APPROVED ENG2024-0094 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT '
City of • • .
. :� ��•.
www.edmondswa.gov i
Description: ZIPLY - TRANSFER LINES TO NEW POLE & REMOVE OLD POLE IN SOFT
ISSUED: 04/03/2024
Address: 6611 172ND PL SW EDMONDS WA 98026-5215
EXPIRES: 10/03/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00643600000200
NAME TYPE NAME ADDRESS PHONE
APPLICANT CATHLEEN PARR 426 E CASINO ROAD, EVERETT WA 98208 (425)314-3325
CONTACT ARIANNE MOMMSEN 426 E CASINO ROAD, EVERETT WA 98208 (402)670-8384
CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
OWNER FRED TUTTLE 6611 172ND PL SW, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$126.00 $126.00
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: 04/03/2024
Printed: Wednesday, April 03, 2024 2:34:27 PM 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
X-2 ENGINEERING FINAL**
Printed: Wednesday, April 03, 2024 2:34:27 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.
MAR 08 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.
General Info
Project Name 5511605-550 ATCO
Site Address or if no site address use Property Address at NW corner of project area: 6611 172ND PL 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
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: 313-013-420
Email
State License No: ZIPLYFN782L3
I1 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
Nr 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 Ziplv Fiber to
PERMIT TO COVER THE TRANSFER OC COMM CABLES FROM EXISTING POLES TO PROPOSED POLES.
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
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
x
•
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
x
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?
X
5.
Does the work involve proposed additions to an aboveground utility system? If es:
x
Are the additions for the purpose of serving new commercial development?
x
Are the additions for the purpose of serving a single-family residential subdivision?
x
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?
r 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:
X
How many are existing? I I How many are to be added? 10
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? 0
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: YES NOT UNDER THIS PERMIT
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: Z�)Q4f� r ' 6&16� DATE:
APPLICANT PRINTED NAME: Daniel Helmbright
APPLICANT TITLE: TCP/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
p0O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 6615 172nd ST
SW
LYNNWOODAREA
POLE NO. 4875,4876
SE1/4S 08 T 27 R 04
DATE 10/14/22
ORDER 100102302
REASON FOR WORK REPLACE
BAD ORDER POLES
ENGINEER A. RIFE
OPERATION 0030
FOR PUD
PRI-5'S
DRAFTER A. RIFE
U.G. NO.
SCALE 1" =100'
APPROVED
&
DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE
S
■ NO ❑ YES (SEE NOTES)
@$ '=$
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑STATE
METER/CONV. POLE g
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
■ CITY EDMONDS
❑ COMMERCIAL
BASIC FEE
9
❑
EASEMENTS
LEU NO.
@� _$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE
DATE RELEASED
@9 l=$
UNDERGROUND PLAT
FOREIGN CONTACTS
■ JPN# 100102302
BASIC FEE
S
q FT.@$ _$
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
q FT.@$
❑
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
CL FT.@$ '=$
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT
■ ONE CALL DATE
PERMIT
No.
