ENG2023-0179 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT
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EdmondsCity of Edmonds PERMIT NUM
980201 1 •
www.edmondswa.gov i
Description: ZIPLY-TRANSFER ATTACHMENTS AND REMOVE BO POLE
ISSUED: 05/04/2023
Address: 22609 93RD PL W EDMONDS WA 98020-4516
EXPIRES: 11/04/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544300003900
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT VICTORIA COMER 1800 41ST STREET STE N-100, EVERETT WA 98203 (830)513-6614
CONTACT ZIPLY FIBER 1800 41ST STREET STE N-100, EVERETT WA 98203 (830)513-6614
CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
OWNER JEAN B HOLTROP 22609 93RD PL W, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS $126.00 $126.00
RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00
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: 05/04/2023
Printed: Thursday, May 04, 2023 9:39:01 AM 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
X-2 ENGINEERING FINAL"
Printed: Thursday, May 04, 2023 9:39:01 AM 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.
APR 03 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 5511605-226
Site Address or if no site address use Property Address at NW corner of project area: 22609 93RD PL W
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
I State WA
zip 98203
Secondary Name
Phone 425-949-0230
Title
Email mike.hakahan@ziply.com
Mobile
City of Edmonds Business License No: 313-013-420
Email
State License No: ZIPLYFN782L3
I71 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
❑ 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.)
Telecommunications and broadband provider Ziply Fiber to
ZIPLY WILL TRANSFER, 1 ATTACHMENT, 3 DROPS, AND REMOVE 1 DROP & EXISTING POLE
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
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
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
•
2.
Will an equipment be added underground or above round (e.g. pedestals, vaults, etc.)?
If es, describe:
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial develo ment?
tx
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial develo ment to an existin under round common utili s stem?
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
No
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:
X
6a.
Does your project involve wires/cables/lines? If yes:
X
How many are existing? I I How many are to be added?
6b.
Does your project involve poles? If yes:
X
How many poles are existing in the project area?
What is the height of the existing poles? I INK
How many poles are to be removed?
Are additional poles to be laced? N
How many? I I What is the height of the additionalpoles?
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:
d1w
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: �'� Z_aG DATE: 3/31/2023
APPLICANT PRINTED NAME: MARCUS LUNA
APPLICANT TITLE: TCP SPECIALIST
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
1550
REPLACED WITH 45' CLS 2 POLE MFR 2020
REMOVED XFMR 37-14350 SERIAL#93A181795
HUNG 120/240 XFMR 37-265560 SERIAL#92NF087014
REMOVED SL-133545-A, HUNG SL-141847-A
REUSED EXISTING PED
OLD POLE STILL IN FIELD
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OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
ENGINEERING DIVISION
APPROVED AS NOTED
RECEIVED
APR 03 2023
Appendix B $ 2,891.45
PUS
1112-W Rev 01/2004 Joint Pole Notification 202L_Year Price List
LO To: ZIPLY CATV: COMCAST ZIPLY Exchange: Date:4/18/2022
w w 2100
MCustomer Name: WOODPECKER DAMAGE Service Address: 22609 93RD PL W, EDMONDS
o
Z C) N PUD WO/Permit Request: PUD Engineer: CURTIS PUD Approved
~LO100094215/10000161284
(n N
PUD INTENDS TO PERFORM THE FOLLOWING WORK ON THIS WORK ORDER: Out4/19/2022
❑ Set Poles ❑ Tree Trimming (VERIZON Pay 45%)
X Replace 1 Poles ❑ Set Additional 8" Helix Anchors In
❑ Eliminate Poles from PUD System ❑ Set Additional 12" Helix Anchors
❑ PUD To Contact ZIPLY Pole(s) At Location(s) ❑ Customer Pay 100% Contacts Free to BM Number
ZIPLY
Other
ZIPLY Pay 45% Of The Following (Estimates Only) PUD Work Completed: 4/4/22
Easement Estimate:
Tree Trimming Estimate:
ZIPLY Transfer ❑ y I CATV Transfer ❑ Y
The PUD is abandoning its use of each pole designated to be replaced or
eliminated hereunder and is removing its attachments therefrom.
ZIPLY NEEDS TO TRANSFER AND REMOVE THE OLD
POLE
COMCAST NEEDS TO TRANSFER YES
Ziply: Transfer 1 attachment, 3 drops, 1 BSW.
Remove 1 drop, Pole. Flagging required.
