ENG2023-0594 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • .
:0•i
LM
www.edmondswa.gov i
Description: ZIPLY - REMOVE DROPS AND BO POLE ISSUED: 12/21/2023
Address: 703 SPRUCE ST EDMONDS WA 98020
EXPIRES: 06/21/2024
it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00484500303901
I 11-1411 a
W
NAME TYPE NAME ADDRESS PHONE
APPLICANT CAITLIN REID 426 E CASINO ROAD, EVERETT WA 98208
(425)375-0838
CONTACT ZIPLY FIBER NORTHWEST LLC 426 E. CASINO RD, EVERETT WA 98208
(425)583-4057
CONTRACTOR ZIPLY FIBER NORTHWEST LLC 1220 75TH ST SW, EVERETT WA 98203
(425)231-3928
OWNER ROBERT B JR & SANDRA 703 SPRUCE ST, EDMONDS WA 98020
SEIDENSTICKER
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$252.00 $252.00
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
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: 12/21/2023
Printed: Thursday, December 21, 2023 10:06:43 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMIJBE
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
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Thursday, December 21, 2023 10:06:43 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.
NOV 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 5261273
Site Address or if no site address use Property Address at NW corner of project area: 703 Spruce St, Edmonds, WA 98020
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
Address426 E Casino Rd
city Everett
State WA
zip 98208
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
Address426 E Casino Rd.
Email mike.hakahan@ziply.com
city Everett
I State WA
zip 98208
Secondary Name
Phone 425-949-0230
Title
Email mike.hakahan@ziply.com
Mobile
City of Edmonds Business License No: 3 1 3-0 1 3-420
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)
A 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 TO REMOVE DROPS AND REMOVE OLD 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
Details
1.
of Work to be Completed
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?
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:
V
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 development?
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:
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? 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: Z�)MAZ,�,el, /l� DATE: 11.17.2023
APPLICANT PRINTED NAME: Derrick Kasuske Traffic Control Permitter
APPLICANT TITLE:
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
AT PLI 2 79509
RMV OH SVCE TPX
FROM PLI 279509/XFMR 25-456232 TO PLI 270984.
STRIP TOP AND ABANDON POLE 270984 TO FRONTIER.
101
RESTORATION LIMITS TO BE DETERMINED
BY CITY ENGINEERING INSPECTOR
E-62 96 1713 E-6 296
SPRUCE ST
ENGINEERING DIVISION
APPROVED AS NOTED
.loll LVI g1,1, 4,t 12/20/2023
VV
RECEIVED
NOV 20 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SNOHOMISH COUNTY
[Floal
PUBLIC UTILITY DISTRICT NO 1
1112 Rev. 4/19
ORIGINAL
APPENDIX A
JOINT POLE NOTIFICATION
Yeor Price List
To
CATV:
FRONTIER Exchange
Date
00
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FRONTIER
COMCAST
2100
3/23/2020
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Customer Name
Service Address
a
7-
GARY CLICK/425-742-6044
703 SPRUCE ST EDMONDS, WA 98020
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PUD Order/Operation No.
PUD Engineer
PUD Approved
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100060758/0030
ANDY TRAIN 425-670-3208
PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER:
out
❑ Set Poles ❑ Set Additional 8'' Helix Anchors
3/24/2020
❑ Replace Poles ❑ Set Additional 12'' Helix Anchors
In
0 Eliminate (1) 30' Poles From PUD System ® Customer Pay 100% Contacts Free To FRONTIER
3/26/2020
❑ PUD To Contact FRONTIER Pole(s) At Locations)
BM Number
Other
FRONTIER Pay 45% Of The Following (Estimates Only)
PUD Work Completed
Easement Estimate
FRONTIER Transfer ❑
�CATV Transfer ❑
Customer information
16531 13th Ave W STE A-107
Lynnwood, WA OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
E-Mail: UTILITIES MAY REQUIRE A SEPERATE PERMIT.
julie@selecthomeswa.com
Phone#: 425-742-6044
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
Return to Joint Use By
4/3/20
Adam Diaz
ism 425-261-0134
N C N C
Pole/Location o ° Recovery Pole/Location o Recovery
Reference (n Size (Size/Year) Cost Reference N C :E o Size (S Size/Year) Cost
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N/C
Additional Anchors At The Following Locations WO/USDA Codes
Fielded B te:
baz 3-26-2�
Approved By: Date:
3-26-20
Adam
Shannon Parr
LEGEND:
OSIGNALIZED
INTERSECTION
OCONE
(CANDLESTICK)
®
TYPE III BARRICADE
WORKTRUCK
WORK ZONE LIMITS
OWE
WARNING SIGN
ARROW BOARD
REQUIRED)
(WHERE
0
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
n
FLAGGER-SPOTTER
FLAGGER STATION
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 ROAD
WORK ROAD CLOSED
CLOSED LOCAL
AHEAD
TRAFFIC
ONLY
W20-1 R11-2 K-6664
7TH AVE S
(25 MPH)
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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'
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
WORK DETAILS:
ZIPLY TO REMOVE DROPS AND REMOVE
OLD POLE
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50/70 1 40
1 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'
PHASE 1
b
NOT NEEDED
ALLEY IS A DEAD
END
RECEIVED
NOV 20 2023
ENGINEERING DIVISION
APPROVED AS NOTED
tt,,,, CITY OF EDMONDS
1Qi/ Ly/"J,H.. 4z 12/20/2023 DEVELOPMENT
SERVICES DEPARTMENT
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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.atcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPylfiber
Everett, WA 98206
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DATE:
11.16.2023
REVIEWED BY:
M. LUNA
WSTCS# 013184
DESIGNED BY:
D. KASUSKE
ATCO CONTACT:
425.367.2685
derrick.kasuske@atcotelecom.com
SCALE:
SHEET:
=5F
02
NO: 2OF2
LEGEND:
EXISTING UTILITY POLE
® PROPOSED NEW POLE
WORK DETAILS:
ZIPLY TO REMOVE DROPS AND REMOVE
OLD POLE
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NOV 20 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ziPylfiber
Everett, WA 98208
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DATE: 11.14.2023
DESIGNED BY: D. KASUSKE
SCALE: SHEET:
NOT TO O'
SCALE
N0: 1 OF 1
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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)
Walnut St 'Walnut St
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Cedar St Cedar StCedar St
PHASE ON��
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RECEIVED
NOV 20 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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ATCO COMMUNICATIONSSERVICES. LLC
www.atcotelecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPIy fiber
Everett, WA 98206
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DATE:
11.16.2023
REVIEWED BY:
M. LUNA
WSTCS# 013184
DESIGNED BY:
D. KASUSKE
ATCO CONTACT:
425.367.2685
derrick.kasuske@citcotelecom.com
SCALE:
SHEET:
NOT TO
U
SCALE
N0: 1 OF 2
RECEIVED
Letter of Intent
NOV 20 2023
CITY OLMONDS Frontier
DEVELOPMENT
SERVICES DEPARTMENT COMMUNICATIONS
Frontier Communications Northwest, Inc.
