ENG2023-0169 ROW PERMIToff' EIDM
�~ o�RIGHT OF WAY EUC PERMIT
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City of Edmonds PERMIT NU
121 5th Ave N, Edmonds WA 98020 ENG2023-0 14
www.edmondswa.gov i
Description: ZIPLY-TRANSFER ATTACHMENTS TO NEW PUD POLE & REMOVE OLD
POLE
ISSUED: 04/17/2023
Address: 7519 241ST ST SW EDMONDS WA 98026-8537
EXPIRES: 10/17/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00488800601004
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT VICTORIA COMER 1800 41ST ST STE N-100, EVERETT WA 98203 (830)513-6614
CONTACT ZIPLY FIBER LLC 1800 41ST ST STE N-100, EVERETT WA 98203 (402)670-8384
CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949 0230
OWNER HING KEUNG & WONG YEE KAM 17011 13TH AVE NE, SHORELINE WA 98155
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS $378.00 $378.00
RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00
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.
RELEASED BY: MAJ DATE: 04/17/2023
Printed: Monday, April 17, 2023 7:51:47 AM 1 of 2
o� e pM
RIGHT PERMIT
PERMIT NUM
City of Edmonds
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"
E-7 CONCRETE SIDEWALK
E-7 RESTOR LIMITS
Printed: Monday, April 17, 2023 7:51:47 AM 2 of 2
ofECIA4040 RECEIVED
RIGHT OF WAY CONSTRUCTION MAR 29 2023
PERMIT APPLICATION
CITY OF EDMONDS
Complete and submit this Application in accordance with the Submittal DEVELOPMENT
/Ivc. is') Requirements outlined in Right -of -Way permit Handout E6�. 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.
SECTION A
General •
Project Name 5518978-33
Site Address or if no site address use Property Address at NW corner of project area: 7519 241 ST SW
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 Cathleen Parr
Title Engineer
Address 1800 41 St St, Ste N 100
city Everett
State WA
Zip 98203
Phone 425-261-6229
Email cathleen.parr@ziply.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company Ziply Fiber LLC
Contractor Contacts
Primary Name
During Construction
Cathleen Parr
Agent Name Cathleen Parr
Title
Service Coordinator
Title Service Coordinator
Mobile
425-261-6229
Address 1800 41st St, Ste N100
Email
cathleen.parr@ziply.com
City Everett
State WA
Zip 98203
Secondary Name
Phone 425-261-6229
Title
Email cathleen.parr@ziply.com
Mobile
City of Edmonds Business License No: 313-013-420
Email
State License No: ZIPLYFN782L3
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)
m 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.)
PUD to replace pole on 76th Ave W near 7519 241st SW,
Ziply to place (1) 10' alley arm, (1) down guy, transfer (2) attachments, (2) risers need to be
extended to new pole location, then remove existing pole.
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 +
LF
Ix
I 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:
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:
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? 1 2 1 How many are to be added? 10
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
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?
How many? 10 1 What is the height of the additionalpoles? I n/a
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
X
How many? I I I What is the height of the poles after? 50'
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: Victoria Comer
APPLICANT PRINTED NAME: Victoria Comer
APPLICANT TITLE: Manager, TCP and Permitting
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
3/28/2023
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
RESTORATION LIMITS TO BE DETERMINED
BY CITY ENGINEERING INSPECTOR
Poo F PI T 1* 15R79 6,
SET 50' CL1 POLE�E AT DEPTH OF 7' (PW1050)
XFR 1PH UG PRI TO NEW POLE
XFR 3PH OH PRI & NEUT SVCS TO NEW POLE
STRIP & TOP POLE TO COMMS (45, CL2, 1970)
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
ENGINEERING DIVISION
APPROVED AS NOTED
jd] 04/13/2023
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A36801
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Applicant shall repair/replace all
241ST ST SW MAR 29 202D3
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION
TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT
AGREEMENT AND JOINT OWNERSHIP POLE AGREEMENT
SNOHOMISH COUNTY
EFDFORD-1
PUBLIC UTILITY DISTRICT NO 1
1112 Rev. 10/20
APPENDIX A s 2,878.77
JOINT POLE NOTIFICATION 2022 Year Price List
To
CATV
ZIPLY Exchange
Date
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ZIPLY �COMCAST
2100
22/12/2022
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Customer Name
Service Address
PUD MAINTENANCE - BO POLE
7519 241ST ST SW, EDMONDS, WA 98026
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PUD Order/Operation No.
