2014-15 ROW Permit 08112014 6 5,A 17 -'i f rotfeL71 P I C Wr lki
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2014-15
ttr (-'itN, of Yellin Permit No.
PU61,1C WORKS
901 Rhatati 1W N-" ,Application to Perform Worl, on
Yelm,WA 98597 Public Right of Way and;'or Connect
Phone; 360-•58-8406 to Utilities
FAX: 360-458-8417
mm APPLICATION
The
—11n�fer- Pet] hereby makes application tu:
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l.ocationtofwolk ....... ......... ............... . .....
I agree to perform the work in strict compliance Nvith Yelm Municipal Code,Chapter the specia
conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions
-alicable to ltarctroits contained on this Form.
The Public Works Department(360-458-8406)must be contacted for inspection 24 hours before work
commences or this Uermit Mill be void.
The Underground Utilities Coordinating Council (1.800-424-5555) must he contacted two(2)working days
befor r ceedn wl
arn
At dr --S
Proposed
Date:
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PERMI RE UIRENMENTS
Te—e—F7 3 sFotic Official Use OnIN .......
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........................
1 cc
Received S Application Approval
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To Be Completed By City
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this ('orro, and the foHoydii�ieciul ca ndiitiovs:
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A bcmd ifl the amount of, is required to insure comphance with ti �;bovk,
condidom,,,,refundaWe up"�n slatisKactoyy coljjpjeti�m of'work-
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Job#874014953
9336 Mountain View Ed SE Yelm,WA
Augt..rst 7, 2014
Sheet 1 of 1 sl.epheri.gadke@pse.com
(206)418 4217
i
�a MOM Notes:
W 1,All signs and spacing to conform to the MUTCD
and City of Yelm standards,
O GS3Sf11Y y�
C!n "Ivffl urrra 2.All sidewalks, driveways,exits and egresses shall
DO m" LU be completely clear unless otherwise indicated.
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' 5 3. Channelizing devices are 28"traffic cones.
L± 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
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traveling lane width.
6.Alert affected residents and businesses.
I 7.Work to take place between 9 a.m. and 4 p.m.
8.Work area will be approx. 14'E of C/L of
Mountain View Rd SE&950'N of C/L of Yelm Hwy SE.
SPRAUGE ST SE ��
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2 TRAFFIC IC CONE °
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° Traffic Controd Supervisor.
O� Stephen R Gadke
BORE PI I � �6 tru IA F'',,a U" Card No.007599
C) CLOSED �car Carr)Exp.5/31/2017
u TRAFFIC FLOW AHLAO,' � ste Irerr.r.adke
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��la1fY'x (206)418-4217
FLAG GER WORK yo
WORK VEHICLE � m.w.-... .— __
DEVICE SPACING
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SIGN B_OCA1.IOIV � " . .. F2 TANGENT
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35/40 4f3 80
WARNING FLAGa r }0
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