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ENG2022-0367 ROW PERMITOF WAY EUC PERMIT o PERMIT NU M City of Edmonds EdmondsRIGHT 98020 1 1 www.cityofedmonds.gov / i Description: COMCAST-MAINTENANCE SPLICE 100TH 232ND WALNUT ISSUED: 08/24/2022 Address: 845 WALNUT ST EDMONDS WA 98020-3304 EXPIRES: 02/24/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434207402400 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT OWEN SHACKEET 410 VALLEY AVE NW, PUYALLUP WA 98371 (253)341-9318 CONTACT CABLECOM LLC 19910 NORTHCREEK PARKWAY N„ BOTHELL WA 98011 (360)454-3163 CONTRACTOR CABLECOM LLC 20021 120TH AVE NE, SUITE 101, BOTHELL WA 98011 (360)863-2628 OWNER MARK A & PULDA-GANTER GANTER 845 WALNUT ST, EDMONDS WA 98020-3304 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00 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 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 08/24/2022 RELEASED BY DATE Printed: Wednesday, August 24, 2022 8:24:04 AM 1 of 2 oe e n,y RIGHT OF WAY EUC PERMIT PERMIT NUM City of Edmonds EdmondsAd 98020 1 1 www.cityofedmonds.gov / i CONDITIONS CONDITION TYPE NOTES ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES 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. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS 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. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or 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 AND 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 and 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 NOTES COMPLETE A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Wednesday, August 24, 2022 8:24:04 AM 2 of 2 RECEIVED Lti�y of Epiy04o� ANC. 1 g90 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. J U L 19 2022 CITY OF EDMONDS 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 COMCAST - JB0000994948 - 4 Site Address or if no site address use Property Address at NW corner of project area: 845 WALNUT ST, EDMONDS, WA 98020 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name ofCompanyCOMCAST CABLE HOLDING Franc hiseOrdinanceNo: Point of Contact OWEN SHACKETT Title PERMIT COORDINATOR Address 410 VALLEY AVE NW City PUYALLUP State WA Zip 98371 Phone253-341-9318 EmailOWEN SHACKETT@CABLE.COMCAST.COM Contractor and Authorized Agent of • • - •• •w) Name of CompanyCABLECOM LLC Contractor ContactsDuring Construction Primary Name CABLECOM LLC - MICHAEL FINCH Agent Name SUNSHINE CRABBS Title CONSTRUCTION SUPERVISOR Title PERMIT COORDINATOR Mobile 360-965-5085 Address 19910 NORTHCREEK PARKWAY NORTH, SUITE 100 Email MICHAEL.FINCH@CABLECOMLLC. NET City BOTHELL State WA Zip 98011 Secondary Name Phone 360-454-3163 Title Email SUNSHINE.CRABBS@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R - 021818 Email State License No: CABLEL*971 DP 56 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o 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 well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 vttility Franchise Work (no associated development) Project Description 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.) MULTIPLE MAINTENANCE & SPLICE LOCATIONS AT THE FOLLOWING ADDRESSES: Aerial 1 845 WALNUT ST Aerial T 19927232NDSTSW Aerial 1 3 123803100TH AVE W RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF I x I LF SF Parking 72 hours + I LF JxJ 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: ❑ telecommunications d cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be Does the utility owner have existin overhead infrastructure in the area of work? x • 2. Will any equipment be added underground or above ground (e.g. 