ENG2021-0528-MBP Application-12.22.2021-1; CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1068126 - WO 100088972: T-Mobile Modification
Applicant
First Name Last Name Company Name
Moe Nave Snohomish County PUD
Number Street Apartment or Suite Number E-mail Address
City
Everett
Contractor
Company Name
Owner
Number
City
State License Number
Project Location
PO Box 1107 ]ointuse(�D_snopud.com
State Zip Phone Number Extension
WA 98206 4257835681
Street Apartment or Suite Number
State Zip
License Expiration Date UBI #
Number Street
9726 EDMONDS WAY
City Zip Code County Parcel Number
EDMONDS 98020 00434500000100
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Denise M Murdock
Number Street Apartment or Suite Number
9720 EDMONDS WAY
City State Zip
EDMONDS WA 98020
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: 12/22/2021 Submitted By: Moe Nave
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1068126 - WO 100088972: T-Mobile Modification
Project Contact
Company Name: PUD
Name: Aziz Haq Email: mahaq@snopud.com
Address: PO Box 1107 Phone #: 425-783-5251
Everett WA 98206
Project Type Activity Type Scope of Work
Franchise Utility Franchise Utility Work No Disturbance of Surface
Project WO 100088972: T-Mobile Modification
Name:
Work will consist of replacing all pole mounted cell site equipment on the pole top. This work will
require two large bucket trucks to be set up in the ROW to lift material and land it on the pole. A
lane closure shall be required in order to accommodate the trucks. A double lane closure may
Description end up being necessary depending on whether or not a crane is deemed necessary and if local
of Work: customers will let us utilize their parking lot(s). Ideal work hours would be 8am to 5pm to utilize
daylight. The project shall take roughly 5-7 days to complete depending on work hours and
weather conditions. We will do our best to work with landlords to utilize parking lots and minimize
impacts in the ROW.
Project Details
Project Information
Job Number
100088972
Page 2 of 2