APPROVED ROW PERMIT ENG2021-0218RIGHT OFWIRELESS PERMIT
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PERMIT NUMBER
City of Edmonds
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Edmonds WA 98020 •
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Description: AT&T SMALL WIRELESS FACILITY ON PUD POLE ISSUED: 02/15/2022
Address: 20901 76TH AVE W EDMONDS WA 98026-7121
EXPIRES: 08/15/2022
it Type: RIGHT OF WAY WIRELESS Permit Subtype: SMALL NEW STRUCTURE Parcel Number: 00380400001000
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NAME TYPE NAME ADDRESS PHONE
APPLICANT AT&T (NEW CINGULAR WIRELESS 16331 NE 72ND WAY, REDMOND WA 98052
PCS, LCC)
CONTRACTOR MASTEC NETWORK SOLUTIONS 22263 68TH AVE S, KENT WA 98032 (530)318-1600
OWNER HAN LIN & CONTENTI ALESSANDRO PO BOX 1097, BELLEVUE WA 98009
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
RIGHT OF WAY STANDARD - WIRELESS PERMIT FEE $330.00 $330.00
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
February 15, 2022
RELEASED BY DATE
Printed: Tuesday, February 15, 2022 3:56:48 PM 1 of 2
RIGHT OFWIRELESS PERMIT
City of Edmonds
Edmonds WA 98020 i
CONDITIONS
CONDITION TYPE
ADJACENT PROPERTY
Coordinate with adjacent property owner as needed prior to work start.
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.
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 7:00am to 6:00pm on
SOUND OR NOISE
weekdays and 10:00am and 6:00pm 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
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.
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INSPECTION TYPE
DATE
RESULT
COMPLETE
A-1 JOB START
A-1 TESC AND MOBILIZE
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Tuesday, February 15, 2022 3:56:48 PM 2 of 2