Network Eng & Planning
1800 4111 St
MC: 20S
Everett, Washington 98203
Date: 03/25/2020
To: Gary Click
16531 13`h Ave W STE A-107
Lynnwood, WA
Re: 703 Spruce St, Edmonds, WA: Frontier to remove one joint owned PUD pole and rcmovc acrial
facilities.
Dear Gary,
This is in response to your request for Frontier to perform the following work: Frontier to
remove one joint owned PUD pole and remove aerial facilities.
FTR Project # 5261273
PUD JPN# 100060758
We have estimated that the cost of this work effort will be: S 2,889.23
Less the first LOI payment received (NA): - S 0.00
Balance due Frontier: $ 2,889.23
This is the amount of the advance payment that you will be required to make. You must return
this signed agreement, along with the full advance payment, before your work will be scheduled.
Upon job completion, you will be issued either: (1) a refund for any overpayment, or (2) an
invoice, if the final actual costs exceed the advance payments received. Any unapplied portion of
advance payments will be refunded to you within sixty (60) days of the final bill or cancellation of the
job.
If you agree to these terms, please sign below and forward this signed letter agreement, a check
for $2,889.23 made payable to Frontier Communication and noted with 5261273 to:
Frontier Communications
Attn: Jamie Evans
Engineering Department
1800 41s` ST
MC: 20S
Everett, Washington 98203
REV 2 05/23/2013
Pagel of 2
For your convenience and use, we have enclosed a self-addressed envelope. If you are signing for
a company or other entity, then by signing below, you warrant that you are authorized to bind the
company or entity to the terms of this letter agreement.
Upon receipt of your signed agreement and advance payment, your work order will be released to
our Construction Department for scheduling.
Frontier shall not be responsible to the extent its performance is delayed or prevented due to
causes beyond its control, including but not limited to acts of God or the public enemy, terrorism, civil
commotion, embargo, acts of government, any law, order, ordinance, regulation, or requirement of any
government, fires, explosions, weather, quarantine, strikes, labor disputes, lockouts, and other causes
beyond the reasonable control of Frontier.
Should you have any questions or concerns regarding these terms, please contact me at (425) 261-
0134.
Please be advised that the price estimate quoted above is only valid for sixty (60) days from the
date of this letter. If this work request is cancelled after you have signed the agreement, you will be billed
for any Engineering and Construction cost incurred after the date of signature that may include the cost to
place and/or remove facilities.
If we do not receive this signed agreement and your full advance payment within this sixty (60)
day period, we will assume that you do not want the work to be undertaken and the project will be
cancelled.
Sinccrcly,
Adam Diaz
Frontier — Signature
Network Enizineer
Frontier — Title
I agree to the terms of this agreement:
Accepted (Signature):
Print Name & Title:
Company
Billing Address:
Telephone #:
RECEIVED
NOV 20 2023
Date:
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
REV 2 05/23/2013
Page 2 of 2
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1406085 - 5261273
NOV 20 2023
MyBuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Caitlin Reid Ziply Fiber Northwest LLC
Number Street Apartment or Suite Number E-mail Address
426 E Casino Road caitlin.reid@ziply.com
City State Zip Phone Number Extension
Everett WA 98208 (425) 375-0838
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
703 SPRUCE ST
City Zip Code County Parcel Number
EDMONDS 98020 00484500303901
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
Robert B Jr & Sandra B Seidensticker
Number Street Apartment or Suite Number
703 SPRUCE ST
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: 11/17/2023 Submitted By: Caitlin Reid
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1406085 - 5261273
Project Contact
Company Name: Ziply Fiber Northwest LLC
Name: Arianne Mommsen Email: arianne.momsen@ziply.com
Address: 426 E. Casino RD Phone #: (425) 583-4057
Everett WA 98208
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: 5261273
Description of Work: ZIPLY TO REMOVE DROPS AND REMOVE OLD POLE
Project Details
Project Information
Job Number
5261273
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