PUD Engineer
PUD Approved
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100104797 / 0030 & 0060
KENNETH LUU (425) 870-9753
PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER:
out 1/10/2023
❑ Set Poles ❑ Set Additional 8" Helix Anchors
E Replace 1 Poles ❑ Set Additional 12'' Helix Anchors
In
❑ Eliminate Poles From PUD System ❑ Customer Pay 100% Contacts Free To ZIPLY
❑ PUD To Contact ZIPLY Pole(s) At Location(s)
BM Number
Other
ZIPLY Pay 45% Of The Following (Estimates Only)
PUD Work Completed
Easement Estimate
ZIPLY Transfer
CATV Transfer
PUD is abandoning its use of each pole
designated to be replaced or eliminated
hereunder and is removing its attachments therefrom Utility patches shall be combined and full width or half
width overlay will be required depending on the extent
of disturbance. Where utility patches fall entirely within
one travel lane, the overlay shall extend to the
PUD MAINTENANCE - BO POLEcenterline of roadway. Where utility patches extend into
KENNETH LUU both travel lanes then a full width overlay is required.
(425) 670-3214
LYNNWOOD OFFICE
Return to Joint Use By
Ziply: Place 1-10' alley arm, 1 down guy. 1 /31 /23
Transfer 2 attachments. 2 risers need to
be extended to new pole location. Remove pole.
Flagging required.
Ziply 45% of a 45'? YES
FOR ZIPLY USE ONLY X I ZIPLY ACCEPTS THE FOLLOWING [:]NO JOINT USE
Pole/Location
Reference
Z
N
N
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C
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Size
Recovery
(Size/Year)
Cost
Pole/Location
Reference
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Size
y
(Sze/Year)
Cost
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15875
X
50
(45-70)
2,878.7
Additional Anchors At The Following Locations WO/USDA Codes
Fielded By: Mark Perry Date:
Ap e B �G � 1/19/23 Date
1 /16/23
LEGEND:
WORK DETAILS: RECEIVED
EXISTING UTILITY POLE PUD WILL PLACE NEW POLE, ZIPLY TO MAR 29 2023
PLACE (1) 10' ALLEY ARM, (1) DOWN
PROPOSED NEW POLE GUY, TRANSFER (2) ATTACHMENTS, (2)
® RISERS NEED TO BE EXTENDED TO
NEW POLE L❑CATI❑N THEN REMOVE
EXISTING POLE. CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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NO: 1 OF 1
SNO_O_I N COUNTY
Lp PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 7519 241ST ST SW, EDMONDS, WA, 98026 LYNNWOODAREA
POLE NO. 15875 SWl/4S 32 T 27 R 3 DATE 12/09/2022 ORDER 100104797
REASON FOR WORK PUD MAINTENANCE ENGINEER K. LUU OPERATION 0030
BO POLE - PLI 15875 DRAFTER U.G. N0, 11089
SCALE 1" = 40'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
'@$ '=$
SECONDARY OVERHEAD NESC VIOLATIONS
BASIC FEE S ■ NO ❑ YES (SEE NOTES)
@$ =$ PERMITS (DATE GRANTED)
METER/CONV. POLE S ❑ TREE TRIM
PRIMARY UNDERGROUND ❑ STATE
❑ RESIDENTIAL ❑ COUNTY
❑ COMMERCIAL ■ CITY
BASIC FEE S ❑
LEU NO. EASEMENTS
DATE
SUBSTATION RPK
CIRCUIT NO. 12-2048 PHASE 231
ENGR'S TEL. #
425-670-3214
ENGR'S CELL #
425-870-9753
I Q S I=$ ■ REQUIRED ❑ NOT REQUIRED I WORK AREA
SECONDARY UNDERGROUND
BASIC FEE 8
@$ '=$
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
JPN#
BASIC FEE S
FT.@$ _$
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
CL FT.@$ _$
❑
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
CL FT.@$ _$
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT 8
■ ONE CALL DATE 11/29/22
PERMIT
No. 22506043
$
STREET LIGHTING
$
❑ YES ■ NO
$
M&R
AS -BUILT
GIS
TOTAL DUE S
DATE PAID N/A
GIS QC
M&R
RECEIPT NO.N/A
GIS Ph
JOINT USE
SERVICE ORDER NO.
