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20160131 ROW Permit Pkg 02182016City of Yelm Permit No.`�p��.� J PUBLIC WORKS 901 Rhoton Rd NW Application to Perform Work on Yelm, WA 98597 Public Right of Way and /or Connect Phone: 360 -458 -8406 to Utilities FAX: 360- 458 -8417 Name: APPLICATION The undersigned hereby makes application to: 41 ,E r Location of work: ire o 16 7 I agree to perform the work in strict compliance with Yelm Municipal Code, Chapter , the special conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions applicable to permits contained on this form. The Public Works Department (360- 458 -8406) must be contacted for inspection 24 hours before work commences or this permit will be void. The Underground Utilities Coordinating Council (1- 800 - 424 -5555) must be contacted two (2) working days before roceedin with any excavation associated with this ermit. Name: Address: Phone: Proposed starting date of installation: Duration: Date: Signature: PERMIT REQUIREMENTS For Official Use Only Fee $ Issued Fee Received $ Application Approval Signature: Receipt Number To Be Completed By Ci Permission is hereby granted to perform the above described work subject to the general provisions contained on this form, and the following special conditions: A bond in the amount of is required to insure compliance with the above conditions, refundable upon satisfactory com letion of work. No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with and received instructions from: Remarks: -_ -- - - -- First Inspection Date: Inspector Final Project Coin letion A roN al: ate: p U Revised 03/09/2011 r Chapter 2 E E a gv E E E V �ym m °p E�m V O as n i }2fi Q LL LL B u- yg z i 9 N 2 m E e 2,6 lb w y� v g�Ss g V Stationary Work Zones 4 t m a E Y L m !A m W J �L 0 � S 7 m� A a C .Qi W Z (j IL to 0 � CL wU vi LA U 0 n b S J Q U b n w n z W W W U UI W b U = Uj Z' Q N _> ui ~ w J z z w v Cr b U1 0 w J A a a 0 TCP 5 Typical Shoulder Closure — Low Speed (40 mph or Less) WSDOT Work Zone Traffic Control Guide lines for Maintenance Operations M 54 -44.05 December 2014 Page 2 -7 Stationary wor*zones c2 $7 ■; k )$7� � e .k . e | §® 2 ■,■ t! � k ¥■ :�a LU LL®� LZ 2■n 7I 2 ®\ II! ■ a■!P ■■ ■! I , ■ ■!�§ e 2 a2■§�. k ■■ LU!■! « | IU ), . • . ) § ■ 2§ � � ; • § $I !I $ $ $ k c2 $7 ■; k )$7� � e .k . e | §® 2 ■,■ t! � k ¥■ :�a LU LL®� LZ 2■n 7I 2 ®\ II! ■ Chapter 2 i g k 2 La / § \ § \ k K / TCP § Typical Shoume Closure — High Speed (45 mph or Higher) ws or Work 2 n Traffic C ■tro1Guidelines forMaintenance Operations M54-44.05 December 2014 ) k « ) � � k $ $ $ k 7 # 3 � a E a / � s , ■2 � a ! ® |� � |•� £# | ` f! | ° | x _ q § d & | ° § § x ) ) | G §§ ( 2kk) k Chapter 2 i g k 2 La / § \ § \ k K / TCP § Typical Shoume Closure — High Speed (45 mph or Higher) ws or Work 2 n Traffic C ■tro1Guidelines forMaintenance Operations M54-44.05 December 2014 Chapter 2 j a � h z=i 00 H W S Q 0 f W mui F 1 = W $ or OZ m F= o� I ©� re i I +-j 4 g P • I i 1 I II I bjW Y II S I X K 3s= I � a I PCMS • • • m e W W Stationary Work Zones a b b � n tW7 az LIZ, U w 'A Q U W W ppWW 0 39� n OJ� o w w� Z 0 t4 a $ v w 1 Z v Ed � C a a w � m E LAS z a r e m m g xt s a L? Pm m q y�y 71 I ©� re i I +-j 4 g P • I i 1 I II I bjW Y II S I X K 3s= I � a I PCMS • • • m e W W Stationary Work Zones U � a � w LL LL n Ic m ° a O a � ~ z� n tW7 az LIZ, U w 'A Q U £ W ppWW 0 39� n OJ� o w w� Z 0 t4 a W Q v w 1 Z a U � C a a w � m E LAS GD j m g xt s a !! Pm m q y�y ,W � � a •G � m C R � >g = 3 o m N V V e L 3 C g5 m C m 0 a a ` 2 o a `_ .s $ �e o a W g a o v Z- N t'n Ill CO 1� J D L LL n d � U � a � w LL LL n Ic m ° a O f TCP 7 Typical Temporary Off -Ramp for Multi -Lane Roadways w a � ~ z� LL tW7 az LIZ, U w LL � Q U W W ppWW 0 39� n OJ� o w w� Z 0 t4 a W Q v w 1 Z a U � C a a Q, f TCP 7 Typical Temporary Off -Ramp for Multi -Lane Roadways w ir 2 r� W Q W W j m W W 7d 0 t4 a 0 J g U v w 1 Z � C a a a $ • WSDOT Work Zone Traffic Control Guide lines for Maintenance Operations M 54 -44.05 Page 2 -9 December 2014 Stationary Work Zones P9210 p'�_[F k k - { � f m E � k � §k k 2 0 2 ) a k ( ( { ; � ■ _ _ } 2 } ) k § # t ca \ f \ _ 6 q - � � � � §k -- - -z co LO § k ) o � 2m §g k§ -0 q 2 § § k § ) )§ § k - z / 2 a Ix k § 2 \ § k U a e . TCP 8 Typical T mpo ary On-Ramp fo r Multi-Lane Roadways Chapter 2 \ « 2 § \ \ 2 ) GD k } 2 LLJ F- -1 B WaDOT work Zone T me Control Gui dl e forMaintenance operas M54-44.05 December 2014