ENG2023-0484 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
- ENG2023-0484]
www.edmondswa.govi
Description: COMCAST - SPLICE AND RISER DOWN TO VAULT ON PRIVATE PROPERTY
ISSUED: 11/15/2023
Address: 21300 HIGHWAY 99 EDMONDS WA 98026
EXPIRES: 05/15/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00580700000601
NAME TYPE NAME ADDRESS PHONE
APPLICANT JESSAMIN SANTOS 1701 JOHN F KENNEDY BLVD, PHILADELPHIA PA 19108 (206)401-2188
CONTACT CABLECOM LLC 1429 AVENUE D 339, SNOHOMISH WA 98291 (360)670-4291
CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700
OWNER SC EDMONDS RE LLC 19400 MCLOUGHLIN BLVD, GLADSTONE OR 00000
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
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.
RELEASED BY: MAJ DATE: 11/15/2023
Printed: Wednesday, November 15, 2023 11:05:38 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUM11BE
City of Edmonds
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
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:OOam to 6:OOpm on
SOUND AND NOISE
weekdays and 10:OOam and 6:OOpm 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
COMPLETE
A-1 JOB START
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Wednesday, November 15, 2023 11:05:38 AM 2 of 2
RECEIVED
Lti�y of EpiyO�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.
SEP 21 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•
Project Name COMCAST - JB0001560232
Site Address or if no site address use Property Address at NW corner of project area: 21300 HIGHWAY 99 EDMONDS WA 98026
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company: COMCAST CABLE HOLDING Franchise Ordinance No:
Point of Contact: JESSAMIN SANTOS
Title: PERMIT COORDINATOR
Addressl701 John F. Kennedy Blvd.
City: Philadelphia
State PA
Zip 191o8
Phone: (2o6)401 - 2188
Email: WACONSTRUCTION_JOINTUSE@COMCAST.COM
Contractor and Authorized Agent of Owner (see note below)
Name of Company: CABLECOM LLC
Contractor Contacts During Construction
Primary Name: CABLECOM LLC - MICHAEL FINCH
Agent Name: LEAH IHLENFELDT
Title: CONSTRUCTION SUPERVISOR
Title: PERMIT SUPERVISOR
Mobile: (36o)965-5o85
Address:1429 AVENUE ID 339
Email: MICHAEL.FINCH@CABLECOMLLC.NET
City: sm6TomISH
State: WA
Zip: 98291
Secondary Name
Phone (360)670-4291
Title
Email SNOHOMISH.PERM ITTING@CABLECOMLLC. NET
Mobile
City of Edmonds Business License No: N R-021818
Email
State License No: CABLEL*971DP
91 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
V� 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.)
SPLICE AT (SP.WALY.0539). TIE IN AT CASE RISER DOWN 25' TO EXISTING VAULT AND CONTINUE WORK INTO PRIVATE PROPERTY.
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 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?
•
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
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?
5.
Does the work involve proposed additions to an aboveground utility system? 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 • to be Completed
®i
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial develo ment?
[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:
X
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? 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:
9/20/2023
APPLICANT PRINTED NAME: LENAIZA ENRIQUEZ
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
AS B U I LT COVER
Completed By:
John novelli
N
`weE
s
Completion Date:
8/17/2023
Address:
21300 HIGHWAY 99 EDMONDS WA 98026
,gyp
I
COMCAST
Job Type:
Metro E Retail
Job Subtype:
Fiber
Footages Entered On Right of Way, Private Exterior, and Private Interior tabs.
Footages are summarized on Survey Rollup tab.
Survey Scope:
Post -Sale
Project Manager:
Are Additional Pages Needed: No
P2 ID:
JB0001560232
•Provide
Clear RouteOverview ConstructionDetails
• 1 1
EXISTING VAULT
. . .
Existing U/G
Existing Aerial
i■a
C�
— ■ ■� ■ : ■ ■
INN
New Aerial
mom
11N�
.� ■.