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 system? X 5. Does the work involve proposed additions to an aboveground utility system? 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 • to be Completed ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? X City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 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: How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the height of the poles after? Describe the modification rebuild: 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: , 6"d4/a C24A6� DATE: APPLICANT PRINTED NAME: Sunshine Crabbs APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Route Overview Completed By: 0 %1% ,: ,. E ` s Completion Date: 1/0/1900 Address: I 845 WALNUT ST, EDMONDS, WA 98020 I COMCAST Survey Revision Date: Survey Revision Task ID: Footages Entered On Right of Way, Private Exterior, and Private Interior tabs. Footages are summarized on Survey Rollup tab.- Engineered For: Project Manager: Are Additional Pages Needed: No P2 ID: JB0000994948 Legend I Edmonds Way SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM New Ped ❑ Pole New Vault ❑V Lock Box N Existing U/G Footage 150' a Existing Aerial o Text Box Text New U/G Callout Arrow 2 a ❑ New Aerial Walnut St New Tap Interior Path 3 Phase Identifier ❑1 Footage Break a Fiber Splice Point Power Supply PS 232ndStSW Storage Loop Hard Surface Cut O a Riser R Abandoned Cable N a> Q Provide Clear Construction Details a� MULTIPLE MAINTENANCE & SPLICE LOCATIONS AT THE FOLLOWING ADDRESSES: P1 q�s O g Aerial 1 845 WALNUT ST Aerial 2 9927 232ND ST SW a Q 237a, sw Aerial 3 23803 100TH AVE W � o d r- Q ❑3 o Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or RECEIVED 238th St sw occurs during the permitted project. 3 JUL 19 2022 Q ENGINEERING DIVISION APPROVED AS NOTED SERVICES 111III CITY OF EDMONDS VV 239u, n ^J2ll WQ✓.yrs.nni 08/23/2022 DEVELOPMENT DEPARTMENT i Asbuilt Cover Completed By: 0 f-%r %1% ,: ,. E ` s Completion Date: 1/0/1900 Address: I 845 WALNUT ST, EDMONDS, WA 98020 COMCAST Survey Revision Date: Survey Revision Task ID: Footages Entered On Right of Way, Private Exterior, and Private Interior tabs. Footages are summarized on Survey Rollup tab.- Engineered For: Project Manager: Are Additional Pages Needed: No P2 ID: JB0000994948 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path Phase Identifier ❑i Footage Break Fiber Splice Point Power Supply PS Storage Loop Hard Surface Cut O Riser R Abandoned Cable Provide Clear Construction Details MULTIPLE MAINTENANCE & SPLICE LOCATIONS AT THE FOLLOWING ADDRESSES: Aerial 1 845 WALNUT ST Aerial 2 9927 232ND ST SW Aerial 1 3 23803 100TH AVE W 1 2 Edmonds WaY Alder St a a 0 3 Walnut St 3 a 232nd St SW c m Q cn °' a� l Q PI p G f0L G CD 23701 Q P� SLy a Z) � o o o Q N O 239th p 238th 5' SW RECEIVED JUL 19 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIGN SPACING = X (1) RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350' +/- RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH 200' +/- (2) RESIDENTIAL & BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS 100' +/- (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. i �-1d3-ina3HOS do 13S SI 9NOZ Al 10M 2J3IA3N�IHM a�2ilflO�2� �19 T]VHS NOUOO IdSNI 02AiNOO OIJJVd Al y x C b C!1 48" ROAD WORK AHEAD 48" W20-1 LEGEND b TEMPORARY SIGN LOCATION CHANNELIZING DEVICES PROTECTIVE VEHICLE THIS IS A COMCAST DOCUMENT, PROPRIETARY & CONFIDENTIAL REV DESCRIPTION DATE DESIGN: 0 ISSUE FOR PERMIT 07/07/2022 DRAWN BY: DOM APPROVED: APPROVED: APPROVED: MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER Posted Speed (mph) WIDTH (feet) 25 30 35 40 45 50 55 1 60 1 65 70 8. 40 40 60 90 - - - 10, 40 60 90 90 USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8' 48" HOULDER WORK 748" W21-5 WALNUT ST z z N BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT > 22,000 Ibs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 172' 74' 100' 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED � WORK AREA X _ - L/3 B T CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 35/40 30 60 25/30 20 40 RECEIVED J U L 19 2022 CITY OF EDMONDS DEVELOPMENT AA SERVICES DEPARTMENT ZZOZ/EZ/80 4310N SV G3IAONCdt!S NOISIAIG DNI2i33Nl.19nE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20' (FT). SHOULDER CLOSURE - LOW SPEED (WSDOT TC5) 2. ALL SIGNS ARE BLACK ON ORANGE. (40 MPH OR LESS) NOT TO SCALE IMPORTANT NOTICE Section # 4216/4217 of the Government Code requires a Dig Alert Identification Number to be issued before a "Permit to Excavate" will be valid For your Dig Alert I.D. CALL TOLL FREE 48 HOURS BEFORE YOU DIG UNDERGROUND SERVICE ALERT 1-800-227-2600 WALNUT ST, 232ND ST SW, 100TH AVE W, EDMONDS, WA TRAFFIC CONTROL - 845 WALNUT ST PROJ#: JB994948-HOUSING SWAP CONSTRUCTION TYPE: MAINTENANCE SYSTEM: EDMONDS NODE: TC-1 SHEET: 1 OF 3 E HO Z :133HS Z DZ :3aON SONOAa3 MAISAS 30NVN31NIVA :3dA1 NOIlOnH1SNOO dVMS 0NISnOH-8b6b668f WOHd MS 1S ON2EZ ZM6 - 1OH1N00 OIHHVHl VM 'S(INOAa3 'M 3AV H100 L 'MS 1S ONZEZ '1S 1nN1VM 009Z-LZZ-008-i 1a31V 331AMS ONnouE)H30Nn 91a nOA MOM 521nOH 817 331IJ 110111VJ a'I;aa1V 81a inoA aoj p11eA aq 111nn „ajene3x3 01 I!wJad„ a aao;aq panssl aq o; aagwnN u0!1M! 13uap1 IjaIV 810 a saalnbai apO:) JU9 UJOAOg 04110 LTZb/9lZb # u01P8S -7OI1O1V JAM NOdMI 3-1VOS Ol lON :a3AOHddV :a3AOHddV :a3AOHddV AOa :AS NMVH(1 220Z/LO/L0 lIAH3d HOH 3nSSl 0 NOIS3a TV(]NOIldIHOS3a A3H 1VIlN3a1JNO0'8 A8V1318dO)Jd 'iN3iNn00a 1SVOA00 V SI SIHl '3ONVHO NO NOV18 32]V SNJIS 11V '9 ,(ld),Oz (£01 104SM) S kVMdVOb 3NVI-Irim doi idns01J 3NYRARROPCONTROL INSPECTIO 38 11VHS 2J3dV1 AV3211SNMOa 3H1 aOH ONIOVdS 301A30 '9 '(a3(1N3AA003H) REQUIRED WHENEVER WORK (ld) ,000L Ab3A3 3NV1 a3SO10 NI S30IA3a 3Sb3ASNV2i13Sn 'b 89-OZM '3NV11N3OVfaV 3H1 O1N1 HOVOHON3 lON ]]VHS S301A30 'E 8� 213a1nOHS SSO2JOV E/11V a3dV1 301A3a aN31x3 z ENGINEERING DIVISION olo aV3HV APPROVED AS NOTED V_1(El_L 'SNOUOI iUS321 2mOH Ni IOM 210d SNOISIAObd 1V103dS 33S 'L 3NV11H!JIH 1N3Ni2JVd3a S3OIA2J3S S3109d/ UfQ�H,44z 08/23/2022 „8t 1N3Ad013A3a vv SaNOAa3 d0 A110 „8� a3AI3a3?1 JNINJIS 3dnS010 3NV1 HO 30NVAOV NI 31M L 31V001 a131H 03S OZ 03S 07 3ansoio OV3HV 3NV1 311W L 1HORi Z l SAOd 1,8b NOIS 39VSS3A 318V39NVH3 318Vi2]Od Slnl�d 2joivm311V 318V1bOdSNVb1 11 SHALL BE I 02i2iV 1VIlN3n03S ONE IS SE An21a A13dVS 0133Vb1 NOI1V001 NOIS AHV2]OdA31 11 aN3J31 L-OW nb'3H`d AHOM adoa OOL 0 x x x b 31ON 33S ® ® C1 DI J ® V3HV NaoM ve /1 ~ ®— ® — — — — — — — — — — — — — z m EIAV H,LOO i I--1 Q ISPECTIONS THROUG w '09 L '00 L *L ZL L £Z L '00 L Hdh 99 < HdN 99-9ti Hdh 9ti > HdN 99 < HdN 99-9ti Hdh 9ti > 's91 000'ZZ < 1H913M 3101H3A 1SOH s91 000'ZZ 01006'6 1H913M 3101H3A 1SOH U = 30NVISM aV3HV 11OU uoivnN311V 318V1U0dSNVU1 OEL 9b9 OL9 96b 9Zb 09E 90E 09Z OOZ 99L (3881) H19N31 OL 99 09 99 09 917 Ob 9E 0£ 9Z (HdA) a33dS 8 = 33VdS d333n8 1VNIOnlI0N01 V1V0 21333n8 Ob OZ OE/9Z 09 OE 917/9E 08 Ob OL/09 1N39NVl 213dV1 HdA }aa;0 ONIOVdS 301A N IlVZ1I3NNVHO SN01110N00 AVMaVOH lIH Ol SV3JV NVBNn NI a3On03L1 38 AVA 9NIOVdS SIHl (Z) SAVM3AIb0 ONV SNOLLOAS?J31N1 30Vi99-1V 'SdAV2i 39NVHO2J31N1 31VG0AA030V 01031snfdV 38 AM 9NIOVdS 11V M (Z)-/+,OOL SSA-1 HO HdA 9Z S1 ]3H-LS NVOHn (Z)-/+,OOZ S10Ib1Sl4 SS3NISn8'81VI1N3a1Sa2J HdA OE / 9Z S1VIa31aV NVSHn 8 SOV02f 1V2fn2f -/+,OSE HdA Oh / 9E S1VIb31aV NVMin 'S SOV021 1V21nu -/+,009 HdA 99 / 917 SOV02f 1V2fn2f -/+,008 HdA 99 / 09 SAVMH9IH 1Vanu -/+,OOSL HdN OL / 99 SAVMSS3bdX3'8 SAVM33bH (L) X = ONIOVdS NOIS ,8 N3Hl SS31 H3O1nOHS aOH H3dV1 S301A30 E INMINIA V 3Sn ObZ 0" OOZ 06L OLL 09L 06 06 09 Ob AL 06L OLL 09L 09L OEL OZL 06 09 Ob Ob 8 OL 99 09 99 09 9b Ob 9E OE 9Z (ydw) paadS pa}sod a3aionOHS (}aa}) 2/1 = H19N31 83dVl 2i34-InOHS WnWININ Ob8 08L OZL 099 009 Ob9 OZE 917Z 08L 9ZL ZL 099 909 Ogg 96b 96Z 9ZZ 99L 9LL LL - 099 009 0917 OLZ 90Z 091 SU OL OL 99 09 99 09 9b Ob 9E OE 9Z (3991) (ydw) paadS pa}sod 3NVM (}aa;) 3 = HlON31 2J3dVl 3HnS0-iO 3NV-I WnWINIA M E HO £ :133HS Dl :3OON SONOWO3 MAISAS 30NVN31NIVA :3dA1 NOIlOnH1SNOO dVMS'ONISnOH-8b6b668f WOHd M 3AV H100 L 808£Z - 10biNOO OU=1VU VM 'SONOW(I3 'M 3AV H100 L 'MS 1S ONZEZ '1S 1nN1VM 009Z-LZZ-008-i 1a31V 331AMS ONnouE)H30Nn 91a nOA MOM 52JnOH 817 331IJ 110111VJ a'I;aa1V 810 inoA aoj p11eA aq jj!M „ajene3x3 04 MwJad„ a aao;aq panssl aq o; aagwnN u0!1M! 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City State Zip Phone Number Extension PUYALLUP WA 98371 (253) 341-9318 Contractor Company Name Cablecom LLC Number Street Apartment or Suite Number 19910 NORTH CREEK PARKWAY NORTH 100 City State Zip Phone Number Extension BOTHELL WA 98011 (360) 863-2628 (360) 454-3163 State License Number License Expiration Date UBI # E-mail Address CABLEL*971 DP 8/21/2023 FD99RSS79 SNOHOMISH.PERM ITTING@CABLECO Project Location Number Street Floor Number Suite or Room Number 845 WALNUT ST City Zip Code County Parcel Number EDMONDS 98020 00434207402400 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Mark A & Pulda-Ganter Jodelle M Ganter Number Street Apartment or Suite Number 845 WALNUT ST City State Zip EDMONDS WA 98020-3304 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: 7/9/2022 Submitted By: OWEN SHACKEET Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1170697 - COMCAST - JB0000994948 - EDMONDS 4 Project Contact Company CABLECOM LLC Name: Name: SUNSHINE CRABBS Email: SUNSHINE.CRABBS@CABLECOMLLC.NET Address: 19910 NORTHCREEK Phone (360) 454-3163 PARKWAY N, 100 #: BOTHELL WA 98011 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0000994948 - EDMONDS 4 Description of MAINTENACE SPLICES AT EXISTING AERIAL AND GROUND CASES AT THE Work: FOLLOWING 3 LOCATIONS: 845 WALNUT ST 9927 232ND ST SW 23803 100TH AVE W NO NEW CONSTRUCTION, ALL EXISTING CASES. Project Details Project Information Job Number JB0000994948 Page 2 of 2