ENG2021-0136 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
98020 1 1
www.cityofedmonds.gov
Description: ZIPLY-PULL FIBER CABLE, RISER UP, AND OVERLASH ISSUED: 06/30/2021
Address: 750 EDMONDS WAY EDMONDS WA 98020-5126
EXPIRES: 12/30/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27032500306200
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735
OWNER HCP SUN1 EDMONDS WA LLC 2235 FARADAY AVE STE 0, CARLSBAD CA 92009
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
ENGINEERING INSPECTION FEE
$110.00 $0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00 $0.00
•
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
06/30/2021
:»•>/F9:1H ]1
DATE
Printed: Wednesday, June 30, 2021 12:41:40 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
•:• •ENG2021-0136
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.
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.
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
A-1 JOB START
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Wednesday, June 30, 2021 12:41:40 PM 2 of 2
nF EVA,1(-),
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ROW PERMIT NO.: ENG 2021-0136
ISSUE DATE: 6/30/21
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 5504204-166
CONTRACTOR: Pacific Cable Construction
Mailing Address: PO Box 573 Woodinville, WA 98072
State License #: PACIFCC954PJ
City Business License #: 3636CON1096
CONTACT: Victoria Comer & Mike Hakahan
Phone #: 830-513-6614 & 425-949-0230
Fax #:
Email #:
ictoria.comer zi I .com & mike. hakahan zi I .com
Liability Insurance &4 Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 750 Edmonds Way, Edmonds, WA
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit9
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Telecommunications and broadband provider Ziply Fiber
at 1800 41st St. Ste. N100, Everett, WA 98203 to pull new fiber cable from 750 Edmonds Wav to Pole 4 in existinq underqround
conduit and splice at pole 4
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes V No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes V 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 ���� �� - Project Coordinator DATE 4/13/2021
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Manifest
52 x Barrel
5 x W21-7 utility work ahead
2 x W20-7A Flagger Ahead
1 x Arrowboard (Chevron)
1 x CW20-4 one lane road ahead
1 x Keep Left
1 x Left Turn Lane Closed Ahead
1 x lit barrel lit barrel
1 x OW-122 Right lane closed ahead
1 x R3-2 no left turn
1 x R3-5 right only
1 x W4-2 road narrows
Legend Call WSDOT 5 Minutes Prior to ww.invarion.com
• Barrel Setting Lane Closure and After Clearing Lane
Bucket Truck 206.3440.4490
0 CW20-4 one lane road ahead NOTIFY WSDOT 48-72 HOURS PRIOR TO START OF
Flagger WORK. CONTACT BONIE NAU AT 206-440-4471
Keep Left NOTIFY® IRE
WORK HOURS 9 AM TO 3 PM M-F ONLY.
O Left Turn Lane Closed Ahead UTILITY AND POLICE
O OW-122 Right lane closed ahead WORK NO FEDERAL HOLIDAYS 72 HOURS IN ADVANCE
AHEAD
® Pole �djust Controls as Needed
R3-2 no left turn W 21-7 Place Road Work Ahead on any side road within 100 feet of the Work lone
0 R3-5 right only
Truck Mounted Attenuator
W20-7A Flagger Ahead
W21-7 utility work ahead
\ II W4-2 road narrows
oo\
ar \
UTILITY 'p \
WORK �J\
AHEAD
350' \
W21-7 \
RIGHT LAN \
CLOSED \
AHEAD
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
50/70
40
80
35/45
30
60
25/30
20
40
SIGN SPACING = X (1)
FREEWAYS & EXPRESSWAYS 55 ! 70 MPH
1500' t
RURAL HIGHWAYS 60 / 65 MPH
800' t
RURAL ROADS 45 / 55 MPH
500' f
RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH
350' t
RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH
RESIDENTAL & BUSINESS DISTRICTS
200' t (2)
URBAN STREETS 25 MPH OR LESS
100' t (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE
RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
