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ENG2024-0003 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds Edmonds WA 98020 ENG2024-0003 LM www.edmondswa.gov i Description: COMCAST - PULL NEW SERVICE THROUGH EXISTING CONDUIT ISSUED: 01/22/2024 Address: 21401 72ND AVE W EDMONDS WA 98026 EXPIRES: 07/22/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00580700002208 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 HSRE EDMONDS MOB OWNER LLC PO BOX 92129, SOUTH LAKE TX 76092 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $378.00 $378.00 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: 01/22/2024 Printed: Monday, January 22, 2024 11:03:56 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:01 111 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 TRAFFIC CTRL Printed: Monday, January 22, 2024 11:03:56 AM 2 of 2 RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. Jan 04 2024 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. SECTION A General• Project Name COMCAST - JB0001237956 Site Address or if no site address use Property Address at NW corner of project area: 21401 72ND AVE W EDMON DS WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of CompanyCOMCAST CABLE HOLDING Franchise Ordinance No: Point of Contact J ESSAM I N SANTOS Title PERMIT COORDINATOR Address 1701 JOHN F KENNEDY BLVD City PHILADELPHIA State PA Zip 19108 Phone 206-401-2188 Emai1WACONSTRUCTION JOINTUSE@COMCAST.COM Contractor and Authorized Agent of •wner (see note •- •w) Name of Company CABLECOM LLC Contractor ContactsDuring Construction Primary Name CABLECOM LLC - MIKE FINCH Agent NameLEAH IHLENFELDT Title CONSTRUCTION SUPERVISOR Title PERMIT SUPERVISOR Mobile360-965-5085 Address 1323 AVENUE D #339 Email MICHAEL.FINCH@CABLECOMLLC.NET CitySNOHOMISH State WA ZiP98290 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`971 DP V Contractor verifies it is currently bonded 16 Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.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 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.) 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND NTINUE WORK INTOR PRIVATE PROPERTY. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF 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 SECTIONC. 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 Details of Work to be Completed 1. Does the utility owner have existin overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? If yes, describe: ONE 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? X 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 Work to be Completed Yes No 6. 1Does your project involve rebuilding or replacing utility equipment which currently serves more X 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: 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? How many poles are to be removed? Are additionalpoles 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: X 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: 12/27/2023 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM Right of Way Completed By: Nathan Lindae-Fregoso Address: 21401 72ND AVE W EDMONDS WA 98026 Completion Date: 12/27/2022 Right of Way Footages: IJob COMICAST Job Type: Metro E Retail New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 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 Subtype: Fiber Survey Scope: Post -Sale Project Manager: - P2 ID: JB0001237956 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial - New Tap Interior Path Footage Break Phase Identifier Fiber Splice Point Power Supply Ps co O Storage Loop Hard Surface Cut ® Riser 11 Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY RECEIVED Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT r -ow it I 1 CIt0 - " 1 INSTALLATION OF NEW CONDUIT NOT APPROVED UNDER THIS PERMIT. NO GROUND DISTURBANCE ALLOWED. ,9A M" Am .. ae A 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 jell WLgj,$,.44 01/17/2024 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL Completed By: Nathan Lindae-Fregoso Address: 