5094686
Note: TV needs to raise attachment on new pole.
Ziply attach at 24'6".
Return to Joint Use By
4/29/22
FOR ZIPLY USE ONLY: ❑X ZIPLY ACCEPTS THE FOLLOWING ❑ NO JOINT USE
Pole/Location
Reference
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Size
Recovery Cost
Size/Year
Pole/Location
Reference
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Size
Recovery
Size/Year
Cost
1550
X
45
(45-92)
2,891.45
Additional Anchors At The Following Locations
WO/USOA Codes
Fielded By: Mark Perry
4/21/22'
A�ov�� AGE. 4/22/22 Date:
/X LVIL I,1,442 05/03/2023 CITY OF EDMONDS
VV DEVELOPMENT
SERVICES DEPARTMENT
LEGEND:
EXISTING UTILITY POLE
® PROPOSED NEW POLE
1
ab �
WORK DETAILS:
PUD WILL PLACE NEW POLE, ZIPLY WILL TRANSFER
(1) ATTACHMENT, (3) DROPS, (1) BSW, REMOVE (1)
DROP & EXISTING POLE.
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RECEIVED
APR 03 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ziPyEIfiber
verett, WA 98206
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DATE: 03.27.2023
DESIGNED BY: L.MATEO
SCALE:
SHEET:
NOT TO
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SCALE
N0: 1 OF 1
LEGEND:
OS
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-SPOTTER
FLAGGER STATION
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN,
OAKES 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)
SIGN LEGEND:
ROAD ONE LANE
WORK ROAD
AHEAD AHEAD
W20-1 W20-4
7A
ONE WAY, TWO WAY
50'-100' TRAFFIC TAR
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'
<i>
W20-7A
93RD PL W
(25 MPH)
10' MIN.==>
00p000 0
WORK DETAILS:
PHASE 1
ZIPLY WILL TRANSFER, 1 ATTACHMENT
3 DROPS, 1 BSW, AND REMOVE 1 DR❑P&
EXISTING POLE.
SPOTTER NEEDED FOR PEDESTRIAN
TRAFFIC AND DRIVEWAY ACCESS,
ONE WAY, TWO WAY
'-100' TRAFFIC TAPER
W20-7
D/W
W20-
ENGINEERING DIVISION
APPROVED AS NOTED
22609 jdl IV J,,,44.g 05/03/2023
VV
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50/70 40
80
35/45 30
60
25 / 30 20
40
MINIMUM SHOULDER TAPER LENGTH = L/3 (feet)
SHOULDER
POSTED SPEED (MPH)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
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'
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RECEIVED
APR 03 2023
CITY OF EDMONDS
DEVELOPMENT
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.citcatelecom.corn
360.563.9000
708 First Street
Snohomish, WA 98290
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Everett, WA 98206
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DATE: 3.31.2023
REVIEWED BY: D. LAFLEUR
WSTCS# 013259
DESIGNED BY: M. LUNA
ATCO CONTACT: 606.369.5721
marcus.luna®atcotelecom.com
SCALE: SHEET:
=5C 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)
WORK AREA
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www.atcotelecom.com
360.563.9000
708 First Street
Snohomish. WA 98290
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Everett, WA 98206
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APR 03 2023
SCALE:
SHEET:
VICINITY
MAP
NOT TO
01
CITY OF EDMONDS
SCALE
DEVELOPMENT
SERVICES DEPARTMENT
NO: 1 OF 2
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1292253 - 5511605-226
APR 03 2023
MyBuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
ENT
Applicant
First Name Last Name Company Name
Victoria Comer Ziply Fiber
Number Street Apartment or Suite Number E-mail Address
1800 41 ST Street 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
22609 93RD PL W
City Zip Code County Parcel Number
EDMONDS 98020 00544300003900
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
Jean B Holtrop
Number Street Apartment or Suite Number
22609 93RD PL W
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: 3/31/2023 Submitted By: Victoria Comer
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1292253 - 5511605-226
Project Contact
Company Name: Ziply Fiber
Name: Arianne Mommsen Email: Arianne.Mommsen@Ziply.com
Address: 1800 41 ST Street Ste Phone #: (830) 513-6614
N-100
Everett wa 98203
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: 5511605-226
Description of Work: ZIPLY WILL TRANSFER 1 ATTACHEMENT, 3 DROPS, AND REMOVE 1 DROP &
EXISTING POLE
Project Details
Project Information
Job Number
5511605-226
Page 2 of 2