-
-:■. -■1■� :■r
Interior Path
Exterior Building_���■■
� ` ■■■■ �
� � �l•� r� :
■■■� is � • • • �
■fit �■■r : ���
Footage Brea��
■f� �L �� ■
■■�_ 1� _! C
Fiber Splice Point
Storage Loop
ZI
Riser
�■�
���
� III �A — � �1 � III =
��
■ � ` � �
■ � �� � _ ■ I
■
Pole
,� ■
ME
Lock Box
Footage
MENNEN man
WIN
Text Box
Text
IIIIIIIII MINES
■
Callout ArrowNew
' ' ■ �7i ■■■� 111■ �-
■
Tap
0
to■111�= aC �■I��� ■ ■� ..■
IH :�■ .it ■ti ■■■ � ■ �� ��
11■1111� ��■■�
Ego■ .•. L
r. -
Route Overview
Completed By:
John novelli
Completion Date:
8/17/2023
Address:
21300 HIGHWAY 99 EDMONDS WA 98026
Job Type:
Metro E Retail
Job Subtype:
Fiber
Footages Entered On Right of Way, Private Exterior, and Private Interior tabs.
Footages are summarized on Survey Rollup tab.
Survey Scope:
Post -Sale
Project Manager:
Are Additional Pages Needed: No
P2 ID:
JB0001560232
*IMPORTANT CONSIDERATIONS FOR ROUTE OVERVIEW COMPLETION*
NOTE ALL FUTURE PEDESTAL / VAULT LOCATIONS
ENSURE YOU HAVE VERIFIED THE EXISTING COMCAST FACILITIES (FIBER / CASE LOCATIONS / SHEATHS PER CASE / SLACK LOCATIONS / FOOTAGE / STRUCTURE) SHOWN ON THE FACILITY
SEARCH MAP WITHIN THE CONSTRUCTION AREA.
SHOW ENTIRE ROUTE FROM TIE IN TO CUSTOMER LOCATION
Legend Provide Clear Route Overview Construction Details
SPLICE AT (SP.WALY.0539). TIE IN AT CASE RISER DOWN 25' TO EXISTING VAULT AND CONTINUE WORK INTO PRIVATE PROPERTY. ENGINEERING DIVISION
EXISTINGPED � „ r.,r,r,r„ ,ter., „
OWNER/CONTRACTOR IS RESPONSIBLE FOR OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ., "'7TED
EROSION CONTROL AND DRAINAGE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
EXISTING VAULT ❑V UTILITIES MAY REQUIRE A SEPERATE PERMIT. _ �/ I� 1/14/2023
Existing Ll _ �V
Existing Aerial 1 12�hlt
New U/G Applicant shall repair/replace all
damage to utilities or frontage
_ _ _ _ _ improvements in City right-of-way y _
New Aerial per city standards that is caused or
---. occurs during the permitted project. L j
Interior Path
EDMONDS JURISDICTION
Footage Break -
.:
Fiber Splice Point N
Storage Loop M �� ♦ a
Riser ® - •,. :e
Pole ® ( �♦
Lock Box Iti fi s
Footage
Text
Text Box — t
LL
Callout Arrow � ;� —, � — `\��, • w � _,
y
New Tap
Phase Identifier
Ps j
Power Suppy V LYNNWOOD JURISDICTION
Hard Surface Cut
1
RESUB
Oct 30 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Right of Way
Completed By:
John novelli
Address:
21300 HIGHWAY 99 EDMONDS WA 98026
Completion Date:
8/17/2023
Right of Way Footages:
IProject
COMCAST
Job Type:
Metro E Retail
New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0
New Aerial Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0
Empty Conduit Only: 0 New UG Coax: 0 Existing UG Coax: 0
Are Additional Pages Needed: No
Job Subtype:
Fiber
Survey Scope:
Post -Sale
Manager:
P2 ID:
JB0001560232
Legend
Provide Clear Right of Way Construction Details
SPLICE AT (SP.WALY.0539). TIE IN AT CASE RISER DOWN 25' TO EXISTING VAULT AND CONTINUE WORK INTO PRIVATE PROPERTY.
