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APPROVED ENG2024-0112 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . Edmonds98020 ENG2024-011 LM www.edmondswa.gov i Description: ZIPLY - REMOVE OLD POLE AND REPLACE IN NEW LOCATION ISSUED: 04/30/2024 Address: 7619 220TH ST SW EDMONDS WA 98026-7973 EXPIRES: 10/30/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00461000201902 Isle] 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 ROAD, EVERETT WA 98208 (425)375-0838 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER ROBERT W & BARBER RAC YANDA 7619 220TH ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $504.00 $504.00 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: 04/30/2024 Printed: Tuesday, April 30, 2024 4:02:48 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS Printed: Tuesday, April 30, 2024 4:02:48 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 18 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 6003292 Site Address or if no site address use Property Address at NW corner of project area: 7619 220TH ST 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: 3 1 3-0 1 3-420 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) X Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 X 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 Remove pole 2 & place new pole in new location, then move riser & transfer attachments to new pole. Place new hand hold. 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: Placing new hand hole 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? 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? 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: 7619 220TH ST SW, EDMONDS WA 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 11 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? 1 What is the height of the existing poles? How many poles are to be removed? 1 Are additional poles to be laced? X How many? I 1 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: LOatta' APPLICANT PRINTED NAME: William Watts APPLICANT TITLE: TCP permit cordinator NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 3/15/2024 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 1N3Al2idd30 S301nb3S 1N3AdO13A30 S(INOA03 dO.IlIO -v M i a' S ) -FQ" j ,,A46) -7d op i ~ENGINEERING DIVISION �'1r{ ( S vzoz H � Uvw APPROVED AS NOTED a3AI3a3H l/, Ulbg7o,WL 04/25/2024 vv ,ele It ti ,.eo 'yv ) p TV ry o q v WI W 3-� � Ar RESTORATION LIMITS TO BE BY CITY ENGINEERING INSPI CMG+' oz 5 '� OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE AIN G ,4-w d its i 004 r+) r`! VIlyre3ZI AL SCI Tom" l rn S S" u1 eZ Z b) 0) 'i VIM? KEMUVE - POLE ...ru.......�_,-ins.:--�..M1B�'�'1l_-s• _ � A PLACE NEW PLACE NEW POLE RECEIVED HAND HOLE AND TRANSFER MAR 18 2024 ATTACHMENTSCITY OF EDMONDS DEVELOPMENT i` `' SERVICES DEPARTMENT 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 MIX FLAGGER STATION WORK DETAILS: 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) SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SIGN LEGEND: BIKE BIKES ROAD LANE M RGE SIDEWALK WORK SHOULDER CLOSED WITH CLOSED AHEAD WORK AHEAD TRAFFIC MAY USE FULL LANE > > W20-1 W21-5 BIKE CLOSED BIKE MERGE R9-9 R4-1 1 REMOVE POLE 2 & PLACE NEW POLE IN NEW LOCATION, THEN MOVE RISER & TRANSFER ATTACHMENTS TO NEW POLE. PLACE NEW HAND HOLE. SPOTTER NEEDED FOR PEDESTRIAN * TRAFFIC AND DRIVEWAY ACCESS. TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP 7319 220TH ST SW NEW POLE LOCATIONlR4-1 R9-9— POLE 2- BUFFER AREA LONGITUDINAL BUFFER SPACE = B POSTED SPEED (MPH) 25 30 35 40 45 50 55 60 64 70 LENGTH (feet) 155 1 200 1 250 305 360 425 495 570 645 730 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 MPI- 100' 123' 172' 74' 100, 150' W20-1 W20-1 l0'9 9 BIKES M GE74 \I / T p 220TH ST SW (30 MPH) NOTE: MON. - FRI. = 7:00am TO 4:00pm W Z a2 = o co CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50/70 40 80 35/45 30 1 60 25/30 20 1 40 MINIMUM LANE SHIFT TAPER LENGTH = L/2 (feet) LANE POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 10 55 75 105 135 225 250 275 300 325 350 11 60 85 115 150 250 275 305 330 370 385 12 65 90 125 160 270 300 330 360 390 420 _zo 9 BIKE Cl Al"a ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 rzi�plyfiber Everett, WA 98206 N a a N M U) U) oQ 0 3 i to C/) � � N N rn rn co cc I__ I`_ ----------- 220TH ST SW (30 MPH) o D RECEIVED z I-_ w a ~0 w Z MAR 18 2024 a a o ENGINEERING DIVISION APPROVED AS NOTED CITY OF EDMONDS DEVELOPMENT 1% // (,�/Q.iX�04/25/2024 SERVICES DEPARTMENT 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. m Z U N 04 J N M O o CD 0 I..L I— Z O U U LL LL Q w z w J_ LL DATE: 3.14.