LANE
Posted Speed (mph)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605
660
-
-
12
125
180
245
320
540
600
660
720
780
840
OW-122 \
\ UTILITY
WORK
\ AHEAD
I I \
• \ W21-7 d
VV
Notes:
1. Maintain ped. access to
and through crosswalks
2. Maintain Min. 11' lanes
3. Maintain local access
4. Notify Transit Authority
at least 48 hrs. in advance
of bus stop closure
5. Traffic control plan and all
devices shall comply with
MUTCD, PROWAG & WSDOT
6. DEVICE SPACING
Flag Taper 20'
Signs per WSDOT
Tapers per WSDOT
7. 28" Cones
36" Barrels
48" Signs
24" Paddle
8. Adjust to field conditions
4-2 • \ �h�r3,
•
P4
BU FFEFR C)ATA
BU FFER SRAC E=B
SPEED (MPH)
25 30 35 40 45 50 55 60
65 70
LENGTH (FT)155'200'250' 305' 360' 425' 95' 570' 645' 730'
PROTECTIVE VEHICLE WITH TMA ROLL AHEAD DISTANCE
TYPICAL PROTECTIVE TYPICAL PROTECTIVE STATIONARY
VEHICLE TYPE VEHICLE WITH TMA OPERATION
WITH TMA LOADED WEIGHT (LBS) (FEET)
YARD DUMP TRUCK MINIMUM WEIGHT 15,000 LBS. 30' M I N
SERVICE TRUCK. (MAXIMUM WEIGHT SHALL BE
IN ACCORDANCE WITH 10�' MAX
FLAT BED, ECT. MANUFACTURE RECOMMENDATIONS)
ROLL AHEAD STOPPING DISTANCE ASSUMES DRY PAVEMENT
PROTECTIVE VEHICLE IS RECOMMENDED REGARDLESS IF
TMA IS AVAILABLE. IF NO TMA IS USED, THE PROTECTIVE
VEHICLE SHALL BE STRATEGICALLY LOCATED IN THE FEILD TO
SHEILD WORKERS AND NO ROLL AHEAD DISTANCE IS GIVEN
W20-7A • \
\ ENGINEERING DIVISION
REQUIRED \ APPROVED AS NOTED
06/30/2021
\
SITE SPECIFIC NOTES
Applicant shall repair/replace all
damage to utilities or frontage \
improvements in City right-of-way \
per city standards that is caused or
occurs during the permitted project. 71 \
\ oe
cf-
OWNER/CONTRACTOR IS RESPONSIBLE FOR \`JT
EROSION CONTROL AND DRAINAGE \ Zi
so
g \4
N \ RR
CUSTOMER: 4 f 0
0
CONTACT: Victoria Comer
830.513.6614
LOCATION:
750 Edmonds Way
Edmonds, WA
DATE: W/O #
04/06/2021 5504204-166
K & D SERVICES
TRAFFIC MANAGEMENT
DESIGNED BY CHRIS SCHALEGER
OFFICE: 800.343-4049
CELL: 425-765-1153
WATCP@KNDSERVICES.NET WSTCS#011563
RESUB
JUN 25 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
PLEASE SCHEDULE
WITH DISPATCH
@ 800-343-4049 OPTA
AND PROVIDE A
COPY OF THE APPROVED
TRAFFIC CONTROL PLAN
K&D Services, as the preparer of this traffic
control plan makes no representation as to its'
general adequacy or being approved for implementation.
Approval must result from the Traffic Engineer or
other Public Official having statutory enforcement authority
in the jurisdiction. Utilization and implementation of this
plan shall be a result of that approval.
Ref. MUTCD 2009 6A-01 (10)
PLANNING NOTES:
OSP Blanket WO NUMBER: 5504204-166
Title: HLLK - 10M - ASR#3386956 - SUNRISE SENIOR LIVING, 750 EDMONDS WY, EDMONDS, WA
Estimated Release to Construction: 3/31/2021
Estimated In -Service: 5/5/2021
Planner: Jeff Ast
Phone: 817-602-6748
WHERE:
Customer: AT&T
End User: SUNRISE SENIOR LIVING
Address: 750 EDMONDS WAY, EDMONDS, WA
CKT Type: 10M
CKT #: 86/KQGN/313318/ /NWFC/
EWO #: TBD
DSAT#: 2090550
Ticket # N/A
Customer Contact: LCON NAME: KRIS BATISTE 425-314-4502 / EDMONDS.ED@SUNRISESENIORLIVING.COM
OA/EXCH: 032/51419
Copper Term: C95ES F859
Count: C95ES DCS,401-500
Fiber Term: N/A
Count:
Fiber Trunking Schematic: K:\Cadtel Production DWGS Western\WA ID OR Planning Schematics\CONVERTED WA ID Schematics to DWG
Files\Planning\FTRK-SCM-Western WA\ HLLK_FTTCS_FTTP.dwg Sheet 16
Fiber: FC1031,380 back to Halls Lake CO (HLLI<WAXX) on 2100, Bay: FDF-011, M/S: 11 Connector: 20
WHAT:
Pull a 500' 6-Port Tail from the MPOE through existing conduit to Snohomish County PUD Pole-4. Riser Up Pole-4 and continue Southeast along Edmonds
Way over -lashing existing Aerial facilities to Pole-28 at Edmonds Way and 102nd PI West. Continue back to the Northwest to the Aerial Splice on Pole-30.
Splice FC1031,380 (Fiber 32 of the 144-Fiber Cable IPID-79679) to Port#1 of the 6-Port Tail.
