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ENG2022-0007 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0007 www.cityofedmonds.gov• • Description: ZIPLY-REMOVE BO POLES; WORK ALREADY COMPLETED ISSUED: 01/24/2022 Address: 18907 80TH AVE W EDMONDS WA 98026-6007 EXPIRES: 07/24/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27041800400300 i NAME TYPE NAME ADDRESS PHONE APPLICANT CAITLIN REID 1800 41ST ST STE N-100, EVERETT WA 98203 (425)261-6488 CONTACT ZIPLY FIBER 1800 41ST ST STE N-100, EVERETT WA 98203 (425)261-6488 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735 OWNER SUZANNE M SMITH 7F 18907 80TH AVE W, EDMONDS WA 98026-6007 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00 • 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 1 /24/2022 RELEASED BY DATE Printed: Monday, January 24, 2022 12:11:05 PM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • 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. TRAFFIC CONTROL Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. 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 A-1 JOB START X-2 ENGINEERING FINAL" Printed: Monday, January 24, 2022 12:11:05 PM 2 of 2 RECEIVED of EpM04O� SECTION A RIGHT OF WAY CONSTRUCTION JAN 10 2022 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal. CITY OF EDMONDS Requirements outlined in Right-of-Wgy permit Handout E6�. DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. General • Project Name 5503822-351 Site Address or if no site address use Property Address at NW corner of project area: multiple, shown below Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Franchise Ordinance No: WN U-17 Point of Contact Mike HaKahan Title Engineer Address 1800 41 St St, Ste N 100 city Everett State WA Zip 98203 Phone 425-949-0230 Email mike.hakahan@ziply.com Contractor and Authorized Agent of Owner (see note below) Name of company Pacific Cable Construction Contractor Contacts Primary Name During Construction Danielle Harrera Agent Name Danielle Herrera Title Permit Manager Title Permit Manager Mobile 425-348-7735 Address PO BOX 573 Email danielle@paccab.com City Woodinville State WA Zip 98072 Secondary Name Phone 425-348-7735 Title Email danielle@paccab.com Mobile City of Edmonds Business License No: PACI FCC954PJ Email State License No: 3636CON 1096 Of Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) This application is for payment processing only. All work has already been finished in the field. No work to be performed in the future. so no TCP reauired. All work complete. This is meant as a record to close PUD JPN 100074072 as related to Ziply Fiber's performance and completion, as tracked on the City of Edmonds "EUC Not Complete" spreadsheet on lines 59-63. Related to ENG2020-0343. 18907 80th Ave W, Edmonds, WA - pole "C" 7919 189th St SW, Edmonds, WA - pole "D" 18824 80th Ave W, Edmonds, WA - pole "A" 18918 80th Ave W, Edmonds, WA - pole "B" 19006 80th Ave W, Edmonds, WA - pole "E" RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + I LF Ix I LF I SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: VZtelecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes x No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? x If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? X 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing underground common utility stem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: x Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more X than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? I I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: Y How many poles are existing in the project area? 5 What is the height of the existing poles? various How many poles are to be removed? 