ENG20160320.pdfof EDk,
ROW PERMIT NO.: ENGLU/(0QaZV
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME:`/ _ � c %JLee4.1 WAO
CONTRACTOR: I
Mailing Address: tr !111 '7q" 1V w
State License #: Gh(�CJ�
City Business License #:
CONTACT:
Phone .#: .
......... 1 3�
Fax #:
Email #: 5C tii e wovL9 S 0 & Pub. Coin
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 2'� l I? 7q �' AV 0 0) Iq uAln S
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial II Subdivision LJ City Project J Traffic Control (Only)
❑ a1tiFamily Single Family 0 Other
EURIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : )tqTL-'1)Z6-PT ��XS° S7TC A-4
Ss C � v r IJ 6 t$1 VS y?'' �v W.. �� s��ru sic ®�
►'AAs E O r -
o LZ U (,L 1411
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES 0 NO 0 Year:
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes [:]-'N
F1Yes VNo
If yes, indicate size of cut:
If yes, indicate size of cut:
x
x
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
....... y�2 Hrs + LF ..._._.. ���.-
Alley 7 X LF SF
Parki ... 72— u........_..—_ . ... .....
ng 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 ab o , tatementsL-�thepermit
nd the permit requirements and acknowledge that I must
follow all require yen in&iier to be valid. /
SIGNATURE DATE f1 g /�
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Of EL)kj �
wc) 44- 100005386
ROW 1)ERMI' ° N ; : ENG d,
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION 2010
-�
,I e
_CONTAcT.
Phone # . -z,
(�� 0 3 r ----------
Fax #:
PROJECT NAME: �P
_
CONTRACTOR:!.
.1111....-----__
MailingAddsess ���"
State License #.
City Business License #:
Email 4: S(bn,�t)pw@ ShDTD,<Dl1�t
�_,......Bon
Liabili Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION �C� ✓� L� V
ROW WORD ASSOCIATED WITH THE TYPE OF PROJECT:
_ a..n.. _ � _ 1111... ,. � �...r
Commercial Subdivision Ci Pro'ect T� affic Control (Only)
❑ Multi -Family Single Family Other
AUG 10 2016
[2/"'EU-
C 1 tJD ERI ON, PSE,
COMCA,SJ, 0VWSD):
DEVEL.OPMEN i SUIVICE >
Is this permit part of a blanket permit? ❑ Yes 2n No
RJ I � BLT)# __ ....w ENG# �...
ANY ASSOCIATED
PERJ
1 i'SCRII Tll."l'N OF PROPOSED OSED WORK (Be Specific) :. t osTv1'V-
e) trt C
..,_.. — .' OVERLAYED WITHIN THE LAST FIVE ( i YEARS? YES �N0 F 1 Yearw
WAS STREET mm�m,...�m
Ate.
PAVEMENT CUT: ❑ Yes � No„ I.f yes, indicate size of cut: � � w� x. _www
CONCRETE CUT: ❑ Yes o If yes, indicate size of cut:w
Page 6H-24
2003 Edition
Notes for Figure 6H-10—Typical Application 10
Lane Closure on Two -Lane Road Using Flaggers
Option:
1. For low-volume situations with short work zones on straight roadways where the flagger is visible to
road users approaching from both directions, a single flagger, positioned to be visible to road users
approaching from both directions, may be used (see Chapter 6E).
2. The ROAD WORK AHEAD and the END ROAD WORK signs may be omitted for short -duration
operations.
3. Flashing warning lights and/or flags may be used to call attention to the advance warning signs.
A BE PREPARED TO STOP sign may be added to the sign series.
Guidance:
4. The buffer space should be extended so that the two-way traffic taper is placed before a horizontal (or
crest vertical) curve to provide adequate sight distance for the flagger and a queue of stopped vehicles.
Standard:
5. At night, flagger stations shall be illuminated, except in emergencies.
Guidance:
6. When used, the BE PREPARED TO STOP sign should be located between the Flagger sign and the
ONE LANE ROAD sign.
7. When a highway -rail grade crossing exists within or upstream of the transition area and it is anticipated
that queues resulting from the lane closure might extend through the highway -rail grade crossing, the
TTC zone should be extended so that the transition area precedes the highway -rail grade crossing.
8. When a highway -rail grade crossing equipped with active warning devices exists within the activity area,
provisions should be made for keeping flaggers informed as to the activation status of these warning
devices.
9. When a highway -rail grade crossing exists within the activity area, drivers operating on the left side of
the normal centerline should be provided with comparable warning devices as for drivers operating on
the right side of the normal centerline.
10. Early coordination with the railroad company should occur before work starts.
Option:
11. A flagger or a uniformed law enforcement officer may be used at the highway -rail grade crossing to
minimize the probability that vehicles are stopped within 4.6 in (15 ft) of the highway -rail grade
crossing, measured from both sides of the outside rails.
2003 Edition
Figure 6H-10. Lane Closure on Two -Lane Road Using Flaggers (TA -10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Note: The buffer space should be
extended so that the two-way
traffic taper is placed before
a horizontal (or crest vertical)
curve to provide adequate
sight distance for the
flagger and a queue of
stopped vehicles.
