ENG20160430.pdfEdmonds Way &10NAve VV/&9QAve VV&Edmonds Way
Job# 87400012
Perform yearly inspections at wire box and get read at 4 locations as shown on site
Duration: 15 mins at each location.
Traff icPlan provided for traffic control. Police &fla88er&additional people on
site.
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F ; ROW PERMIT NO.: ENG t (e
ISSUE DATE:
RIGHT-O&WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: PSE-CP-InspectionYearly Maint.
CONTRACTOR: Puget Sound Energy/Corrosion
Mailing Address: 6500 Ursula PI S, Seattle WA 98108
State License #: PUGETSE032J1
City Business License #:
CONTACT: Betty Frank
Phone #: 206-716-2641
Fax #:
Email #: betty.frank@pse.com
❑ Liability Insiu•ance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 10016 Edmonds Way, Edmonds
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Otlier
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
I ANY ASSOCIATED PERMITS? [iLDE:ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Annual maintenance inspection on test sites at
4 different locations on Edmonds Way as shown on site plan.
Traffic plan provided for different locations. Job ref#- 1719901, 1719905, 1719906, 1719900
Duration 15 mins each location. For PSE reference- TS's 032991, 051735,051736,032911
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes Q No If yes, indicate size of cut: x.
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
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