5 Are additional poles to be laced? No How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: Yes How many? 15 1 What is the height of the poles after? same as before Describe the modification rebuild: transfer of attachments SECTION C Traffic Control and Public Safety. 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. Restoration shall 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. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: \-/YV V \-M K-)M V v DATE: 1 /9/2022 APPLICANT PRINTED NAME: APPLICANT TITLE: U Mike HaKahan NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 RECEIVED CITY OF EDMONDS Right -of -Way Application #1074280 - 5503822-351 JAN 10 2022 MyBuildingPerm it.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Caitlin Reid Ziply Fiber Number Street Apartment or Suite Number E-mail Address 1800 41st St Ste N-100 caitlin.reid@Ziply.com City State Zip Phone Number Extension Everett WA 98203 4252616488 Contractor Company Name PACIFIC CABLE CONSTRUCTION INC Number Street Apartment or Suite Number PO Box 573 City State Zip Phone Number Extension Woodinville WA 98072 (425) 348-7735 (206) 730-5945 State License Number License Expiration Date UBI # E-mail Address PACIFCC954PJ 10/21/2023 FDD5877Dq caitlin.reid@Ziply.com Project Location Number Street Floor Number Suite or Room Number 18907 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800400300 Associated Building Permit Number Tenant Name 5503822-351 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Suzanne M Smith Number Street Apartment or Suite Number 18907 80TH AVE W City State Zip EDMONDS WA 98026-6007 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/10/2022 Submitted By: Caitlin Reid Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1074280 - 5503822-351 Project Contact Company Name: Ziply Fiber Name: Caitlin Reid Email: caitlin.reid@Ziply.com Address: 1800 41 st St Ste N-100 Phone #: 4252616488 Everett WA 98203 Project Type Activity Type Scope of Work Franchise Utility Franchise Utility Work No Disturbance of Surface Project Name: 5503822-351 Telecommunications and broadband provider Ziply Fiber is for payment processing only. All Description of work has already been finished in the field. No work to be performed in the future, so no TCP Work: required. All work complete. This is meant as a record to close PUD JPN 100074072 as related to Ziply Fiber's performance and completion, as tracked on the City of Edmonds "EUC Not Complete" spreadsheet on lines 59-63. Related to ENG2020-0343. Project Details Project Information Job Number 5503822-351 Page 2 of 2 ® POLE PLI 9200 Set 4' N YES SET a5'CL 2 POLE (PW2045).1U-P+`*M SET DEPTH - 6.5' USE SD" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 24 DOE ASSY (12F211) RMV 75 KVA OH XFMR UTC+------------------- SER+ ------------------- HANG 37 KVA OH XFMR (12F601, BA21P) UTC+ ------------------ SERe XFR OH ------------------ SVCS INSTL 8' STLT ARM E (LO503) XFR EXIST LED STLT LUMINAIRE RMV EXIST SEC UG RISER INSTL 3' SEC RISER & 4 POS PED OU705) RUN 350 