Page 6H-25
30 m
(100 ft)
MAX
One Lane Two -Way Traffic Taper
30 m (100 ft) MAX
Typical Application 10
O
�' . w
Qim
I
w
CV
00
0 a
a
Opo
in < o w o
O
tl
O
O O o N
� lO
r=
m
I�W
I Q;
W
o
U_
O a a
H
w
Q
W
N
r` V)
f aAQ
1 w K Q
m
O K
N U
w
��.."
0 Z,,,..
U (If ¢
z>a�
U
D
Ind
dd XJ
N
ui
L,
-,,01a a o
w
_� U O
0
p
(A LLJ �
twit
o
LLJW
m
w1�0
�' . w
Qim
I
O M o
O, Ln
CV
O W
= 0
0 a
a
Opo
in < o w o
O
tl
O
O O o N
� lO
r=
m
I�W
I Q;
w
o
W
O a a
F
w
K W
W
N
r` V)
f aAQ
1 w K Q
m
O K
N U
Z
O w D
� 0
v
o Z
��.."
0 Z,,,..
U (If ¢
z>a�
w
D
Ind
Jz
m O
o 0 Lp
ui
L,
-,,01a a o
za cnaa
W
_� U O
w w
�.... ,
(A LLJ �
twit
o
❑
��Z
o
u6pm no y1bL Cl6f Z\6ua l—\IanoaN,\-aaui6u31e1Rq dCll ei l�°Q Alk tlro PrR4 '31V4
INS n. -lila
r
> M
U
Z ¢ U I
L = o zo I Z o:. 07
n
� ❑ o a 1 �
Q z o
Z�
Q
J
O
�' . w
07
I
(r ❑ ❑ w
CV
®o
O
L.r)
z
o W
o n Z ~
O
tl
00 (z '.'
I z
o
r=
CV
> w
w
n�,3 a
a fro
W
O a a
O
w
w
fpm
W
N
a
(o
a a w w
��.."
0 Z,,,..
0 J
z>a�
w
D
O
z
Jz
O
ui
w 0
-,,01a a o
W
.�..�.�
_� U O
w w
�.... ,
¢ 0
twit
D V !�❑
❑
��Z
o
r w
Ln 0-
O
FUUQ
—
Ln
m
O
Z
WN
iJE w
0
IVKmZo,,�Y�
0 z
X
OlN U)
M
/
o
El
�❑❑❑I"1
>
_O
Nr
Vi❑
C) > X
V)
N
r W
IIII``WW
I
o I
oIn X
n
O r
I
I 1
Oo O
d' t0 I
0
O I i
N
a M
to
N I
w 3 Lo,
X<
¢ I 10
¢ M
> I
w N
II,Jw
I
I
M I
� I I
p o
WIn
h
aa
W
> > I
p I
U
O r I
Or I w
J J
aZ
w r r
W N W
¢ w O
r U1 U7
a!0 Ul
2 0 VI w
Z Z Z
..,
r
> M
U
Z ¢ U I
L = o zo I Z o:. 07
n
� ❑ o a 1 �
Q z o
Z�
Q
J
O
awmc�7
U
�' . w
J
I
(r ❑ ❑ w
F
®o
a
z
o W
o n Z ~
W
tl
00 (z '.'
I z
o
r=
c� o
> w
w
n�,3 a
a fro
W
O a a
O
w
w
fpm
W
N
a
(o
a a w w
��.."
0 Z,,,..
0 J
z>a�
w
D
O
z
Jz
O
O r
w 0
-,,01a a o
W
.�..�.�
_� U O
w w
�.... ,
O
twit
D V !�❑
❑
��Z
o
o x
O
FUUQ
—
O
Z
OO
iJE w
0
IVKmZo,,�Y�
0 z
Ld
o
El
�❑❑❑I"1
o— Q
a❑❑uwf
Vi❑
p
V)
awmc�7
U
w
}
Q
Q p
�a
w
o
z
J� wiz
®o
Q
= w
z
o W
o n Z ~
w '.
Q U 1 ',
tl
O
a
m
p
m
C,O
(L a z
se
pj
> w
w
n�,3 a
a fro
W
O a a
O
a
7 F¢
O
Z =
rzu
O
Z
a a w w
��.."
0 Z,,,..
0 J
z>a�
w
D
O
z
0
w
YOU
O r
w 0
-,,01a a o
W
.�..�.�
_� U O
w w
�.... ,
❑ ❑ ....._..
p
j�,�
II
��
II
}
Q
. . ...
O W
F
C) w
U
w '.
Q U 1 ',
tl
w Q W
w > a
U
w
!] Q
C,O
(L a z
J
O a
Q
w
m H=
rIn
w
e1
D
of au
>
Z =
O
> LL
O
Z
a a w w
a
0 J
z>a�
w
D
O
z
0
w
YOU
w
O
w w
fU
w
twit
D V !�❑
❑
7>
o
s X
w w
cx w
uj O¢
m
J
O a
r W
I OL
W W
O
J J
O O r
a a w w
U J J
w
D
Z Z O O
a
Z
a a
r r
w
N 3
W
X X W W
w
W W Z Z
J
o x