2014-10 ROW Permit 06102014 01/11/2®11 F&r.t 9;06 FAX 3604'588417 Cxt 0frelml Public workes 0004/004
city f Yel;tn Pet°gait No. , d
o PUBLIC WORKS
901 Rhoton Rd MV Application to Perform Work on
Yelm,WA 98597 Pubiie Right of Way and/or Connect
Phone: 360-458-8406 to Utilities
FAY: 360-458-8417
APPLICATION
T he uncGrsw
;rigid hereby r_1 to a - L
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Location of work:
agree perform ye compliance s �ep d pter
the special
conditions enumerated herein and the attached conditions have read and will adhere to the general provisions
The Public )s tcrinits contained on this form.
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Works Department(360-458-8,106)must be contacted for inspection 24 hours before work
commences or this Iwrniit will he void.
The Underground Utilities Coordinating Council(I-SOU-42—)- 50 m5) u s-t 7be c—on.—(act.e.d_t`w o-_(_2)worki�ng days
Nam e: . .... —
��tc�rc s � taon associated w�
� -- � �_� .�.,^ . [h this ernatt .n... ._W�
before ,pro eeding with tin excava
pro osett starting date installation:� e t a. f I a nc.� (02
rti _ �" �`� Duratabrt 4 W_
Dater �.� ( Signature: °
For Official Use
Issued
F'ee ,
tea er t ,-p —A—wp '.
I°e�itecetve S Application Approval
t tumtr r Signature:
To Be rC�onipletedyCi�t ... _..
LLPerrnlssion is hereby granted _. . .....
to perform the above described work subject to the general provisions contained
on this iorm and the i'oliowiarg sE�E!a1 eortdtt.__
A bond in the amount o1` ... ._....�..___..... is required to insure c®. .�..�._.�� ..� ...
anplittnce witlr tlrc above
tianwtoirkrshait rchindable
ne u 1R�r this permit until the o�p �parties to whom it is granted shalt have
ltannq;nicated with and received instauetivns from
s
V ar t Iirsaetaa�ru Inspector Final Project I)at
aet Coop giio App a.� .
Rovised 03/09/20l 1
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InfraSourcee
i A 4QuANTA SERVICES 00I PANY
OJob#106281964
o 9144 Burnett Rd SE,Yelm,WA
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June 3,2014
av34 Sheet 1 of 1 jiwon.suh @pse.com
o pCbt� (206)418-4218
a aM srro 1
QInfraSource,LLC
CD Traffic Control Supervisor:
D Stephen R Gadke
Card No.007599
u Card Exp.5/31/2017
stephen.gadke @pse.com
(206)418-4231
12.5 112.5 ......
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4t Notes:
1.All signs and spacing to conform to the MUTCD
and City of Yelm standards.
11 2.All sidewalks,driveways,exits and egresses
shall be completely clear unless otherwise
�. N indicated.
w4lli, CD 3.Channelizing devices are 28"traffic cones.
w 4.Sign size can be a minimum of 36"x 36"and
shall not obstruct pedestrian access.
5.Crew is required to leave a minimum of 11'for
" traveling lane width.
6.Alert affected residents and businesses.
u 7.Work to take place between 9 a.m.and 4 p.m.
8.Work area will be V ECL of Burnett Rd SE&
479'NCL of Yelm Hwy.
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� w
C Q
o LEGEND
® 28"TRAFFIC CONE
BORE PIT CV
ONE LANE
BEAD => TRAFFIC FLOW
M
ro t2OA0 0 ' FLAGGER
WORK Cv
AfiEAO
CHANNELIZATION w WORK VEHICLE
DEVICE SPACING
MPH TAPER TANGENT 'r I SIGN LOCATION
55!70 40 � 80
2513 0 30 60 WARNING FLAG
35%4 20 40