ENG2020-0515 ROW PERMITOF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
AveRIGHT
980ENG2020-051551
www.cityofedmonds.gov
Description: COMCAST-OVERLASH APPROX. 782' AND MAINTENANCE SPLICE
ISSUED: 12/29/2020
Address: 24126 100TH AVE W EDMONDS WA 98020-5704
EXPIRES: 06/29/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00555000000100
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
J. Majuuga/ 12/29/2020
RELEASED BY DATE
Printed: Tuesday, December 29, 2020 10:50:15 AM 1 of 2
WAY EUC PERMIT
PERMIT NUMBIER,
City of Edmonds
Ave-KRWOF
•:• •ENG2020-0515
www.cityofedmonds.gov• •
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
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 REQ
Maintain erosion and sedimentation control per City and SWMMW standard requirements.
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 any and all claims for damages of whatever nature, arising directly or indirectly from the
HOLD HARMLESS
issuance for 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 and 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.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
INSPECTIONS
INSPECTION TYPE DATE RESULT
COMPLETE
X-2 ENGINEERING FINAL"
Printed: Tuesday, December 29, 2020 10:50:15 AM 2 of 2
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15PU'Y 2020
ROW PERMIT NO.: ENG 2020-0515
CITY DEEDMNDS
DLOPMEENT ISSUE DATE: 12/29/20
EVE
SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME:
EM55 1X1 to 2X2, SWAP
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) : STARTING AT POLE NEAR 24126100TH AVE W, BEGIN OVERLASH APPROX. 782'
TO POLE NEAR 24324 100TH AVE W. MAINTENANCE SPLICE PER MARKED LOCATION. JB0000430603 - 1
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
Contractor or Agent
DATE 12/17/2020
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Right of Way
Completed By:
Scott Vermeys
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Completion Date:
12/10/2020
Address
24126 100TH AVE W, EDMONDS, WA
Q M C A S T
Survey Revision Date:
Survey Revision Task ID:
Footages Entered On Route Overview Sheet
Engineered For:
Project Manager:
P2 ID:
JB0000430603
Additional Pages Needed
No
New Ped
❑
Pole
New Vault
❑V
Lock Box
■
Existing U/G
Footage
150'
Existing Aerial
Text Box
Text
New U/G
CaIlout Arrow
New Aerial
New Tap
0
Interior Path
Phase Identifier
❑i
Footage Break
■
H
Power Supply
Fiber Splice Point
•
CO
Hard Surface Cut
Right of Way
Provide Clear Detail about the Project
Construction Notes:
MAINTENANCE SPLICE PER MARKED LOCATION.
SUFFWt DATA
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Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
w per city standards that is caused or
occurs during the permitted project.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
ONE-11-ANE, TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT TO SCALE
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Route Overview
Completed By:
Scott Vermeys
Address:
24126 100TH AVE W, EDMONDS, WA
Completion Date:
12/10/2020
Footages
10�,
COMCAS T
Survey Revision Date:
New Aerial Coax
Overlash Coax
New UG Fiber
Survey Revision Task ID:
New Aerial Fiber
Overlash Fiber
Existing UG Fiber
Engineered For:
Inside Footage
New UG Coax
Total Aerial
0
Project Manager:
Conduit Only
Existing UG Coax
Total Underground
0
P2 ID:
JB0000430603
Are Additional Pages Needed
No
Total Private Footage
Legend
New Ped ❑
Pole
Vault ❑V
Lock Box
�J'New
h
Existing U/G
Existing Aerial
New U/G
Foota a 150'
g
Text Box Text
-
I
! i_I I
L `l-
Edmonds Way
t ``zs,.c Q`-� �---'
Callout Arrow
t
New Aerial
Interior Path
New Tap
Phase Identifier
- ,—�--\ --�
l j ''•
t
° z1�rsr s.y '-- r
„_
�;
Footage Break
g
iH
Fiber Splice Point
PS
Power Supply
_ ` -
zYi•a n• sv� =aJ1_- .
CD
Hard Surface Cut
— t
,,,, - —'
z� _
j,,.
� 1
1
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Route Overview
Provide Clear Detail about the Project
Construction Notes:
\;
I I p
�L
j ���;
�?
2 1h e - _�- 1 t_
Wri.LN "'
1OVERLASH
Edmonds
STARTING AT POLE NEAR 24126 100TH AVE W, BEGIN
APPROX. 782'TO POLE NEAR 24324 100TH AVE
W. MAINTENANCE SPLICE PER MARKED LOCATION.-
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L-1
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Route Overview
Completed By:
Scott Vermeys
Address:
24126 100TH AVE W, EDMONDS, WA
Completion Date:
12/10/2020
Footages
COMCAST
Survey Revision Date:
New Aerial Coax
Overlash Coax
New UG Fiber
Survey Revision Task ID:
New Aerial Fiber
Overlash Fiber
Existing UG Fiber
Engineered For:
Inside Footage
New UG Coax
Total Aerial
0
Project Manager:
Conduit Only
Existing UG Coax
Total Underground
0
P2 ID:
JB0000430603
Are Additional Pages Needed
No
Total Private Footage
Right of Way
Completed By:
Scott Vermeys
A r
\, ✓ _
•�jl �� ;, c • ' `� rE;
/` ;,
`-
S
Completion Date:
12/10/2020
Address
24126 100TH AVE W, EDMONDS, WA
C'0MCAST
Survey Revision Date:
Survey Revision Task ID:
Footages Entered On Route Overview Sheet
Engineered For:
Project Manager:
P2 ID:
J60000430603
Additional Pages Needed
No