ENG20160447.pdfSTATUS: ISSUED
1215TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
, *
Permit Number: ENG20160447 Expiration Date: 07/06/2017
Job Address: 23616 EDMONDS WAY, EDMONDS Location: 23616 EDMONDS WAY
sNOHOMISH COUNTYPUD SNOHOMISH COUNTY PUD
GO MARYMCALLISTER CIO MARY MCALLISTER
P.O. BOX H P.O. BOX H
EVERETT, WA 98206 EVERETT, WA 98206
(425)670-3216
LICENSE #: EXP:
JOB DESCRIPTION
locate etdsting distribution pole for the city of Edmonds. No tree
,SSESSED VALUE: $0.00 PROPERTY AREA: 0
[DEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
ARKING: { 0X0) DURATION IN MONTHS: 0 FEE: $0.,00 YEAR OF OVERLAY: 0 FEE: $0„00
.LLEY: ( 0X0) DURATION IN MONTHS: 0 FEE: $0,,00
INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that maybe made against the City of Edmonds or
any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS.RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE O F THE W ORK
• 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•
posseson.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,.
--Printed: Friday. January 06, 2017
Chi kit a Wa klia( 11612017
RELEASED BY DATE
El FILE COPY ❑ INS PECTOR COPY 0 APPLICANT COPY
TUS: ISSUED
ENG2016
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• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to; approved working drawings and Traffic Control plan.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements
•
Applicant shall repair/replace all damage to utilities or fiontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating from temporary construction sites; as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only, during the hours ,of 7:00amto 6:00pm on weekdays and 10:00am'and 6:00pm on Saturdays,excluding
Sundays and Federal Holidays. At all other times the noise originating from construction' sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf ofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold'
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this pemnit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
INS PF("FIONS
• E -Traffic Control'
• E -Engineering Final,'
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE: INITIAL:_ NOTES:
DATE: INITIAL: NOTES:"
DATE: INITIAL:m
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