LOCATION MAP PAGE 475 A3
!drda!g�rz
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
N
VICINITY MAP
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
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SCHEMATIC
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SET 50' CL1 POLE 6' E AT DEPTH OF 7' (PW1050)
FRAME 3PH 7' SINGLE ARM TANGENT PER 12F301
INSTL (1) PRI & (1) NEUT DGS (GO111) W/ 8" AHR (A101), L=5' E
FRAME 1PH UG TRM POL ASSY (12U111, T1013, Z0102, Z0603) W/ FU25T
XFR 3PH OH PRI & NEUT SVCS
STRIP & TOP POLE TO COMMS (45', CL2, 1970)
WORK W/ UG SKETCH ON OP 0060
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RECEIVED
MAR 29 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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A-36801
241ST ST SW
SHEET 1 OF 1
CEIVED
,vil-%l 29 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
LEGEND:
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
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SIGNALIZED INTERSECTION
OCONE
(CANDLESTICK)
®
TYPE III BARRICADE
WORKTRUCK
WORK ZONE LIMITS
OWE
WARNING SIGN
ARROW BOARD
REQUIRED)
(WHERE
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
FLAGGER
(AS NEEDED)
W1-6R SIGN
WORK DETAILS:
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)
F�VW20-1 F'�W20-5R �W1-4L
LX x x-
o PUD WILL PLACE NEW POLE,
ZIPLY TO PLACE (1) 10' ALLEY
ARM, (1) DOWN GUY, TRANSFER
(2) ATTACHMENTS, (2) RISERS
NEED TO BE EXTENDED TO NEW
POLE L❑CATI❑N, THEN REMOVE
EXISTING POLE,
SPOTTER NEEDED FOR PEDESTRIAN
TRAFFIC AND DRIVEWAY ACCESS,
11111111
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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'
SIGN LEGEND:
ROAD RIGHT LANE CENTER LANE
WORK CLOSED CLOSED
AHEAD AHEAD < > < AHEAD
W20-1 W20-5R W4-2L W20-5C R3-2
76TH AVE W
R3-21 (30 MPH)
C
O
O O O 0
O O O 'O" O O O
W20-1
X
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
R3-2
� x x
W20-5C1 W20-1
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0 0 0
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R3-2�
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
CHANNELIZATION DEVICE
SPACING (feet)
MPH F TAPER 7
TANGENT
50/70 1 40
1 80
35/45 30
60
25/30 20
40
MINIMUM LANE SHIFT TAPER LENGTH = L/2 (feet)
LANE
POSTED SPEED (MPH)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
10
55
75
105
135
225
250
275
300
325
350
11
60
85
115
150
250
275
305
330
370
385
12
65
90
125
160
270
300
330
360
390
420
PHASE 1
a IN
RECEIVED
ENGINEERING DIVISION MAR 29 2023
APPROVED AS NOTED
I,/�
2�] (VCITY OF EDMONDS
J]]L{izj,,� i,44 04/13/2023 DEVELOPMENT d
SERVICES DEPARTMENT
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.
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ATCO COMMUNICATIONS SERVICES, LLC
www.otcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPylfiber
Everett, WA 98206
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DATE: 3.28.2023
REVIEWED BY: D. LAFLEUR
WSTCS# 013259
DESIGNED BY: M. BERNERT
ATCO CONTACT: 614.935.2248
Matthew.Bernert@atcotelecom.com
SCALE:
SHEET:
= 4C
02
NO: 2OF2
236th St SW
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN,
0AKES 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)
Safeway 9
T.J. Maxx 9
236th St SW
99
Family Pancake
House Edmonds
238th St SW 9Dental Care of Edmends
soonyl Korean
Travelodge by Wyndham
Seattle North/Edmonds
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MAR 29 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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ATCO COMMUNICATIONS SERVICES, LLC
www.otcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
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Everett, WA 98206
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DATE: 3.28.2023
REVIEWED BY: D. LAFLEUR
WSTCS# 013259
DESIGNED BY: M. BERNERT
ATCO CONTACT: 614.935.2248
Matthew.Bernert@atcotelecom.com
SCALE: SHEET:
= 4C 01
NO: 1 OF 2
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1289969 - 5518978-33
MAR 29 2023
MyBuildingPermit.:om
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Victoria Comer Ziply Fiber LLC
Number Street Apartment or Suite Number E-mail Address
1800 41st St Ste N-100 Victoria.Comer@Ziply.com
City State Zip Phone Number Extension
Everett WA 98203 (830) 513-6614
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
7519 241 ST ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00488800601004
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
Hing Keung & Wong Yee Ling Kam
Number Street Apartment or Suite Number
17011 13TH AVE NE
City State Zip
SHORELINE WA 98155
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: 3/28/2023 Submitted By: Victoria Comer
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1289969 - 5518978-33
Project Contact
Company Name: Ziply Fiber LLC
Name: Arianne Mommsen Email: arianne.mommsen@ziply.com
Address: 1800 41 st St Ste N-100 Phone #: (402) 670-8384
Everett WA 98203
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work Disturbance of Surface
Project Name: 5518978-33
Description of PUD to replace pole on 76th Ave W near 7519 241 st SW, Ziply to place (1) 10' alley arm,
Work: (1) down guy, transfer (2) attachments, (2) risers need to be extended to new pole location,
then remove existing pole.
Project Details
Project Information
Job Number
5518978-33
Page 2 of 2