RES U B
EXISTING PED
❑
Oct 30 2023
EXISTING VAULT
�
DEVELOPMENT SERVICES
DEPARTMENT
Existing U/G
Existing Aerial
• • • •
• •
New U/G
New Aerial
Interior Path
Exterior Building Path
Footage Break
-
Fiber Splice Point
_
Storage Loop
CD
:SPLICE HERE
®
---- _
(SP WALY 0539)
Riser
• �—.
-
Pole
Lock Box
s�• '
:>
K tea: '�`u - ' � 4
' �
��
_
Footage
s
_
Text
`
Text Box
Callout Arrow
New Tap—
❑1
--- '
-
•
Phase Identifier
s
Ps
Power SuppY::
Hard Surface Cut
1J
✓✓
TRAFFIC CONTROL
Completed By:
John novelli
Address:
21300 HIGHWAY 99 EDMONDS WA98026
Completion Date:
8/17/2023
Right of Way Footages:
Job Type:
Metro E Retail
New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0
New Aerial Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0
Empty Conduit Only: 0 New UG Coax: 0 Existing UG Coax: 0
Are Additional Pages Needed: No
Job Subtype:
Fiber
Survey Scope:
Post -Sale
Project Manager:
-
P2 ID:
JB0001560232
Legend Provide Clear Right of Way Construction Details
SPLICE AT (SP.WALY.0539). TIE IN AT CASE RISER DOWN 25' TO EXISTING VAULT AND CONTINUE WORK INTO PRIVATE PROPERTY.
New Ped
❑
New Vault
�V
Existing U/G
Existing Aerial
New U/G
New Aerial
Interior Path
Exterior Building Path
Footage Break
Fiber Splice Point
Storage Loop
CD
tD
Riser
Pole
Lock Box
150'
Footage
Text
Text Box
Callout Arrow
0
New Tap
Phase Identifier
■
Power Suppy
Hard Surface Cut
SIGN SPACING = X (1)
RURAL ROADS L URBAN ARrFRIA15 15 -4.^. MPH 3SV&
RURAL ROADS. URBAN ARILRIALS. ;5 r 30 MPH 2WA.:21
RESIDENTIAL A BUSINESS OISTRIC
URBAN STREETS 25 MPH OR L[SS IW.L (Z
(1)Al1 SPACING MAY BE AO:USTED TO ACCOMMODATE
INTERSECTIONS AND DRNEIVAYS.
(21'1115 SPAC14i MAY BE REMCED IN URBAN AREAS TO rl'
ROAC•AAY CONOVIIONS.
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.
LEGEND
q TEMPORARY SIGN LOCATION
a CHANNELIZING DEVICES'
® PROTECTIVE VEHICLE
RESUB
TRAFFIC CONTROL INSPECTION SHALL BE Oct 30 2023
REQUIRED WHENEVER WORK ZONE IS SET UP CITY OFEDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
MINIMUM SHOULDER TAPER LENGTH = U3 (feet)
SHO...DrR
vin-a
,rrl;
Posted Speed (mph)
2«>i
10
1>
42
-
;
E-
0
C
0
0
1eO
C
USF A i DFLICFS TAPFR FCR ShOUIVFRS :FSS THFV B
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
ENGINEERING DIVISION
,7TED
1/14/2023
HIGHWAY 99
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
SS
60
65
70
LENGTH (loot'-
155
200
2SO
MIS
-160
425
495
1 570
64S
7+.'.
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9.900 TO 72.000 Im.
HOST VEHICLE WEIGHT
> 22 OCO It;..
< 45 LIPll
45-55 MPII
> 55 MP11
< 45 MPrI
45.55 YPtI
> 55 MP1
'00
12Y
177
74
1C0'
157
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIEC DISTANCE REQUIRED
b N O O ¢ wORK wRew 0
i ,4:..
