-1/8 PE service to single family residence(51' scat stub New Construction: No with 32' scat extension) Set AL-425 meter OL @ Inches Construction Method All Scat / Trenchless PLAT Map: 166.067 5/g' PEI 1992 cos ?" 23306 " " A425 MSA 5/8 1-l�s.. re 2oc .Q I I 5/8"PEI I 1980 I I 23315 I Ln 23316 ' of I 5/8" MPEI 19,97 O Sewer II _ w II C I I � II II II Work Location Size of Cut Surface Type 14' W of CL 197thPLW & 240' 1 N I of CL 1234th ST SW 3x5 Asphalt 20' E of CL 197thPLW & 240' 1 N I of CL 1234thSTSW 3x4 Asphalt Of CL I & I of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: New Residential Svc EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Yes vuCEr SOUND FNERGY Meter: A425 Speed Limit: 25 No Parks #: 6 Meter Loc: Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 1 2.5" # 4" # I ADA Ramps #:1 1 Route #'s: LEGEND ® 28" TRAFFIC CONE ® BORE PIT C* TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG MINIMUM TAPER LENGTH = L (feet) LANE POSTED SPEED LIMITS WIDTHS 20 25 30 35 40 45 10 70 105 150 205 295 475 11 75 115 165 225 295 495 12 80 125 180 245 320 540 CHANNELIZATION DEVICE SPACING TANGENT TAPER MPH 80 40 55/70 60 30 35/45 40 20 25/30 RESIDENT(S) WILL BE INFORMED OF POSSIBLE [23305] buu uuiuu 500' 45/55 350' 35/40 200' 30 100, 25 PUGET SOUND ENERGY Job#106340485 23305 97th PI W, Edmonds, WA May 23, 2018 Sheet 1 of 1 gregory.harwood@pse.com (425) 424-6425 Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. Use traffic drums (barrels) with steady burning Type C lights on all State State Routes and Hwys. 4. Sign size can be a minimum of 36" x 36" 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 unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m. 8. Work area will be 14' WCL of 97th PI W & 240' NCL of 234TH ST SW. PLAN PREPARED BY: TRAFFIC MANAGEMENT, INC. 800.763.3999 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: 37353 DATE: 5123118