KCMIL TPX TO PED L- 60' STRIP, TOP & ABANDON 45'POLE TO COMMUNICATIONS Set 2' S O SE� 45'CL 2 POLE (PW2045)IN YES SET DEPTH - 6.5' USE Sh" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 20 10' TANG ASSY (12F203) FRAME BUCK 2e DE ASSY (12F209) EASTBOUND LATERAL IS SLACK RMV 50 KVA OH XFMR UTC * ------------------- SERO HANG 25 KVA OH XFMR (12F601, BA21N) UTCa ------------------ SER+ ------------------- XFR CH SVCS RMV EXIST STLT ARM INSTL 8'STLT ARM E (LO503) XFR EXIST LED STLT LUMINAIRE RMV EXIST SEC UG RISER INSTL 3' SEC RISER & 4 POS PED OU705) RUN 350 KCMIL TPX TO PED L- 60' STRIP. TOP & ABANDON 40' POLE TO COMMUNICATIONS Q POLE PLI* 9202 SET 45' CL 2 POLE (PW2045) 2' N SET DEPTH - 6.5' USE 44" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 20 DOE ASSY (12F211) WESTBOUND LINE IS SLACK RMV EXIST DGS INSTL () 3!" PRI OG (GO113) & O) 12" AHR, L- +O' W (AO102) INSTL (ll 3B" NEUT DG (GO113) RMV 25 KVA OR XFMR UTC____________________ HANG 25 KVA OH XFMR (12F601, BA21N) UTC+ ------------------ SER+ ------------------- XFR OH SVCS STRIP, TOP & ABANDON 45'POLE TO COMMUNICATIONS DU POLE 5' I + 9203 Set 2' W SET 4D' CL 2 ?OLE (PW2045) IN�pt7ei YES SET DEPTH • 6.5' USE Sb' GRVL BCKFLL. CMPCT IN 6" LFTS FRAME 20 10' TANG ASSY O2F200 RMV 50 KVA OH XFMR UTC * ------------------- SER* ------------------- HANG 25 KVA OH XFMR (12F601, BA21N) UTC+ ------------------ SER+ ------------------- XFR OH SVCS STRIP, TOP & ABANDON 45' POLE TO COMMUNICATIONS EO ALERT: POLE IS NORMAL OPEN; NORTH & SOUTH LINES WILL NOT PHASE POLE PLi + 9196 SET 45'CL 2 POLE (PW2045)IN PLACE SET DEPTH - 6.5' USE 54" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME 2e ODE ASSY (12F2n) FRAME 10 EOA TAP ASSY CONNECTED TO OPPOSITE PHASE (12V116) TAP LATERAL OFF OF SOUTHBOUND ROAD PHASE PER SCHEMATIC REPL (1) 3/8' SG (GO102) TO PU+ 9197 RMV 25 KVA OH XFMR UTC * ------------------- SERO ------------------- HANG 25 KVA OH XFMR (12F601, BA21N) UTC* ------------------ SER+ ------------------- XFR CH SVCS RMV EXIST STLT ARM INSTL 8'STLT ARM E (LO503) XFR EXIST LED STLT LUMINAIRE STRIP, TOP & ABANDON 45- POLE TO COMMUNICATIONS PERRINVILLE CIRCUIT 12-93 21 21 50 Q2 25 32 MAPLEWOOD CIRCUIT 12-344 PERRINVILLE CIRCUIT 12-93 2- 2- 25 ORIGINAL BEFORE PERRINVILLE CIRCUIT 12-126 PERRINVILLE CIRCUI- 12-126 NORTH 288038 —T 0 0- , P 188TH ST SW C LOCATION 18829 BOTH AVE W. EOiJON05 AREA LYNNWOOD POLE ND MULTIPLE SE +/4518 T 27 R 4 DATE 2/25/2020 ORDER 100019714 REASON FOR WORK REPLACE DEPRICIAIED POLES ENGINEER HEN ICE OPERATION 0030 DRAFTER UGND NO APPROVED SCALE NOTED �+ DATE WORK COMPLETED FOREMAN El11 SUBSTATION PERRINVILLE MAPLEWOOD 1381 CIRCUIT NO 12-93, 126, 344 PHASE t 2.3 FEES REO'D ❑YES Is NO PRIMARY OVERHEAD 3812 --Hpll ENGINEER BEN ICE 0RESOENTUL PHONE425 783 4355 �OowERc)AL IQ I.CELLULM � 1143M I 425 422 9297 j + — 28$036 PRIMARY UNDERGROUND NESC VIOLA'IONS 0 NO ❑ YES (SEE NOTES) 1 0 RES!DENTIAL PERMIT(GATE GRANTED) OCOMMERCIAL BASIC FEE f ❑ TREE TRIM LEU- ❑ STATE iF— 1 7 1I e s i•. [ ❑ COUNTY „-....� 2880 p p04•� SECONDARY UNDERGROUND ■ CITY ❑ 0%2 I i ; BASIC FEES tJ•-t EASEMENTS ❑REQUIRED 9.1300A Qi2S1SIiSOb91 SU e UNDERGROUND PLAT E+ ❑ NOT REOUIRED O I -------__ ___ ` / BASIC FEEL ✓✓✓ ���� ENGINEERING DATE SENT TO R/W - I 189TH PL SW C FT a t_ - : DATE APPROVED 18918 i (_1� PLAT CONSTRUCTION FOREIGN CON -ACTS 191 C FT e f _ . 