21401 72NDAVE W EDMONDS WA98026 Completion Date: 12/27/2022 Private Exterior Footages: COMICAST Job Type: Metro E Retail New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Fiber Survey Scope: Post -Sale Project Manager: P2 ID: JB0001237956 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path 1 ❑ Footage Break Phase Identifier Fiber Splice Point Power Supply • Storage Loop Hard Surface Cut ® Riser Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY RECEIVED Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 75 30 35 40 45 50 1 55 1 60 1 65 7C LENGTH (Ms() 155 200 250 305 360 425 1 495 1 570 1 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R MOST VEHICLE VEIGHT 9.900 TO 22.00D Ibs. HOST VEHICLE WEIGHT > 22.000 Ibs. < 45 MPH 45.55 MPH 55 VPH < 45 MPH 45-55 161PH SS MPH 10C 123' 172' 74' IOD 15C' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED X 4E° ONE LANE ROAD AHEAD 4d 4411 W20-4 ROAD WORK AHEAD 4C' W20.1 SIGN SPACING = X (1) RURAL HIGHWAYS 60 165 UP" 6004 RURAL RODS 45 155 MPH 5W. RURAL ROADS 6 URBAN ARTERKLS A 140 MPH 3W4 RURAL ROADS, URBAN ARTERIALS i I MPH RESIDE..\TIAL 6 BUSINESS DISTRICTS 7W URBAN STRFFTS 2S W44 OR LESS 100A I7j (I)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTL RSEC71ONS AND URIVEIIWYS. IX. THIS SPACING WAY BE REDUCED IN L.RBAN AREAS TO FIT ROADWAY CONDITIONS W TO 100 6 DEVICE JI MIN I 1 O O O ARIA EEI--1 Iq X X x I SU To 300 4, 4V 4e' W294A eE PREPARED TO STOP 4e• W20.7e W:0.7B (OPTIONAL IF 40 MPH OR LESS} t_� LEGEND ENGINEERING DIVISION FLAGGING STATION APPROVED AS NOTED p TEMPORARY SIG-4 LOCATION AA N CHANNELIZING DEVICES 1�P1l W410,44z 01/17/2024 ® PROTECTIVE VEHICLE 1111 1 W TO 100 6 DEVICE W20•TB (OPTIONAL IF 46 MPH OR LESS) le• 41' eE ROAD PREPARED WORK TD STOP AHEAD ♦g• 48• 4e' 4Y . 1176 ONE LANE W26.1 ROAD AHEAD 4a• 4e• W20-7A W20d X I X 72ND AVE W CHANNELIZATION DEVICE SPACING (FEET) TA➢FR TANGENT LTAPH Y'.05 10 TO 20 b i5N5 10 TO 20 60 7Y� 10 TO 20 40 TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP NOTES T. ALLI. SIGNS ARE BLACK ON ORAINGF. Z EXTENDING THE CHANNEU2ING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGH71NO AT ONE -LANE, TWO-WAY TRAFFIC CONTROL F«�G�nON7LOD T DETAILS. THE STANDARD SPECIFICATIONS WITH FLAGGERS 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. NOT TO SCALE • TC1 Washington State Dspartrnsnt of Transportation TRAFFIC CONTROL PLAN SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL Completed By: Nathan Lindae-Fregoso Address: 21401 72ND AVE W EDMONDS WA98026 Completion Date: 12/27/2022 Private Exterior Footages: IProject COMICAST Job Type: Metro E Retail New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Fiber Survey Scope: Post -Sale Manager: P2 ID: JB0001237956 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path 1 ❑ Footage Break Phase Identifier Fiber Splice Point Power Supply PS O Storage Loop Hard Surface Cut ® Riser Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY RECEIVED Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIGN SPACING = X (1) RURAL ROADS a URBAN ARTERIALS 15140 MPH 3WA AURAL ROADS. URBAN ARTERALS. :5 130 MPH RESIDENTIAL 6 BUSINESS DISTRICTS 2WA R: uRDAN STREETS 25 MP" OR LESS IWL 12: ,1 Alt SPACING MAV SE AD..I.STEO TO ACCOMMODATE INTERSECTIONS AND ORfvL,vAYS. 21 -111S SPACWG WAYBE RLDI.CLD IN URBANAREASTO Fir ROADYGY COHCI'10N5. S 31 MINIMUM SHOULDER TAPER LENGTH - LJ3 (feet) SHOLADER V40TH cwn Posted Speed (mph) 2s 30 1 » 1 .0 as so ss w ss 70 6• 40 40 60 - - ,a 40 6o sc sc USE A i DFMICFS TAPER FOR SHOUt DERS LESS THEN M N 216TH ST SW BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 1 30 1 35 1 40 1 45 1 SO I 55 1 60 1 65 LENGTH (fss0 1S5 1 200 1 250 1 305 1 %0 1 425 1 495 1 570 1 64S TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.900 TO 22.000 be. HOST VEHICLE WEIGHT > 22.000 tn. < 45 AIPII 45--55 MPII > 55 MPH < 45 MPH 165-S5 MPH > 55 MP 'GO 12Y 177 74' 1OX 150 PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED CHANNELIZATION DEVICE SPACING lest MPH TAPER T4V;.EN' 30 60 2Y30 20 •TO 41' 41' ROAD WORK <OULDERRHEAO RK TRAFFIC CONTROL INSPECTION SHALL BE 41' 41' REQUIRED WHENEVER WORK ZONE IS SET UP I01020.1 VM-5 ENGINEERING DIVISION APPROVED AS NOTED A I, 1Ip1l WQ✓.j u,04,e 01/17/2024 VV SHOULDER CLOSURE - LOW (40 MPH OR LESS) NOT TO SCALE NOTES 1. DEVICE SPACING FOR THE DOWkSTRI Alf A•'I SPEED 2. ALL SIGNS ARE BLACK ON ORANGE. LE NAPE !