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ENG2024-0016 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . 98020 ENG2024-0016 IL www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE ISSUED: 02/13/2024 Address: 21022 74TH AVE W EDMONDS WA 98026-7210 EXPIRES: 08/13/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00566900400201 iiii I 11-14111 a NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER DAVID M HARRIS 19702 20TH AVE NW, SHORELINE WA 98177 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: 02/13/2024 Printed: Tuesday, February 13, 2024 12:21:22 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2024-0016 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** Printed: Tuesday, February 13, 2024 12:21:22 PM 2 of 2 `> ° Rl GHT OF WADI CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal �Nc. is9° Requirements outlined in Right -of -Way permit Handout E63�lavd30 S301A2AS 1N3 WdO13A30 O0 If any field is not applicable to your project, write "N/A" iSnNs eaWOd dofJe10aving blank. All fields required. Incomplete Applications willW$&QM.r a3AI3a3U SECTION A GeneralInfo ProjectNameHARRIS RISER PED AND POLE REPLACEMENT Site Address or if no site address use Property Address at NW corner of project area: 21022 74TH AVE W, EDMONDS WA 98026 Associated Permits: BLD PLN ENG ONvner and Entity Holding Name of Company SNOHOM ISH COUNTY PUD Franchise Ordinance No: Point of Contact KARL HAACK Title ENGINEERING TECH II Address 21014 63RD AVE W CityLYNNWOOD State WA Zip 98036 Phone425-238-7372 Email KJHAACK@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name SAME AS ABOVE Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: 313-005-741 ® Contractor verifies it is currently bonded ® 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. e Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: e Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 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.) REPLACE (1) BAD ORDER 45' CL2 WOOD POLE WITH NEW 46 CL2 WOOD POLE. SET NEW SINGLE TRANSFORMER ON POLE TO FEED NEW SERVICE. SET RISER ON POLE AND NEW PEDESTAL APPROXIMATELY 7' NORTHWEST OF POLE ON PROPERTY CORNER. RUN 350KCMIL AL TPX DOWN POLE INTO PEDESTAL. WORK SITE ON WEST SIDE OF 74TH AVE W AT 21022 74TH AVE W, BETWEEN 212TH ST SW AND 210TH ST SW. NO TREE TRIMMING REQUIRED, POLE TO BESET IN SOFT SURFACE. PUD TO TRENCH APPROXIMATELY TIN EXISTING PAVEMENT FROM POLE TO NEW PEDESTAL LOCATION. PARTIAL SOUTHBOUND LANE CLOSURE ON 74TH AVE W, BETWEEN 210TH ST SW AND 212TH ST SW. (1) DAY 6 HOUR LANE CLOSURE. ALL WORK TO TAKE PLACE BETWEEN 8:00AM-4:00PM. NO SIDEWALK CLOSURE OR PEDESTRIAN DETOUR NEEDED. TRAFFIC CONTROL BY PUD. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF N/A Alley 72 hours + LF x LF SF N/A Parking 72 hours + LF x LF SF NIA SECTION B - if you are not a utility company performing work in the City ROW, skip to SECHONC. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ water ❑ sewer e power ❑ storm ❑ gas Details 1. of _1ATor1c to be Completed 1 Does the utility owner have existing overhead infrastructure in the area of work? Yes YES No 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? YES If yes, describe: PEDESTAL 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 existingunderground common utilitystem? N O 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 Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the NO project is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? How many are to be added? City of Edmonds ROW construction permit Application --Page 2 Of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: YES How many poles are existing in the ro'ect area? 1 What is the height of the existing poles? 45' How many poles are to be removed? 1 Are additional poles to be laced? NO How many? I I What is the height of the additional poles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: REPLACED YES How many? I i I What is the height of the poles after? I SAME (45') Describe the modification rebuild: REPLACED, ADD UNGD RISER CONDUIT AND TRANSFORMER 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 o er to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: ov DATE: 1/8124 APPLICANT PRINTED NAME: KARL HAACK APPLICANT TITLE: ENGINEERING TECH II 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 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 21022 74TH AVE W. EDMONDS WA 98026 LYNNWOODAREA POLE NO. PLI 10161 SW1/4S 20 T 27 R 4 DATE 1/5/24 ORDER 100124566 REASON FOR WORK REPLACE BAD ORDER DISTR. POLE ENGINEER K HAACK OPERATION 0030 AND INSTALL 10 RISER/PED DRAFTER ORDER 100121830 FOR HARRIS OPERATION 0030 ORDER 100121791 DATE WORK COMPLETED APPROVED OPERATION 0040 FOREMAN & DATE PRINTED DATE FEES REQ'D ❑ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. La _$ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE 3 ■ NO ❑ YES (SEE NOTES) @$ _$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY EDMONDS BASIC FEE S ❑ EASEMENTS LEU No. Lb _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE 5 DATE RELEASED La _$ UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# BASIC FEE S FT.@$ =$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING (� FT.@$ =$ ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM To ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS I-] TREE TRIM ❑PUD LOCATOR FT.