ENG2023-0241 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT
o
fM.
City of Edmonds PERMIT NU�M
www.edmondswa.gov i
Description: ZIPLY-ACCESS MANHOLE TO SPLICE FIBER
ISSUED: 06/06/2023
Address: 7320 216TH ST SW EDMONDS WA 98026-8006
EXPIRES: 12/06/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00580700002901
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT DONAVAON LAFLEUR
1800 41ST ST STE N-100, EVERETT WA 98203 (425)375-0838
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 PUBLIC HOSPITAL DISTRICT 2
4710 196TH ST SW, LYNNWOOD WA 98036-5517
SNOHOMISH CO
AL
FEE INFORMATIO
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
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: 06/06/2023
Printed: Tuesday, June 06, 2023 2:19:53 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: Tuesday, June 06, 2023 2:19:53 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.
MAY 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 552o694
Site Address or if no site address use Property Address at NW corner of project area: 7320 216th St SW, Edmonds, WA
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
ID 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
access
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
N/A
Alley 72 hours +
LF
JxJ
F
SF
N/A
Parking 72 hours +
LF
JxJ
LF
SF
N/A
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?
•
N/A
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
NO
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?
NO
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?
NO
5.
Does the work involve proposed additions to an aboveground utility system? If es:
NO
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
ni
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
FN0
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:
NO
How many are existing? I I How many are to be added?
6b.
Does your project involve poles? If yes:
NO
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:
NO
How many? I I What is the height of the poles after?
AL
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: Don,avon, Lafleur
APPLICANT PRINTED NAME: Donavon Lafleur
APPLICANT TITLE: Manager - TCP and Permits
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
5/2/2023
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
PLANNING NARRATIVE:
Title: HLLK - 100M - PSR# 3439958 - PROLIANCE SURGEONS - 7320 216TH ST SW, EDMONDS, WA 98026
OSP Estimate: 30343
Varasset WO#:
Estimated Release to Construction Date: 7/12/23
Estimated In Service Date: 7/26/23
Planner: Ed Meneses
Planner Phone #: 916-213-6468
WHERE:
Customer: TIME WARNER TELECOM
End User: PROLIANCE SURGEONS, INC.
Address: 7320 216TH ST SW, EDMONDS, WA 98026
LAT, LONG: 47.80265,-122.33197
Access Type: Ethernet - NID
Bandwidth: 100M
Service Order #: 3439958
DSAT #: 2665515
BDT #:
CKT: 86/KRGN/386747/ /NWFC/
LCON:
Name: MIKIKO TSUJI
Phone: 206-473-0001
Email: PROLIANCESDWAN@PROLIANCESURGEONS.COM
AO/EXCH: 032/51419
Fiber Term:
Fiber Trunking Schematic:
Fiber Feed Assignment: FT157,37-38 back to HALLS LAKE (HLLKWAXX) at Plant: 2100 - Bay: T-1311 - M/S: 5 - Port: 37-38
Associated Project(s):
WHAT:
Locate fv4l+7 MH3(Frogs show fiber in MH3, not MH7) at 7207 212th St SW, Edmonds and splice XD,1-2 from the YJD-24 cable to FT157,37-38 on the YJD-96 cable.
WHY:
Sold 100M order for PROLIANCE SURGEONS, INC. processed by carrier TIME WARNER TELECOM.
"Attention Splicer: should you find traffic on assigned fiber or existing jumpers, at the office, splice location, or the X-Conn please escalate to the local inspector or Special Services
team."
DAFTED BY:
IffArArArO SUMEI SHIH
ATCO COMMUNICATIONS SERVICES, LLC
www.afcotelecom.com SUMEI.SHIH@ATCOTELECOM.COM
RECEIVED
MAY 03 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 7/12/23
❑ CIAC IN SERVICE DATE
❑ DAMAGE 7/26/23
❑ OTHER
CONSTRUCTION
❑ FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
IN DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN
JPN
OWNER TO
FROM
❑ ❑
❑ POWER
❑ ❑
❑ CATV
❑ ❑
❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES
❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER
❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER
❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER
❑ 64XX.XXX MAINT.