•'Ow R >4 8wSYn4. PSL •TC N . ZF.r T. c Co.<rc TC41 L—ITC4.d.- Y -„ �IAf Wasnington State Department Of Trareportation _ .- TCJ IIR 2:»'A, w • •"� FED,AID PROJ,N0. ;ATE 01S WAS 10T IIdd LOTTED er 114MM wsrswo Rr •�• ��'� NTERED BY nEC"D BY .•.• •.... •o.q•. •w TRAFFIC CONTROL P_An aw,rmoR. tEGIO1AL ADM. REVISICN OATE By LEGEND Id TEMPORARY SIGN LOCATION D CHANNF.t VING DEVICES ® PROTECTIVE VEHICLE 1 Route Overview Completed By: Nathan Lindae-Fregoso .i rE _ `S Completion Date: 12/27/2022 Address: 21401 72ND AVE W EDMONDS WA 98026 COMICAST 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: 1 g - Are Additional Pages Needed: No P2 ID: JB0001237956 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path 1 ❑ Footage Break Phase Identifier Fiber Splice Point Power Supply PS O Storage Loop _ _ Hard Surface Cut ® Riser Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY RECEIVED Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 220thstsw-'--' 77" 1 1 T 204th St a 3� Mountlake :::—_:z,,,,_Terrac e I � i18tn VI 51• 220th St SW =_ VV Private Exterior Completed By: Nathan Lindae-Fregoso Address: 21401 72ND AVE W EDMONDS WA 98026 Completion Date: 12/27/2022 Private Exterior Footages: IProject COMICAST Job Type: Metro E Retail New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Fiber Survey Scope: Post -Sale Manager: P2 ID: JB0001237956 *IMPORTANT CONSIDERATIONS FOR PRIVATE EXTERIOR 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. Legend New Ped El Pole New Vault Fv] Lock Box Existing U/G Footage Existing Aerial Text Box Text New U/G Callout Arrow New Aerial ~, New Tap Interior Path ' Footage Break Phase Identifier V Fiber Splice Point 04, Power Supply Ps Storage Loop Hard Surface Cut O Riser ® Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULLA. THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY. .. zll,A, RECEIVED � 2�v, Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES�r DEPARTMENT le, - W—.,, r.- - 2-- - 962' IO% -T -- - - M i UA r It f� y! Private Exterior Completed By: Nathan Lindae-Fregoso Address: 21401 72ND AVE W EDMONDS WA 98026 Completion Date: 12/27/2022 Private Exterior Footages: �` \Vf j' ` � � � � CO Job Type: Metro E Retail New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Fiber Survey Scope: Post -Sale Project Manager: P2 ID: JB0001237956 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' , Existing Aerial Text Box Text New U/G Callout Arrow New Aerial Q New Tap Interior Path ` Footage Break Phase Identifier Ps Fiber Splice Point Power Supply Storage Loop Hard Surface Cut O Riser ® Abandoned Cable -� Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY RECEIVED Jan 04 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 1 ;� ":_'}air... ,,► :�-'4'�` 91 962' L RECEIVED Jan 04 2024 CITY OF DEVELOPMENT ONDS ERVCES CITY OF EDMONDS MyBuildingPermit.com DEPARTMENT Right -of -Way Application #1421316 - COMACST - JB0001237956 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 98291 (360) 670-4291 (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 21401 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00580700002208 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 * HSRE EDMONDS MOB OWNER LLC Number Street Apartment or Suite Number PO BOX 92129 City State Zip SOUTHLAKE TX 76092 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: 12/27/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1421316 - COMACST - JB0001237956 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: COMACST - JB0001237956 Description of 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING UG Work: PASSING THORUGH VAULTS AND PEDS 962'. 3.CONTINUE WORK INTOR PRIVATE PROPERTY. Project Details Project Information Job Number JB0001237956 Page 2 of 2