ROAD
WORK
Z�/
4r
CHANNELIZATION DEVICE
SPACING feel
MrH
rArrR
rswt'N-
2S•i]
2]
41
SHOULDER
WORK NOTE: TRAFFIC CONTROL PLAN TO BE UTILIZED IN VARIED DIRECTIONS BASED ON WORK LOCATION .ALL
LOCATIONS TO ADAPT BELOW PLANS TO SITE CON DICTIONS.
W21-5 NOTE: PEDESTRIAN SPOTTERS SHALL CON DUCT PEDESTRIAN TRAFFIC CONTROL ANDARE TO MAINTAIN
OPEN SIDEWALKSANDADA RAMPS.
SHOULDER CLOSURE -LOW SPEED
(40 MPH OR LESS)
NOT TO SCALE
PROJ•NO•
NOTES
1. DEVICE SPACING FOR THE DOWNSTREAM TAPER S14AU BE 20 (FT).
2. ALL SIGNS ARE BLACK ON ORANGE.
wI/ TC5'
Washington State
Department of Transportation
TRAFFIC CONTROL PLAN
RESUB
Oct 30 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Additional File Submittal
Permit Number: ENG2023-0484
Project Name: COMCAST - JB0001560232
Submission Date & Time: 10/30/2023 2:49:12 PM
Reason for Submittal: Response to Reviewer Comments
Brief Description of Changes: The revised scope of work and traffic control. All
work is existing and traffic control will assist pedestrians through the work site.
Name of Jurisdiction Contact(s):
Uploaded Files: JB1560232 -UPDATED EDMONDS TCP.pdf(Traffic Control
Plan), JB1560232 - UPDATED EDMONDS SOW.pdf(Site Plan)
eCitvGov Alliance, P.O. Box 90012, Bellevue, Washington 98009-9012
RECEIVED
SEP 21 2023
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
Right -of -Way Application #1379088 - COMCAST - JB0001560232 DEVELOPMENT
SERVICESDEPARTMENT
Applicant
First Name Last Name Company Name
JESSAMIN SANTOS COMCAST
Number Street Apartment or Suite Number E-mail Address
1701 JOHN F KENNEDY BLVD WACONSTRUCTI0N JOINTUSE@COMC
City State Zip Phone Number Extension
PHILADELPHIA PA 19108 (206) 401-2188
Contractor
Company Name
Cablecom LLC
Number Street Apartment or Suite Number
1429 AVENUE D 339
City State Zip Phone Number Extension
SNOHOMISH WA 98290 (360) 863-2628 (360) 454-3163
State License Number License Expiration Date UBI # E-mail Address
CABLEL*971 DP 8/21/2025 FD99RSS79 SNOHOMISH.PERM ITTING@CABLECO
Project Location
Number Street Floor Number Suite or Room Number
21300 HIGHWAY 99
City Zip Code County Parcel Number
EDMONDS 98026 00580700000601
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
* SC EDMONDS RE LLC
Number Street Apartment or Suite Number
19400 MCLOUGHLIN BLVD
City State Zip
GLADSTONE OR 00000
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: 9/20/2023 Submitted By: JESSAMIN SANTOS
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1379088 - COMCAST - JB0001560232
Project Contact
Company CABLECOM LLC
Name:
Name: LEAH Email: SNOHOMISH.PERM ITTING@CABLECOMLLC.NET
IHLENFELDT
Address: 1429 AVENUE D Phone (360) 670-4291
339 #:
SNOHOMISH WA
98291
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: COMCAST - JB0001560232
Description of Work: SPLICE AT (SP.WALY.0539). TIE IN CASE RISER DOWN 25- TO EXISTING VAULT
AND CONTINUE WORK INTO PRIVATE PROPERTY.
Project Details
Project Information
Job Number
JB0001560232
Page 2 of 2