ENG2020-0401RIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
• ••� 1 1 1 1Li
www.cityofedmonds.gov
Description: COMCAST-MAINTENANCE CATV SPLICING ISSUED: 11/09/2020
Address: 24126 100TH AVE W EDMONDS WA 98020-5704
EXPIRES: 05/10/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00555000000100
I 11-14111 a
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT COMCAST 1525 75TH ST SW, EVERETT WA 98203 (425)921-8201
CONTRACTOR Cablecom LLC 20021 120TH AVE NE, SUITE 101, BOTHELL WA 98011 (360)668-1300
OWNER UNKNOWN UNKNOWN, UNKNOWN WA
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
11 /9/2020
RELEASED BY
DATE
Printed: Monday, November 09, 2020 12:15:40 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
AveA•:•• 1 1141
www.cityofedmonds. ov/425.771.0220
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
lip
COMPLETE
X-2 ENGINEERING FINAL**
Printed: Monday, November 09, 2020 12:15:40 PM 2 of 2
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RECEIVED 10/9/20
ROW PERMIT NO.: ENG 2020-0401
ISSUE DATE: 11/9/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME:
CONTRACTOR: COMCAST - CABLE COM
Mailing Address: COMCAST-1525 75TH ST SW EVERETT, WA 98203
CABLE COM 20021 120TH AVE NE BOTHELL. WA 98001
State License #: CABLEL*971DP
City Business License #: NR - 021818
CONTACT: COMCAST- JOURDEN LAWRENCE
CABLE COM - SUNSHINE CRABBS
Phone #• JOURDEN LAWRENCE-425.921.8201
SUNSHINE CRABBS - 360.312.32559
Fax #:
Email #• COMCAST -JOURDEN_LAWRENCE@COMCAST.COM
CABLE COM - SNOHOMISH.PERM ITTING@CABLECOMLLC. NET
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 24126 100TH AVE W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ® Traffic Control (Only)
❑ Multi -Family ❑ Single Family
Sf EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : MAINTFNAN(F CATV SPI ICING-.IR0000368579
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ® No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes ® No If yes, indicate size of cut: X.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
X
LF
SF
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 ��-10� DATE 10/9/2020
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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Prepared By: Ian Graves Rev. Date Footages Sheet Number:
Date: 8/31/2020 ROW Aerial 1 5727 JPrivate Aerial
ENGINEERED FOR: 0 Project Manager: Chris Olsen ROW Underground JPrivate Underground
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