STREET LIGHTING
$
$
❑ YES ■ NO
S
M&R
AS -BUILT
S
GIS
TOTAL DUE S
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
LEGEND:
GIS QC M&R
GIS Ph JOINT USE
LOCATION MAP PAGE 455E-1
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION MDL
CIRCUIT NO. 12-1839 PHASE 2
ENGR'S TEL. #
425-783-8559
ENGR'S CELL #
425-239-8210
N
CONSTRUCTION NOTES:
LOC A-PL1-4876 RECEIVED
SET 45FT POLE T.E.OF EXSTING POLE
SET POLE 6.5FT DEEP MAR 08 2024
FRAME POLE PER CS-12V113, 12V601, 12U111
TRANSFER PRI/NEUT CONDUCTORS 0)#2ACSR PRI/NEU
TRANSFER 1PH PRI/LATERAL TO N. AND SOLID TAP PRI CITY OFEDMONDS
TRANSFER OVHD SEC SVC S DEVELOPMENT
BUILD NEW PRI RISER PER CS-12U111 AND REUSE EXISTING UG C*73789 SERVICES DEPARTMENT
HANG LBCU AND FU UG PR1AT 65 AMPS
TRANSFER SL-129582
INSTALL 3/8" DOWNGUY TO S W/12" SINGLE HELIX ANCHOR W/L-8FT
RMV XFMR 37.5-8317 SER#
INSTALL XFMR BAG AND CAUTION TAG ON XFMR
MARK SUSPECT PCB'S ON CAUTION TAG
-) I r%lr- AMID TOP POLE FOR Gnuu, ZIPLY SHALL REMOVE OLD BO POLE
.7 I IR l r MID ryup
HANG A 1PH 37.5KVA XFMR 120/240/7200V OWNER/CONTRACTOR IS RESPONSIBLE FOR
UTC* 37.5— EROSION CONTROL AND DRAINAGE
SER#
SEC V
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
FUSE XFMR AT 10AMPS
NOTE: FROM LOC C TO LOC A MOVE NEUTRAL TO COMM POSITION
LOC B-PL1-4875
SET 45FT POLE T.E.OF EXSTING POLE
SET POLE 6.5FT DEEP
FRAME POLE PER CS-12V113 & 12V601
TRANSFER PRI/NEUT CONDUCTORS (1)#2ACSR PRI/NEU
TRANSFER 1PH PRI/LATERAL TO N. AND SOLID TAP PRI
TRANSFER OVHD SEC SVC
TRANSFER SL-110674
INSTALL 3/8" DOWNGUY TO S W/12" SINGLE HELIX ANCHOR W/L-8FT
TRANSFER XFMR 25-12766
ZIPLY SHALL REMOVE OLD BO POLE 17126
2 2
. 45-58
(1)#2ACSR PR[ SOL TAP
(1)#2ACSR NEUT:--------------
SOL TAP -- 37.5 , MDL 12-1839
FU65 6703 r�611
25 / 2\
12ND
SCHEMATIC3�2
NITS
Applicant shall repair/replace all ENGINEERING DIVISION 1@
damage to utilities or frontage APPROVED AS NOTED SL-102658- A- 43
improvements in City right-of-way 3244 2 37 396628 6
per city standards that is caused or �l2�� tvQ✓x�4Q 04/03/2024 9
occurs during the permitted project. %-396629 8
VV
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
PLAN VIEW: i
45-63
11/14 631 1
O 1 615
DL
12
1839
172ND ST
4875 5024
0 25-12766
SL-11 674-A 1 6601
720
1
,17125 15
I6505
P
n UG I
SW ---- - - v-------FU80
-----------
---- -
S6lo FU65 E-49684 2 8942
�-8317
O-, 80 0 25-32 898
SL-129582-A SL-132 96-Y
1
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OF
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CI
30
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LEGEND:
OSIGNALIZED
INTERSECTION
OCONE
(CANDLESTICK)
®
TYPE III BARRICADE
WORKTRUCK
WORK ZONE LIMITS
PORTABLE SIGN
EXISTING SIGN
®
DRIVEWAY
ARRW BOARD
REQUIRED)
(WHERE
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
FLAGGER-SPOTTER
FLAGGER STATION
!t
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50 / 70 40
80
35/45 30
60
25/30 20
40
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
it
W20-1 W20-1
W 2
Q u
x Q x
00
- N
CD
--►
W 20-4
72ND ST SW
••� •
• � .� v v v u O O O O O
L 13t
(25 MPH)
\W20-1
\W21-7A
WORK
W20-4
AREA
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'
SIGN LEGEND:
ROAD ONE LANE
WORK ROAD
AHEAD AHEAD
W20-1
I
W20-7A
i
O
ATCO COMMUNICATIONS SERVICES. LLC
www.otcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
W20-4 > _
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Py
izoa�'
Everett WA 98206
X X X
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I)
n W20-7A W20-4 W20-1 2'
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u
Q W Z M
11' MIN. �h _ M) C Q Q OI
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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.