@$ '=$ MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT S ■ ONE CALL DATE 1/8/24 PERMIT $ No. 24007154 STREET LIGHTING RISER/PED $ 3,619.28 S ❑ YES ■ NO $ M&R AS -BUILT GIS TOTAL DUE 9 DATE PAID GIS QC M&R GIS Ph JOINT USE RECEPT NO. SERVICE ORDER NO. LOCATION MAP PAGE 455-A6 LEGEND: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE SUBSTATION ESPERANCE CIRCUIT NO. 12-688 PHASE 1 ENGR'S TEL. # 425-670-3208 ENGR'S CELL # 425-238-7372 N CONSTRUCTION NOTES: RECEIVED Jan 09 2024 A AT POLE PLI 10161 ON WO #100124566 POLE SHALL BE SETA MINIMUM OF 5' WEST CITY OF EDMONDS O F BACK O F CURB DEVELOPMENTSERVICESO DEPARTMENT SET NEW 45' CL2 WOOD POLE 4' WEST AS STAKED. SET POLE 6.5' DEEP W/GRNDS. FRAME POLE PER ASSY AS12V101 (7.2KV VERTICAL TANGENT 00 -50 ). TRANSFER SL BRACKET AND SL-116134-A TO NEW POLE. TRANSFER (1) Y-GUY SVC SPLICE AND 1 OH TEMP SVC TO NEW POLE. TRANSFER OH SPAN OF #4 CU SOL PRI AND NEUT TO NEW POLE. . TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. ON WO *100121830 OP 0030: INSTALL RISER PED ASSY AS1U705. INSTALL SM SEC PED APPROX 7' NORTHWEST AS STAKED ON PROPERTY CORNER. INSTALL (3) 5-POS TERM BARS. RUN 55' OF 350 KCMIL AL TPX FROM NEW POLE TO NEW SM SEC PED. ON WO #100121791 OP 0040: INSTALL 10 OH XFMR MOUNTING ON NEW POLE (AS12V601). INSTALL (1) NEW 25KVA 120/240V 10 XFMR. - PUD TO ENFORCE POLE ATTACHMENT AGR _ - PU71SRESPONSIBLEFORENSU INGTHATTHE OLDS ARE RE OVED. / 21002 I I 7424 7416 — — 21014 I I I 21022 I I 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. X NEW POLE TO REPLACE EXISTING POLE 21026 I \ ENGINEERING DIVISION APPROVED AS NOTED jdl UlQ✓,.Jog,44z 02/13/2024 VV 21034 21034 210TH ST SW UTC SER MAKE TEST VOLTAGE ---- /____ \ L-15054-T PLI 221833 SL-128658-B I � 7328 I I I � I I I I W I I > I Q I I � I I I I I I I I I I I I I � I PLI 10161 SL-116134-'A I . -2934-X L 110162 LAYOUT 1" = 60' 2 01 210TH ST SW PLI 221833 ESP 12 688 PLI 10161 PLI 10162 4 KVA LLJ NEW Q 25 KVA KVA 0 2 O O SCHEMATIC NTS SHEET 1 OF 1 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING OWNER/CONTRACTOR IS RESPONSIBLE FOR ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY EROSION CONTROLAND DRAINAGE UTILITIES MAY REQUIRE A SEPERATE PERMIT. LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD = AHEAD x Lij W20-7A �� _ > Q x = X 52 O � 00 O C-4 10 O [ni® O o z~ �3 Z o W J N O J ZIT _ O N O 1 O O O x END G20-2 = ROAD WORK 48" x 24" (OPTIONAL) ENGINEERING DIVISION APPROVED AS NOTED jpll LV1..,, j j,, 4z 02/13/2024 vv 48" x 24" s ROADWORK G20-2 X,, (OPTIONAL) 0 0 z!� W :mM Log N NORTH I WORK SITE VICINTY MAP SIGN SPACING = X FREEWAYS & 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 RESIDENTIAL & BUSINESS DISTRICTS 25-30 MPH 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 SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. x W20-7A x ONE LANE i ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD RECEIVED Jan 09 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W20-78 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ■ NO ❑ INITIAL KJH GENERAL NOTES: 1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD. 2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND DATES (OPTIONAL). 3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD CONDITIONS. 4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCE. 5. ALL SIGNS MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED. 6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1 FOR SPACING DISTANCES. 7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE INTERSECTIONS AND/OR DRIVEWAYS. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 1 60 65 70 LENGTH (FEET) 155 200 250 305 360 425 495 1 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LBS. < 45 MPH 45-55 MPHI > 55 MPH < 45 MPH 45-55 MPHI > 55 MPH 100' 1 123' 1 172' 74' 1 100' 1 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 10 TO 20 40 I rnrmn- O CHANNELIZING DEVICE r FLAGGING STATION = PORTABLE SIGN AND SUPPORT ®® WOHT VEHICLE WITH FLASHING LIGWORK AREA RECEIVED Jan 09 2024 \ CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1425370 - WO 100121830 Harris Riser Pd and Pole Replac Applicant First Name Last Name Company Name Moe Matthews Snohomish County PUD Number Street Apartment or Suite Number E-mail Address PO Box 1107 permits@snopud.com City State Zip Phone Number Extension Everett WA 98206 (425) 783-5681 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 21022 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00566900400201 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 David M Harris Number Street Apartment or Suite Number 19702 20TH AVE NW City State Zip SHORELINE WA 98177 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: 1/8/2024 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1425370 - WO 100121830 Harris Riser Pd and Pole Replac Project Contact Company Name: Snohomish County PUD Name: Moe Matthews Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-5681 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project WO 100121830 Harris Riser Pd and Pole Replacement Name: WO 100121830 Harris Riser Pd and Pole Replacement - Crew will replace (1) 45' bad order pole (PLI 10161) with a new 45' pole, set new single transformer on pole to feed new service, set riser on pole and new pedestal approx. 7' NE of pole on property corner. Run 350CMIL AL TPX down Description pole into pedestal. Work site on west side of 74th Ave W at 21022 74th W, between 212th St SW of Work: and 210th St SW. No tree trimming required. Pole to be set in soft surface. PUD to trench approx. 7' in existing pavement from pole to new pedestal location. Partial SB lane closure on 74th Ave W, between 210th St SW and 212th St SW. (1) day 6 hour lane closure. All work to take place between 8am and 4pm. No sidewalk closure or pedestrian detour needed. Traffic control by PUD. Project Details Project Information Job Number 100121830 Page 2 of 2