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: W. WATTF ATCO CONTACT: 704.617.6477 William.Watts@atcotelecom.com SCALE: SHEET: 1 11=50' 02 NO: 2 OF 2 CITY OF EDMONDS Premier Therapy Rodrigo Landeros Associates Pathology Associates Med Lab In Eye Clinic of Edmonds _i WORK AREA The Health And I � 9 Helena Kazman World Kids International Preschool VICINITY MAP WinCo Foc Pal Lynnwood HC Hcndac RECEIVED MAR 18 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPyEv!erett,fiber WA 98206 N N 3 a z z U H N N W W � 1.0 U) U) I '`I T- U)W (NV CNV W cm co V J L.L uj O LuLu U w W m z Q ui z U U O 2 a z 0� 0� O J_ d L1 J LL DATE: 3.14.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: W. WATTS ATCO CONTACT: 704.617.6477 William.Watts@atcotelecom.com SCALE: SHEET: NOT TO SCALE NO: 1 OF 3 1— —, In.;, {u, ana UMUCt N of employee_ reporting dame: s L Supervi.sor Name: g 2. Name of first Employeeon scene: Viryanet Ticket # If applicable: 3. What Is the address/location Of the damage? State? Exchange? County? city? cO? Cross road? I. Date the damage was discovered? _ _ — Date the Damage Occurred? - i. How was IF •eft 3 -y - 2y 7JP%y natiffe•d of darnageJhaw was damage discovered? 7. What was damaged? riaor Buried or Underground Coper or Fiber 1,Ael Pairs Damaged: Cable Type - Filled or Aircore Cable size: Cabe Gauge: Is Cable under pressure: Yes or No PED N PED Size Nas Cable replaced: Yes or No :able footage replaced: :ABLE OR DROP & PEU TO P FD or PED TO NID: Foie Ltamaee Pole Number: V 4 2 57 � q?, Pole Size: 1/2— Pole pass: Are there attachers7("NQ�)or ;Ve (power /Cable / Brxhl Pole owner- - Ternp Drop In cut setTlon —a— —iy repa{rear Yes Nn r ••- --.� •- ....cu nay ur matenais usetie Ice�la�e Me Date of Permanent Repair? A✓` r' Move fLlse rZ —o s) �2 4r -- - —-•� •a. U .cu{s mar worked on this damage and the hours worked? Name of t )ntraCtor Corrspany that will be making repairs? Repairs have not been completed (.►� 'S ctilve) ( J� F��rllS 1� �l� c`-�Il vim?_ T►ti. l�� r,�,�� X--E� 11. Were locates done? Q Provide Locate Ticket # if avallame: 12. Was this reported to Locate Company? Yes No 7tJn Point of Contact? Provide the damage cialsn tracking number assigned to this damage; 23. Were locates vLible andacturate? No aFstd customer Is aware that he didn't Contact Locator and Is aware he can ha l,111-4 Phone ll: 15. Any pollee report or fire d?pt Information? Police Dept:. and phone#? Witnesses to damage? Does damage Involve a fata0ty? yes No Z:�irfmCOXIL t'vI/C Z r ?1 0:20(. -i 97roll') Incident Number: UMEIVEDI IAIR-48 202j CITY OF EDMONDS —EiE &6QPMENT ! &E4ZVX F� PART M E N Bongat, Jaime From: Newton, Shane Sent: Monday, March 4, 2024 7:53 AM To: Miller, Kristi; Bongat, Jaime Cc: Ferrin, Stacie; Neis, Ryan; Workforce Management Specialist Subject: RE: CAR VS POLE IN EDMONDS Krlsti, Should this not go to Ziply internal team to take care of during normal working hours? Thanks, Shane Newton Construction Project Administrator 13923 Smokey Point BLVD. Marysville, WA. 98271 360-322-2329 Email: shane.newtoni@ziply.com zi I Py fiber 24 HOUR DAMAGE REPORTING 888-688-0013 From: Miller, Kristi <kristi.miller@ziply.com> Sent: Monday, March 4, 2024 7:40 AM To: Newton, Shane <shane.newtonl@ziply.com> Cc: Ferrin, Stacie <stacie.ferrin@ziply.com>; Neis, Ryan <ryan.neis@ziply.com>; Workforce Management Specialist <WorkforceManagementSpecialist@ziply.com> Subject: CAR VS POLE IN EDMONDS SHANE, Here are the details of a car vs pole in Edmonds, WA 1146 -7�v-." RECEIVED M /_1 AF-01KIMI! CITY OF EDMONDS 1 DEVELOPMENT SERVICES DEPARTMENT Ticket Number VxField ID or DPI Number 155306 Address _;1^-1- ST SW, 76TH AVE W City EDMONDS state Washington Oregon Montana Idaho Contact Name Person who reported the issue ANDREW WITH SNOHOMISH COUNTY PCB Contact Number Contact of the person who reported the issue 425'76:'5040 Issue CAR VS POLE, POLE NUMBER 226001 Hazard d Yes No Called Out To Who accepted the VIP, callout? SI~ANE f.EWTGN Thankyou, RECEIVED Kristi Miller MAR 18 2024 Dispatch Coordinator 866-699-4759 CITY OF EDMONDS 2 DEVELOPMENT SERVICES DEPARTMENT Kristi.miller ziply.com Ziply dispatch.team()Ziply.com ziplyfi - RECEIVED ►Ti /_1 AF-01KIMI! CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED CITY OF EDMONDS Right -of -Way Application #1459312 - 6003292 MAR 18 2024 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 7619 220TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00461000201902 Associated Building Permit Number Tenant Name 6003292 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Robert W & Barber Rachel N Yanda Number Street Apartment or Suite Number 7619 220TH ST 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: 3/15/2024 Submitted By: Caitlin Reid Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1459312 - 6003292 Project Contact Company Name: Ziply Fiber Northwest LLC Name: Caitlin Reid Email: caitlin.reid@ziply.com Address: 426 E Casino Road Phone #: (425) 375-0838 Everett WA 98208 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 6003292 Description of Work: Remove pole 2 and place new pole in new location, then move riser and transfer attachments to new pole. Place new hand hole. Project Details Project Information Job Number 6003292 Page 2 of 2