LCON: MIKIKO TSUJI 206-473-0001
SCHEDULING:
PHONE:
ENGINEER:
PHONE:
FACILITIES:
PHONE:
FIELDED BY:
JOHN WOOD
425-261-1412
MIKE HAKAHAN
425-949-0230
EUNICE RIMANDO
425-263-4009
BRENT LITTLE
I ziplyfiber
HLLK - 100M - PROLIANCE SURGEONS
7320 216TH ST SW, EDMONDS, WA
PROJECT 5520694 C.O. AREA: 962
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN NTY: SNOHOMIS
4/25/23 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: DWG 1 OF 4
TWNSHP: 27N RNG: 4E SEC: 29A
� MH4
—MH69 _
i
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
MMH8
_ MH7
I
I
NOTE:
/YGD 96 I MH DETAIL SHOW FIBER IN
/ /YGD 6 MH3/MH68. NO FIBER IN MH7/MH6.
/ GD 16 PLEASE FIELD VERIFY.
FJDJ432
DJ864
BN 48 IN MH3 SPLICE FIBER.
BN 48 I SEE MH DETAIL WP4.
Z BN 24
I
I
I
I
I
_ I
213TH PL SW _
288 RB
TO WP3
MH7
MH6 MH68
�I /AKF 900 26
RBN
48
AKF 900 26
I
FD i 48
I
06.2007 3FOAOAF 2422.201
1553
YGD
HLLKWAXX FT157,1-96
D 6
D 16
JD 432
YJD 864
iRBN 48
— 212TH ST SW ------- _
i06.2007 3FOAOAF 2422.201
1980
(24 YJD HLLKWAXX FT157,37-38+
XD,1-4+ XD,3-4+
HLLKWAXX FT157,29-30+ HLLKWAXX FT157,29-30+
XD,7-24 XD,7-24
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.
RECEIVED
ENGINEERING DIVISION
MAY 03 2023
APPROVED AS NOTED
I
LVI g rf.44.1 05/31/2023
CITY OF EDMONDS
VV
DEVELOPMENT
SERVICES DEPARTMENT
3
>I Q
=I
�I
0
n
I
MH2 MH6
MH67 _ MH5
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 7/12/23
❑ CIAC IN SERVICE DATE
❑ DAMAGE 7/26/23
❑ OTHER
CONSTRUCTION
❑ FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
® DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN JPN
OWNER TO FROM
❑ ❑ ❑ POWER
❑ ❑ ❑ CATV
❑ ❑ ❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES ❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT.
POINT OF CONTACT
LCON: MIKIKO TSUJI 206-473-0001
SCHEDULING: JOHN WOOD
PHONE: 425-261-1412
ENGINEER: MIKE HAKAHAN
PHONE: 425-949-0230
FACILITIES: EUNICE RIMANDO
PHONE: 425-263-4009
FIELDED BY: BRENT LITTLE
ziplYfiber
HLLK - 100M - PROLIANCE SURGEONS
7320 216TH ST SW, EDMONDS, WA
PROJECT 5520694 C.O. AREA: 962
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN NTY: SNOHOMISH
4/25/23 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: DWG 2 OF 4
TWNSHP: 27N RNG: 4E SEC: 29A
AKF 300 2
TO WP2 III
TP PIGTAIL 12
8 RBN
' AKF 300 26
05/
,
,
,
,
,
0)
,
06.2007 3FOAOAF 2422.201
1980 /
24 YJD HLLKWAXX FT157.37-38+
XD,1-4+ XD,3-4+ /
HLLKWAXX FT157,29-30+ HLLKWAXX FT157,29-30+
XD, 7— 24 XD.7-24 /
J RECEIVED
/ PROLIANCE SURGEONS MAY 03 2023,
7320 216TH ST SW /
CITY OF EDMONDS
i DEVELOPMENT
/ SERVICES DEPARTMENT
AKF 300
216TH ST SW
r---------F---- -
I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER
AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY
STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
TOTAL ALLOTTED HOURS
CONTACT SUPERVISOR IF ADDITIONAL
HOURS ARE REQUIRED TO COMPLETE PROJECT
CAP. X-TIME MAINT
CREW 0 0 0
SPLICING 0 0 0
W.O. DRIVER CONSTRUCTION START
® ETHERNET 7/12/23
❑ CIAC IN SERVICE DATE
❑ DAMAGE 7/26/23
❑ OTHER
CONSTRUCTION
❑ FLAGGING ❑ BRUSHING ❑ CONTRACTOR
PERMITS
MUNICIPALITY: CITY OF EDMONDS
❑ BLANKET
® TCP/TRAFFIC
® DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS#
® NO JPN REQUIRED
POLE JPN JPN
OWNER TO FROM
❑ ❑ ❑ POWER
❑ ❑ ❑ CATV
❑ ❑ ❑ FRONTIER
ACCOUNT CODES
❑ 2411.001 POLES ❑ 2422.201 UG FIBER
❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT
❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL
❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT.