11 ■ ,PH. STREET LIGHTING ❑ JOINT TRENCH FRONTIER L CATV j - G FT a f_ . f O JOINT BORE FRONTIER & CATV 1 r• CROSSINGS ❑ 288040 190TH ST SW WORK IN RIGHT OF WAY POLE STENCILING __________ 1 O PRIMARY FROM TO I1999 O SECONIDARY TAME OFF POLE_ ^ 9147 1 FT a s - s PRE-CONSTR REQUIREMENTS or i MISCELLANEOUS FEES O TREE TRIM O PUD LOCATOR 9:13B815A i VAULT f OBACKHOE ❑ � i'ERM1T & DONE GILL DATE ` , [ No. Ijti/'A� s STREET LIGHTING PLAN VIEW ■ YES ONO & TOTAL O(E;i IGIS IS DATE PAID GIS OC 'MLR 1 L 1 J5 J 288044 ❑2 25� 3 2 AFTER MAPLEWOOD OWNER/CONTRACTOR IS RESPONSIBLE FOR CIRCUIT 12-344 EROSION CONTROL AND DRAINAGE SCHEMATIC NTS OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 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. ENGINEERING DIVISION APPROVED AS NOTED JP11 LV1, rri,44.t 01/19/2022 VV RECEIVED ZI JAN 10 2022 PU y ber CITY OF EDMONDS DEVELOPMENT 15503822-351SERVICES DEPARTMENT Page 2 of 2 VICINITY MAP LEGEND: MAP 0 EXISTING POLE 0 EXISTING POLE -TO BE REMOVED NEW POLE X NEW POLE TO REPLACE EXISTING POLE EXISTING DISTRIBUTION LINE --------- NEW DISTRIBUTICN LINE — — — — EXISTING TRANSMISSION LINE — — — — NEW TRANSMISSION LINE ....... NEW SECONDARY CONDUCTOR — — — — RIGHT-OF-WAY LINE -- — -- — PROPERTY LINE —N--N-- LINE TO BE REMOVED Exchange: Halls Lake 51419 Project: 5503822-351 Location: various Notes: All work is completed by Ziply. There is nothing to do. This work print is for record keeping purposes to communicate that Ziply has finished work in the field. SEE ATTACHED SKETCH RECEIVED JAN 10 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT APPROVED PROJECT Mike HaKahan Ziply OSP Engineer rnike.hakahan@ziply.com 425-949-0230 Ziply- fiber Page 1 of 2 104 ,-0 NALJOINT POPELENNOTIFICATION s Yeor Price List To CATV: FRONTIER Exchange Dote w FRONTIER ICOMCAST o 1 �2/25/2020 w to Customer Name *�© ��I.CS ervice Address o z- SNOHOMISH COUNTY PUD el 18829 80TH AVE W, EDMONDS Z 1- N PUD Order/Operation No. PUD Engineer PUD Approved •• v6 00 100019714 / 0030 BEN ICE 425 783 4355 PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER: Out El Set Poles ❑ Set Additional8" Helix Anchors 6/7/21 N Replace 5 Poles ❑ Set Additional 12" Helix Anchors In ❑Eliminate Poles From PUD System ❑ Customer Pay 100% Contacts Free To FRONTIER MAR 0 3 2920 PUD To Contact FRONTIER Pole(s) At Location(s) BM Number Other RONTIER Pay 45% Of The Following (Estimates Only) PUD Work Completed -Ti'G/Z i asement Estimate FRONTIER Transfer CATV Transfer 4687469 vJ As c- /ETURN TO JOINT USE BY: V —` `� 7 ) 26 6/14/21 Ziply Accepts new locations @ LOC. A,B,D MP 6/10/21 Pole at Loc A set 4' N, pole at Loc B set 2' S, pole at Loc D set 2' W. km, 6/4/21 FOR FRONTIER USE ONLY EIFRONTIER ACCEPTS THE FOLLOWING NO JOINT USE Pole/Location Reference �, o v C E o Size Recovery (Size/Year) Cost Pole/Location Reference a o g a Size Recovery (Size/Year Cost KS Ko �54� 1'I'jl.$5 jc u� GIs ls'r 190-� Additional Anchors At The Following Locations vyta,6QA CodN11/21 Fielde �y Date: Approved By-- Date: 6---' Mark Perry 6/10/21 This application is for payment processing only. All work has already been finished in the field. No work to be performed in the future, so no TCP required. All work complete. ENGINEERING DIVISION RECEIVED APPROVED AS NOTED JAN 10 2022 ell (Al L,1,u,44,g 01 /19/2022 vv CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED JAN 11 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT