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ENG2023-0140 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f EdmondsCity of Edmonds PERMIT NU M 98020 1 1 1 www.edmondswa.gov i Description: ZIPLY-REATTACH AERIAL TO NEW PUD POLE ISSUED: 04/05/2023 Address: 21010 70TH AVE W EDMONDS WA 98026-7202 EXPIRES: 10/05/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00566900600102 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ARIANNE MOMMSEN 708 FIRST STREET STE N-100, SNOHOMISH WA 98290 (402)670-8384 CONTACT ZIPLY 708 FIRST STREET STE N-100, SNOHOMISH WA 98290 (402)670-8384 CONTRACTOR ZIPLY FIBER NORTHWEST LLC 1220 75TH ST SW, EVERETT WA 98203 (425)231-3928 OWNER MARINEZ RE GROUP LLC 21010 70TH AVE W, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00 REQUIREMENTSJIL 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. RELEASED BY: MAJ DATE: 04/05/2023 Printed: Wednesday, April 05, 2023 12:10:40 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds Edmonds WA 98020 www.edmondswa.gov / 425.1 1 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, April 05, 2023 12:10:40 PM 2 of 2 RECEIVED Lti�y of ED%�O� 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. Mar 20 2023 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 Info Project Name 5229618 Site Address or if no site address use Property Address at NW corner of project area: 21010 7oTH AVE W, EDMONDS, WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Northwest, LLC Franchise Ordinance No: WN U-17 PointofContact Mike Hakahan Title Engineer Address1800 41 st St., Ste. N 100 city Everett State WA zip 98203 Phone 425-949-0230 Email mike.hakahan@ziply.com AuthorizedContractor and Agent •below) Name of Company Ziply Fiber Northwest, LLC Primary Name Mike Hakahan Agent Name Mike Hakahan Title Engineer Title Engineer Mobile 425-949-0230 Addressl800 41st St. Ste. N100 Email mike.hakahan@ziply.com city Everett State WA zip 98203 Secondary Name Victoria Comer Phone 425-949-0230 Title Permit - Network Design Engineer Email mike.hakahan@ziply.com Mobile 830-513-6614 City of Edmonds Business License No: 313-013-420 Email victoria.comer@ziply.com State License No: ZIPLY*800L5 0 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: X 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 ❑ Utility 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.) PUD TO REPLACE EXISTING POLE WITH A 5o FOOT POLE CLASS i. ZIPLY TO REATTACH AERIAL ATTACHMENTS TO NEW POLE. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + 70 LF JxJ 5 LF 350 SF 1 DAY Alley 72 hours + LF JxJ F SF Parking 72 hours + LF JxJ LF 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 ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed 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 existingunderground common utilitysystem? 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? X Are the additions for the purpose of serving a single-family residential subdivision? X 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: X How many are existing? 124 - all common How many are to be added? 1 0 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? 1 What is the height of the existing poles? 45 How many poles are to be removed? 1 Are additional poles to be laced? YES How many? I 1 I What is the height of the additionalpoles? 150 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? I I 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: &"oL a4 APPLICANT PRINTED NAME: Victoria Comer APPLICANT TITLE: Permit - Network Design Engineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE TE:_03/17/2023_ City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 210TH ST SW rinaE]HJS -. ---. F1180� in t`4�r-d5� c'uv x 3 V��17af wavt; 10172 1000Z 188203 0 75.281168 25-3239 E00.4 37.6784 5L 102683 A 8 25-13735 SL-130090-A - 10171 F•45203 � 1a2o 1010 111 & h � � � A113984F E•50510 I018-hl-COG �Q AL-14468-F ti 9 FU40 122b05 �� SL 130 30 71• EC0-1 Q1 15.5436 So- i0176 t— � � 121840 AL 106107 R , , PL1 188204:ZIPLY SHALL REMOVE OLD POLE - EXISTING NESC & JOINT USE VIOLATIONS - TALLER POLE REOUIRED MID SPAN CLEARANCE VIOLATION IN SPAN SOUTH OF POLE - ',NAVE FRAMED IN FRONTIER SPACE PUD TO WOR)C AFTER NORNIAL BUSINESS HOURS - OT REO DUE TO COMNIERC1AL CUSTOMER OUTAGES, SEE NOTES NOHOMI H COUNTY J!"CUINAL ° [lj] D APPENDIX A auaLCUrn israsTRICTNOI JOINT POLE NOTIFICATION Year Pr•ce List 1112 Rev.7/10 f _ TTo CATV: FIR TIER Exchange Date N FRONTIER 1COMCAST - cl 4/24/2018 r,oan, ^ N :J Customer Name Service Address c; N 5 1 COMCAST 235599 21010 70TH AVE W, EDMONDS 14VA i o I cv iPUD WO/Tusk No. z0� PUD Engineer PUD Approved a a N a�100029373 / 0030 IMICHAEL LAUER 425-783-5154 _ PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER: Out APIR 2 5 2-0 8-- ❑Set Poles ❑ Set Additional 8" Helix Anchors Replace 1 Poles ❑ Set Additional 12" Helix Anchors In ❑Eliminate Poles From PUD System Customer Pay 100% Contacts Free To FRONTIER ' ❑PUD To Contact FRONTIER Pole(s) Al Locations) BM Number - PUD TO REPLACE 45'CL2 POLE & SET NEW 50' CL1 POLE, PW1050, W/ GROUND PLATE, 1N0110, TIGHT NORTH - FR4r1E OH PRIM PER ASSY 12F308, 10' 3 PH FLAT TANG, W/ NEUTRAL 8' SELOW PRIM -- FRAME UG PRIM PER ASSY 12U308, 3 PH UG TERM 100A CUTOUTS FUSED AT 40A, E 1040 - RENIOVE 73' OF (3) 1/0 AL TRXLP JKT C1NC NEUT, C0902, IN 4" PVC FROrJ POLE TO A-45063, CABLES 64674, 64675, & 64676 - TRANSFER 4" UG PRIMARY RISER & EXTEND PAST NEUTRAL - RUN 78' OF (3) 1/0 AL T RXLP JKT CNC NEUT, C0902, IN 4" PVC FRO>,I POLE TO A- 45063, PER INCLUDED UGIND 12857-2, CABLES XXXXX, XXXX,(, & XXXXX - INSTALL 6'STLT %%AST, L0501, 36" BELOW NEUTRAL �, TRANSFER SL--130071-A IF NEEDED REPLACE W/ 50W 2M LED LUM, L0210, SL-_- ___-_--A - GROUND STILT N,IAST 2, COVER LEADS W/ PROTECTIVE ',IOLDIIIG INSTALL (4) SERVICE T/O INSULATORS, 10111, ON DOUBLE NEUTRAL SPOOL & TRANSFER (6) OH SERVICES DRESS SECONDARY DRIP LOOPS TIGHT TO NEUTRAL STENCIL NEW POLE ECD-2 STRIP & TOP OLD POLE TO BE R0oIOVED AFTER CO,I\J.vIS TRANSFER tNIQ-TF : 12 HOURS OT PRE -APPROVED COMCAST TO TRANSFER ATTACHMENT AT 26'AGL WAVE TO T RAI,ISFER ATTACHMENT AT 25.5' AGL - FRONTIER TO TRANSFER AT 24.5' AGL AND BELOW - CO,`,ICAST TO THEN OVERLASH THOU: AS BROS 455 86 �6 2JInDA2J A` vA sAiinun yao A2j 'sAu un A-LIS NO �O A2 2JOlOV J1N00/2JDNMO dy Other FRONTIER Pay 457 Of The Following (Estimates Only) 'PUD Work Completed Easement Estimate FRONTIER Transfer WAVE Transfer ■ iMOTE: - WSDOT LISTED AS ATTACHED TO POLE - THERE IS (1) CUT FIBER 6' ABOVE COMCAST - PLEASE HAVE YISDOT VERIFY IF THEIRS �} COM A 1/ PE YS MW I IEMMER FEES COMCAST CONTACT: KINDRA BOSCH ENGINEERING MANAGER WA 425-741-5630 WORK 253-878-6225 �,IOBILE KI`1DRA_BOSCH�DCO�XAST.COI,I 410 VALLY AVENUE NW STE. 12, BLDG C PUYALLUP, WA 9827.1 1- re -.j 6°tj'TT itional Anchors At The,Following Locations Date: _�Approved By: 5-3 w#%Vr_ N46pa r RETURN TO JOINT USE BY: Dow Brandiey 425/263-5101 SZ�a NHS WO/USDA Codes D.;TF ur, -/i TICKED ,Z�.�7 c5A" _ C i : � �.•�av �S_-- - ? ... _ - ,.2/v is _?cTJr .Qv t� POLE Fr ��n:i�r its .�:ta.!1: I Fr_:I:1:1 �. \C, �.JE_. c,..._ _ 1N3NiHVd30 . =S301Aa3S 1N3WdM3A30 'li I�lf i) l•f ' �' n �� , SONOW(J330 A110 � fold Si-----, `� _�_._:.�% vS E� ►! �� '_ �,, i -�TTACFIME\TS PCAVER- P••in;ar, NeutralComo ead�- for CATV to N�' E' - ��FDr��L, orh: - of Drab - of Fiber = of Dov,n %�� Read• for FTR to Work: Ye-4 _gip _0:::z C:_ilicie_ on SPLICING SPlU_ina Ne%ed--d a ez! ti•, ,; _.r ,. I _ F�': C3't�ie Dr�� CaL,e Si_e Pair, Fier:lf•• �f• : ,'("ri,��• Ensineerin Requ:red Photos Taken I•e5 to P.E.-\D,[- T+D Y,2; N,, Noi:;: i -13 ��a�q�I� � , SIGN LEGEND: ROAD ONE LANE WORK ROAD AHEAD AHEAD W20-1 W20-4 W20-7A RECEIVED Mar 20 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER 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 THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) PHASE 1 Z -0 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM BUFFER AREA LONGITUDINAL BUFFER SPACE = B POSTED SPEED (MPH) 25 30 35 40 45 50 55 60 64 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DEVICE = R HOST VEHICLE WEIGHT (Ibs) 9,900 TO 22,000 HOST VEHICLE WEIGHT (Ibs) > 22,000 < 45 MPH 45 - 55 MPH > 55 MPH < 45 MPH 45 - 55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' ONE LANE, TWO WAY 50'-100' TRAFFIC TAPER X'- 70TH AVE W DA, (25 MPH) W20- p DA4 D/W a 10' MIN. 7A I I \ POLE 1 ONE LANE, TWO WAY WORK 50'-100' TRAFFIC TAPER AREA TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP ENGINEERING DIVISION APPROVED AS NOTED jell td, 10,44,t_ 04/05/2023 VV NOTE: MON. - FRI. = 7:00am TO 4:00pm WORK DETAILS PUD TO REPLACE EXISTING POLE WIT O A 50 FOOT POLE CLASS 1, ZIPLY TO REATTACH AERIAL ATTACHMENTS TO NEW P❑LE, SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC AND DRIVEWAY ACCESS, CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50/70 40 80 35/45 30 1 60 25/30 20 1 40 MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 1 35 40 45 50 55 60 65 1 70 8 40 40 60 90 120 130 150 160 170 190 10 40 60 90 90 150 170 190 220 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' a lil"a __N ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 zilfiber _x' X' P Y W2o-4 w2o-1 Everett, WA 98206 D/W I D/W I I D/W LEGEND: OSIGNALIZED INTERSECTION OCONE (CANDLESTICK) ® TYPE III BARRICADE WORK TRUCK WORK ZONE LIMITS WARNING SIGN ARROWBOARD E RED) (WHERE R DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) • . FLAGGER (AS NEEDED) SIGN SPACING = X (1) FREEWAY & EXPRESSWAYS 55 / 70 MPH 1500' ± RURAL HIGHWAYS 60 / 65 MPH 800' ± RURAL ROADS 45 / 55 MPH 500' ± RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350' ± RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200' ± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS (2) THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. oD 0)w co a N N IN rn Q � ILL C LD Q cl� 0 Z : N 06 0 O of CL_ 0 LU Lu > w e7 O W Q M CD � Q 2 r W c Q 0 F_ CD N O O N U Z o_ co rn N w w I� LL0 LL m 0 o Z U Q U Z 0 Iz LLI z O OLLI O o D- IL LL DATE: 3.16.2023 REVIEWED BY: D. LAFLEUR WSTCS# 013259 DESIGNED BY: J. RODRIGUEZ ATCO CONTACT: 714.675.2523 jose.rodriguez®atcotelecom.com SCALE: SHEET: =6F 02 NO: 2OF2 ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER 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 THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) United States € cstal Service IL 208th St SW And s Wail & Ceiling Services 2OSth St SW � w ❑. a rb Burnout awer and Weed- onds Cannabis.._ rlts 9 212th St SW 213th Pi SW PHASE 1 210t h St S;w -s Mr N O Mr m LP Kafe Neo Kuzma s Fish Market 9 9 Aac:k iir t7e Rox I? Walgree'n�s Factor X, 21 Ott S10m Enterprise Rent-A-CE 212th St SW 212th St SW Swickard Toyota Entangled Escape XZ Rooms - Lynnwood SEAWEED Cannabis Edmonds - Dispensary.._ 19 Aldercrest Health & Rehab Center McDonald's CarMax 9 r � T ra 'Foreign Engines VICINITY MAP • MS Cc 1► 70% RECEIVED Mar 20 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPylfiber Everett, WA 98206 (0o N Q Lu LO C p o cli 0 0 °6 ° : 0 w w > Lu cn 0 Lu 2 > Q CD �J Lu 2 = Q F- o 2 F- � O O _O N ck/ O L 04 u z o_ 0 co N U °' N w m Lu z 0 U Q U Z 0 LLI Lu Lu z Of � 0 LLJ 0- CL LL DATE: 3.16.2023 REVIEWED BY: D. LAFLEUR WSTCS# 013259 DESIGNED BY: J. RODRIGUEZ ATCO CONTACT: 714.675.2523 jose.rodriguez®atcotelecom.com SCALE: SHEET: NOT TO 01 SCALE NO: 1 OF 2 RECEIVED CITY OF EDMONDS Right -of -Way Application #1285040 - 5229618 MyBuildingPermit.com Mar 20 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Arianne Mommsen Ziply Number Street Apartment or Suite Number E-mail Address 708 First Street Ste N-100 arianne.mommsen@ziply.com City State Zip Phone Number Extension Snohomish WA 98290 (402) 670-8384 Contractor Company Name ZIPLY FIBER NORTHWEST LLC Number Street Apartment or Suite Number 1220 75th St SW City State Zip Phone Number Extension Everett WA 98203 (425) 231-3928 State License Number License Expiration Date UBI # E-mail Address ZIPLYFN782L3 5/25/2024 iyini i4gn caitlin.reid@Ziply.com Project Location Number Street Floor Number Suite or Room Number 21010 70TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00566900600102 Associated Building Permit Number Tenant Name 5229618 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name MARINEZ RE GROUP LLC Number Street Apartment or Suite Number 21010 70TH AVE W City State Zip EDMONDS WA 98026 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: 3/17/2023 Submitted By: Arianne Mommsen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1285040 - 5229618 Project Contact Company Name: Ziply Name: Arianne Mommsen Email: arianne.mommsen@ziply.com Address: 708 First Street Ste N-100 Phone #: (402) 670-8384 Snohomish WA 98290 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: 5229618 Description of Work: PUD TO REPLACE EXISTING POLE WITH A 50 FOOT POLE CLASS 1. ZIPLY TO REATTACH AERIAL ATTACHMENTS TO NEW POLE. Project Details Project Information Job Number 5229618 Page 2 of 2