POINT OF CONTACT
LCON: MIKIKO TSUJI 206-473-0001
SCHEDULING: JOHN WOOD
PHONE: 425-261-1412
ENGINEER: MIKE HAKAHAN
PHONE: 425-949-0230
FACILITIES: EUNICE RIMANDO
PHONE: 425-263-4009
FIELDED BY: BRENT LITTLE
ziplyfiber
HLLK - 100M - PROLIANCE SURGEONS
7320 216TH ST SW, EDMONDS, WA
PROJECT 5520694 C.O. AREA: 962
NUMBER: EXCH. CODE: 51419
DRAWN DATE: ENGR: M. HAKAHAN NTY: SNOHOMISH
4/25/23 PHONE:425-949-0230 FILE:
SCALE: 1:100 TAX DISTRICT: DWG 3 OF 4
TWNSHP: 27N RNG: 4E SEC: 29A
LEGEND:
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
OS
SIGNALIZED INTERSECTION
OCONE
(CANDLESTICK)
®
TYPE III BARRICADE
WORKTRUCK
WORK ZONE LIMITS
WARNING SIGN
ARROW BOARD
(WHERE REQUIRED)
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
FLAGGER-SPOTTER
FLAGGER STATION
A
RECEIVED
MAY 03 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)
SIGN LEGEND:
ROAD RIGHT LANE
WORK CLOSED
AHEAD AHEAD N
W20-1 W20-5R W4-2L
WORK DETAILS:
@ ACCESS EXIST, MH 3 FOR SPLICING
SPOTTER NEEDED FOR PEDESTRIAN
TRAFFIC AND DRIVEWAY ACCESS,
N
PHASE 1 6
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
SIDEW ..�.. ,
O O O O O
OS ♦ G� 11' MIN. —
111111111 SIDEWALK
212TH ST SW
fW20-1 (30 MPH)
I/ X
ENGINEERING DIVISION
APPROVED AS NOTED
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50 / 70 1 40
1 80
35/45 1 30
1 60
25/30 1 20
140
MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
LANE
POSTED SPEED (MPH)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
10
105
150
205
270
450
500
550
600
650
700
11
115
165
225
295
495
550
605
660
715
770
12
125
180
245
320
540
600
660
720
780
840
JQ�tV'&' "wz 05/31 /2023
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.
O
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: 5.1.2023
REVIEWED BY: K.BUXTON
WSTCS# 013250
DESIGNED BY: M.BERNERT
ATCO CONTACT: 614.935.2248
matthew.bernert®atcotelecom.com
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ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, N
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) 6
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RECEIVED
MAY 03 2023
CITY OF EDMONDS
DEVELOPMENT
VICINITY MAP
SERVICES DEPARTMENT
DATE:
5.1.2023
REVIEWED BY:
K.BUXTON
WSTCS# 013250
DESIGNED BY:
M.BERNERT
RECEIVED
MAY 03 2023
CITY OF EDMONDS
Right -of -Way Application #1309032 - 5520694
MyBuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Donavaon Lafleur Ziply Northwest Fiber LLC
Number Street Apartment or Suite Number E-mail Address
1800 41st St Ste N-100 donavon.lafleur@ziply.com
City State Zip Phone Number Extension
Everett WA 98203 (425) 375-0838
Contractor
Company Name
ZIPLY FIBER NORTHWEST LLC
Number Street Apartment or Suite Number
1800 41 st St Ste N 100
City State Zip Phone Number Extension
Everett WA 98203 4259490230
State License Number License Expiration Date UBI # E-mail Address
ZIPLYFN782L3 5/25/2024 iyini i4gn Mike.Hakahan@ziply.com
Project Location
Number Street Floor Number Suite or Room Number
7320 216TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00580700002901
Associated Building Permit Number Tenant Name
5520694
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO
Number Street Apartment or Suite Number
4710 196TH ST SW
City State Zip
LYNNWOOD WA 98036-5517
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: 5/2/2023 Submitted By: Donavaon Lafleur
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1309032 - 5520694
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 No Disturbance of Surface
Project Name: 5520694
Description of Work: Access existing Manhole 3 for splicing at NE corner of 212th St SW and 72nd
Ave W
Project Details
Project Information
Job Number
5520694
Page 2 of 2