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ENG2020-0101OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds AveRIGHT 980 1 1 1 1 www.cityofedmonds.gov Description: FRONTIER -REAPPLYING FOR EXPIRED PERMIT ENG2019-0301 ISSUED: 03/19/2020 Address: 1428 9TH AVE N EDMONDS WA 98020-2626 EXPIRES: 09/21/2020 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00608300000302 NAME TYPE NAME ADDRESS PHONE APPLICANT Frontier Communications Attn: Shelley Haugstad, Everett WA 98201 (425)261-0134 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA98072 (425)348-7735 OWNER RAETZLOFF TIMOTHY D & JANET E 1428 9TH N, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00 REQUIREMENTS REQUIREMENT TYPE NOTES TRAFFIC CONTROL 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 posession. RESTORATION 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 WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED INDEMNITY The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 1..lVhu&tga 3/19/20 RELEASED BY DATE Printed: Thursday, March 19, 2020 10:48:59 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • ., CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or DAMAGE TO FRONTAGE frontage improvements in city right of way per city standards that is caused by or occurs during the IMPROVEMENTS permitted project. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. ENGINEERING OTHER Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQUIRED Maintain erosion & sediment control per city standards. Applicant on behalf of his 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 HOLD HARMLESS any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. 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:OOam to 6:OOpm on SOUND OR NOISE weekdays and 10:OOam to 6:OOpm 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. UNDERGROUND UTILITY Call for locates of underground utilities prior to any excavation. LOCATES • INSPECTION TYPE DATE RESULT NOTES COMPLETE X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL E-7 RESTOR LIMITS E-7 SEWER MAIN Printed: Thursday, March 19, 2020 10:48:59 AM 2 of 2 OF E OtitO�Q� ROW PERMIT NO.: ENG 2020-0101 ISSUE DATE: 3/10/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: W0765745 CONTRACTOR: PACIFIC CABLE CONSTRUCTION Mailing Address: PO BOAC 573 WOODINVILLE WA 98072 State License #: 3636CON1096 City Business License #: PACIFCC954PJ CONTACT: ADAM DIAZ Phone #: 425-261.0134 Fax #: N A Email #: ADAAI.C.DIAZ(q-FTR.CON1 Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 1428 9TH AVE N, EDMONDS, WA ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial LJ Subdivision City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other [l EUC (POD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes No ANY ASSOCIATED PERMITS? EBLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) • FRONTIER TO FIX CROSS BORE FOUND BY THE CITY FRONTIER TO OPEN SMALL AREA TO FIX ISSUE:, CLOSING ONE LANE USING OPPOSITE LANE FOR TRAFFIC. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Ll Year: PAVEMENT CUT: ❑ Yes ® No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes LA No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION AREA TOTIF CLOSURE UMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF N/A Alley 72 Hrs + LF X LF Parking 72 Hrs + LF X LF N/A 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 �. -- 3 /10 /70-F0 Contra r or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE [� END t7t= CZortlD 001Ek- ENGINEERING DIVISION APPROVED AS NOTED: NGRIGGS Date:3/18/2020 ."NER/CONTRACTOR IS RESPONSIBLE ,:OR EROSION CONTROL AND DRAINAGE Applicant shall repalr/replace all damage to utilitles or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project, Q 6ao eF Q°AV u°r V- .. W0765745 CAL. tea- elleiRIP- beef wrmla' us CprjLQLzrer'). CROSS BORE LOCATION r�✓o �0O L \�0 0p LN CONSTRUCTION NOTES FIX CROSS BORE LOCATION T,Q\ 1428 9th Ave N, Edmonds, WA 98020 O J HLLK �RuX BI B19 — V I� I L.�,._ NO DRIVER ❑ FTTP GROWTH THOMAE E146. ❑ FTTP OVERLAY Mpp ❑ FIBER ❑ CONDUIT ONLY T. UCT10N START IN SERVICE DATE ASAP CONSTRUCTION COMPLETE CUTS REQUIRED CONSTRUCTION ElYES N NO :O:NT TRt1: CN ❑ DIAL. A DIG ❑ YES 00 NO [] FLAGGING ❑ BRUSHING SOON REQ'D ❑ CONTRACTING ❑ YES NO REQ'D PERMITS MUNICIPALITY CITY OF EDMONDS MUNICIPALITY ❑ BLANKET Co TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS III� N/A__ _ JFN/NJUNS LNI/�A_ _ CC NO JPN REQUIRED POLO JPN JPN OWNER TO FROM ❑ ❑ ❑ PDWEA ❑ ❑ ❑ CATV ❑ ❑ ❑ FRON'T26R POINT OF CONTACC SCHEDULING PLSS HESSELMAN PHONE No. 360-656-2260 ENGINEER ADAM DIAZ__ PHONE NO.J 23267-0134 _ TECH—PATRICK_y INKLER pxoEE Do_�425] 20-4010__ FIELDED BY f I -tro-lther CROSSBOREEDMONDS 1428 9TH AVE N PROJECT I C O AREA: MAuav+K NUMBER: W0765745 EXCH CODE 51419