Test Fiber FC1031,380 from the MPOE to Halls Lake CO (HLLI<WAXX) 2100 FDF 011-11-20.
Place NID and turn -up service.
WHY:
Customer has Requested a 10M service on ASR#3386956.
ASSOCIATED ESTIMATE / PROJECT NUMBERS:
Associated Project 5504204-XXX for ETX-203AX RAD NID will be Associated in Varasset after release to Engineering.
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 4/1/21
❑ CIAC IN SERVICE DATE
❑ DAMAGE 5/5/21
❑ OTHER
CONSTRUCTION
® FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
® DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN JPN
OWNER TO FROM
❑ ❑ ❑ POWER
❑ ❑ ❑ CATV
❑ ❑ ❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES ❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT.
KRIS BATISTE 425-314-4502
SCHEDULING
PHONE:
ENGINEER:
PHONE:
FACILITIES:
PHONE:
FIELDED BY:
JOHN WOOD
425-949-0230
TIM RENNICK
425-263-4025
LIZ KOSTEL
425-263-4005
N/A
� zipyrioer
HLLK - 10M - SUNRISE SENIOR LIVING
750 EDMONDS WAY, EDMONDS
PROJECT 5504204166 C.O. AREA: 962
-
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN CNTY: SNOHOMISH
4/1/21 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: DWG 1 OF 3
TWNSHP: 27N RNG: 3E SEC: 25C
REV. NO.
DATE
BY
REASON
W. 0. NUMBER
ISD
ASSOCIATED PROJECTS
FIBER TRUNK N G SCHEMATIC HLLK FTTCS
TTPTE NO.
1
3
11 21
EM
ADAUGEO INTERPATH
LABORATORY
EST 8149
4 30 21
2
3
11 21
EM
TR INTERNATIONAL
5504204-tbd
4 30 21
ROUTE NAME HLLK FTTCS on FTTP
Fiber
SHEET
15
3
3 24 21
JCA
SUNRISE SENIOR LIVING 750 EDMONDS WAY
5504204-166
4 30 21
5504204-TBD
ENG. BY
J. FALLT
CABLE:
CABLE:
CABLE:
APP. BY
CALC.
MEAS.
CALC.
MEAS.
CALC.
MEAS.
LOCATION OF FDH 2O27: N
N
33rd
Ave W
z19000
z
z
RBN 216
New Edge Network Inc
FC1028,1-816+
FC1028,1-240+ 00
H2O27,1-144+
H2O27,373-375+
(AMC Theater)
c°
—
n
o XD,817-864
--
o--YJD432-SM
FC1028,1-432+
XD,241-288 FC1028,97-144
YJD288-SM—YJD48-SM
`'
H2O27,373-428+
XD,201-216 --.
FC1028,106 18733 33rd Ave W
H2O27,373-384
—RBN12-SN 4PORT#104556 5236159-119 4/22/19
ASR# 3226889
o
FC1028,106 to H2O27,376
LOCATION OF
FDH 2O10:
N O
192ND ST
SW
� N o o
N z=z
ASR#3386715
00
�
FC1028,1-408+
o z mz
N H2O10,1-204+ 6XD+H2O10,103+ H2O10,103+
ADAUGEO INTERPATH
ca
6
z
FC1028,1-864
XD,409-432 FC1028,361-384
C z�
= XD,205-216
XD,8-48 XD,2-6
O
YJD864-SM
E YJD432-SM� YJD24-SM
RBN216-SNP
RBN48-SNP 6-Port Tail
LABORATORY (20M)
o
N
19505 52ND AVE
v ri
o
LYNNWOOD, WA
Lu �
_Q
co o r
Y Z
0
O
J(0
cn o
FC1031:1-480 +
FC1031,349-390+
z=
o z mNz Lon
ASR# 3386572 (1000M)
J O
u-
m
o
�
ooQ
f f UG—YJD864-SM
XD,481-864
xD,1o9-110+
YJD144-SM
zuz
6 port tail
TR INTERNATIONAL
22817 102ND PL W
_ o
o z
EDMONDS, WA
Li n
O
d
—
FC1031,349-390+
NOT A RED
w �
FC1031: 1-480 +
XD,43-78+
XD,79-144
JUMPER JOB FC1031,380+
ASR#3386956 10M
( )
Q a-
7
o
`''
CDLI
o
UG—YJD864-SM
XD,481-864
YJD144-SM
XD,2-6
6 port tail
SUNRISE SENIOR LI VING
750 EDMONDS WAY
�
o
J
o z
0POLE-30
EDMONDS, WA
J
I
Li m
Q m
r
N
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 4/1/21
❑ CIAC IN SERVICE DATE
❑ DAMAGE 5/5/21
❑ OTHER
CONSTRUCTION
® FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
® DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN
JPN
OWNER TO
FROM
❑ ❑
❑ POWER
❑ ❑
❑ CATV
❑ ❑
❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES
❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER
❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER
❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER
❑ 64XX.XXX MAINT.