U U 0
LU LU H Q
z
ULU
a a O ILL
DATE:
3.5.2024
REVIEWED BY:
M. LUNA
WTCS# 013184
DESIGNED BY:
D.HELMBRIGHT
ATCO CONTACT:
443.537.0572
DAN I E L. H E LM BRIGHT@atcotelecom.com
SCALE:
SHEET:
1 11=70'
02
NO: 2 OF 2
1PW " 93
Rev 01 /2021
T^ In;n+ n... —r-
Appendix A
Joint Pole Notification
roT\i-
5,757.54
Year Price List
2022
G hen .o• nn+o•
ZIPLY FIBER
10/14/2022
2850
LU
PUD
BO POLES
6611 & 6615 172ND PL SW
N
o
EDMONDS WA 98026-5215
N
Z o
C� 00
64
IL O
0- t`
HN
425-783-8559
Set Poles Set Additional 8" Anchors
Replace .Poles Het SAdditional 12" AnchorsRAP
Eliminate Poles from PUD System
Ontrnnfift
X
Abandon Poles Customer Pay
PUD To Contact Joint Owner Pole(s) At Location(s)
-CiWer
Y
N
N
N
designated to be replaced or eliminated
hereunder and is removing its attachments therefrom RECEIVED
MAR 08 2024
Ziply: A Transfer 2 attachments
CITY OF EDMONDS
2 risers, 1 down guy, 3 drops. DEVELOPMENT
Remove pole. SERVICES DEPARTMENT
B Transfer 2 attachments, 1 down guy, Return to Joint Use By
10/28/22
Remove drop, anchor, pole.
Flagging required.
FOR JOINT OWNER USE QNILY- JOINT OWNER ACCEPTS THE FOLLOWING- Nn.iniNT LjSF
m
c
Recovery
m
Recovery
Pole/Location Reference
On m
N
(Size/Year)
Cost
Pole/Location Reference
�,
(SizeNear)
Cost
A
X
45
(45-63)
2,878.77
B
X
1
1
45
(45-58)
2,878.77
Mark Perry 10/18/22
��rL paL4, 10/19/22
CITY OF EDMONDS
1R
56rTaYlt--.1�i"n� �
VICINITY MAP
9Z24 R - -
PHASE 1
RECEIVED
MAR 08 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
O
ATCO COMMUNICATIONS SERVICES, LLC
www.atcotelecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziplyfiber
Everett, WA 98206
0 cc
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cc Q w vi
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ry
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ZQz w
U U O 2
Lu Lu H Q
Z
0 J_
d d J LL
DATE:
3.5.2024
REVIEWED BY:
M. LUNA
WTCS# 013184
DESIGNED BY:
D.HELMBRIGHT
ATCO CONTACT:
443.537.0572
DANIEL.HELMBRIGHT(@atcotelecom.com
SCALE:
SHEET:
NOT TO
SCALE
v
NO: 1 OF 2
RECEIVED
MAR 08 2024
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
Right -of -Way Application #1453328 - 5511605-550 ATCO SERVICESLOPMENT DEPARTMENT
Applicant
First Name Last Name Company Name
Cathleen Parr Ziply Fiber Northwest LLC
Number Street Apartment or Suite Number E-mail Address
426 E Casino Road cathleen.parr@ziply.com
City State Zip Phone Number Extension
Everett WA 98208 (425) 314-3325
Contractor
Company Name
ZIPLY FIBER NORTHWEST LLC
Number Street Apartment or Suite Number
426 E CASINO RD
City State Zip Phone Number Extension
EVERETT WA 98203 (425) 314-3325
State License Number License Expiration Date UBI # E-mail Address
ZIPLYFN782L3 5/25/2024 iyini i4gn cathleen.parr@ziply.com
Project Location
Number Street Floor Number Suite or Room Number
6611 172ND PL SW
City Zip Code County Parcel Number
EDMONDS 98026 00643600000200
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
Fred Tuttle
Number Street Apartment or Suite Number
6611 172ND PL SW
City State Zip
EDMONDS WA 98026
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: 3/6/2024 Submitted By: Cathleen Parr
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1453328 - 5511605-550 ATCO
Project Contact
Company Name:
Name: ARIANNE MOMMSEN Email: grpatcopermits@ziplyfiber.com
Address: 426 E Casino Road Phone #: (402) 670-8384
Everett WA 98208
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: 5511605-550 ATCO
Description of Work: Transfer Com Cable from existing poles to proposed poles
Project Details
Project Information
Job Number
55116605-550
Page 2 of 2