KRIS BATISTE 425-314-4502
SCHEDULING:
PHONE:
ENGINEER:
PHONE:
FACILITIES:
PHONE:
FIELDED BY:
JOHN WOOD
425-949-0230
TIM RENNICK
425-263-4025
LIZ KOSTEL
425-263-4005
N/A
� zipyrioer
HLLK - 10M - SUNRISE SENIOR LIVING
750 EDMONDS WAY, EDMONDS
PROJECT 5504204166 C.O. AREA: 962
-
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN CNTY: SNOHOMISH
4/1/21 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: DWG 2 OF 3
TWNSHP: 27N RNG: 3E SEC: 25C
,s
��. FTTP PI
\\ \moo LLKWAX
s
9
728 EDMONDS WAY
,J
1063 \ `
HLLKWAXX "77965 �\
IN: H I] LKWAXX H5014,424-425+
XD,3-4
OUT:
:: :_� /Y�// A/
00 11.2008
- 1000FT 4
4,420-423
C�
y�P �
i `\
246'
AKF 900 26
C95ES DCS,1-900
/ 00
// FT P11.2008 PIGTAIIL 50OFT 4
P4\,
PUD
2422 196'
AKF ' J0 24
C95ES DrS,401-500
HLLKWAXX 44740 Ln >-
UNK-FAP 00 O�
HLLKWAXX FC1031,38 cn fi `
XD,2— �
,
SUNRISE SENIOR LIVING P30HH uD
750 EDMONDS WAY I FT-383703 -�
HLLKWAXX H5014 /
FDH 48/432 C960
IN: HLLKWAXX FC1031,373-383+
XD,384-386+ A�
XD,15-24
OUT:HLLKWAXX H5014,1-432 \PU
HLLKWAXX 806
IN: HLLKWAXX H5014,407 7408+ rval �9SFS
XD,3-4
OUT:
PEND 5504204-136 250 2J
FTTP PIGTAIL 500FT 6 w
HLLKWAXX FC1031,381
HLLKWAXX H5014,424-425+
XD,�-4
1066 11.2008
ABN 2421
HLLKWAXX H5014,1-276+
/ XD,277-288
\ 0u '
FTTP K70 J00FT 6
HLLKW,A" ' r �� 031,380+
X11711, =-6 I
P2\
niIn ,
Rev.1
Existing aerial common utilities terminal
77965 shown with blue in ROW directly
above riser building entrance conduit. Pull
new service drop down riser building
entrance conduit. All work occurs in private
property within yellow highlighted lot lines.
Parking in street preferred with truck for
ease of access by TCP permit.
"Red jumper" FC1031,380 into H5014,424.
E211
HLLKWAXX 545902
IN: XD,1-5+
HLLKWAXX FC 1,381
OUT:
CS
r.-II a 500' 6-Port Tail from the MPOE throu�'
existli.L conduit to Snohomish Countt 1"iD
Pole-4. Rise,- Up Pole-4 and contiq
Southeast along �-Imonds Wi.V over -lashing
existing Aerial facilitie. 'i Pole-28 at
Edmonds Way anr' _L02nd r; VV. Continue
back across 1 'Jznd PI W to the N,-~thwest to
Pole-30, .jown the riser to splice in ha,:-Ihole
at 1,ub H5014.
P- 03Z \
\ PU
\\ 4231 11.2007
RBN 144
HLLKWAXX FC1031,349-390+
D,43-78+
X 79-144
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 4/1/21
❑ CIAC IN SERVICE DATE
❑ DAMAGE 5/5/21
❑ OTHER
CONSTRUCTION
® FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
® DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN
JPN
OWNER TO
FROM
❑ ❑
❑ POWER
❑ ❑
❑ CATV
❑ ❑
❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES
❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER
❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER
❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER
❑ 64XX.XXX MAINT.
KRIS BATISTE 425-314-4502
SCHEDULING:
PHONE:
ENGINEER:
PHONE:
FACILITIES:
PHONE:
FIELDED BY:
JOHN WOOD
425-949-0230
TIM RENNICK
425-263-4025
LIZ KOSTEL
425-263-4005
N/A
zipyrioler
HLLK - 10M - SUNRISE SENIOR LIVING
750 EDMONDS WAY, EDMONDS
\� PROJECT 5504204166 C.O. AREA: 962
-
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN CNTY: SNOHOMISH
4/1/21 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: I DWG 3 OF 3
TWNSHP: 27N RNG: 3E I SEC: 25C
A