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APPROVED ENG2024-0154 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:0 www.edmondswa.gov i Description: COMCAST - INSTALL NEW UNDERGROUND SERVICE ISSUED: 06/07/2024 Address: 19515 94TH PL W EDMONDS WA 98020-2554 EXPIRES: 12/07/2024 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434600005801 i NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 170 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 DUANE & DEANNE LANDSVERK 24113 56TH AVE W, MOUNTLAKE TERRACE WA 98043 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $132.00 $132.00 ROW - STANDARD - 4.1.24 $396.00 $396.00 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: 06/07/2024 Printed: Friday, June 07, 2024 11:49:36 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUM11BE City of Edmonds ....121 Sth Ave N, Edmonds WA •:0 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: Friday, June 07, 2024 11:49:36 AM 2 of 2 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. lag') Requirements outlined in Right -of -Way permit Handout E6�. 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 Info Project Name COMCAST- JB0001742705 Site Address or if no site address use Property Address at NW corner of project area: 19515 94TH PL W EDMONDS WA 98020 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.) AT POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON 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: PLACED VAULT ON PRIVATE PROPERTY. OIL- 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 existingunderground common utilitysystem? /� 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: 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: APPLICANT PRINTED NAME: LENAIZA ENRIQUEZ APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 4/4/2024 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Route Overview Completed By: EFREN FREGOSO N . W , H'sr Completion Date: 2/9/2024 Address: 19515 94TH PL W EDMONDS WA 98020 Job Type: Line Extension Job Subtype: No Subtype 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: - Are Additional Pages Needed: No P2 ID: JB0001742705 Legend Provide Clear Route Overview Construction Details RECEIVED New Ped ElAT APR 04 2024 POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. New Vault 0 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM CITY OFEDMONDS DEVELOPMENT Existing U/G SERVICES DEPARTMENT •, h �A1 ,S: •� '9' `�T PROOF AND PULL EXISTING Existing Aerial 2" CONDUIT AND NEW 625 COAX PATH New U/G — — — — (TIE IN) HERE AND PLACE 1 NEW 2 WAY DIRECTIONAL SPLITTER HERE AT POLE. New Aerial — — — — Interior Path Exterior Building Path Footage Break R R25' Fiber Splice Point _ Storage Loop � ® NEW 2" Riser RISER Pole Lock Box � 150' Footage 1 Text 19 � Text Box Applicant shall repair/replace all Callout Arrow damage to utilities or frontage n improvements in City right-of-way per city standards that is caused or New Tap occurs during the permitted project. Phase Identifier Ps O ENGINEERING DIVISION Power Suppy APPROVED AS NOTED 05/21 /2024 Hard Surface CutVV 30ft 1SU0� Route Overview Completed By: EFREN FREGOSO N . W s Completion Date: 2/9/2024 Address: 19515 94TH PL W EDMONDS WA 98020 Job Type: Line Extension Job Subtype: No Subtype 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: - Are Additional Pages Needed: No P2 ID: JB0001742705 Legend Provide Clear Route Overview Construction Details RECEIVED New Ped ❑ APR 04 2024 AT POLE WITH TIE IN ,PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. New Vault ❑V CITY OF EDMONDS , DEVELOPMENT Existing U/G SERVICES DEPARTMENT a Existing Aerial �' L Q _ ao ao 3 New U/G ono = �• 192nd P/ New Aerial ----- " Q Interior Path Exterior Building Pathf 196th St sw I " Lynnr Footage Break Or H b 0 I Fiber Splice Point tea►° �aP Storage Loop ` — R O = ?OOtt, St SW Riser ® Q L Pole a E Edmonds Z s Lock Box 150' > O 4 - Q I ; Footage m + 00 cD Text + ro ' n Text Box � Callout Arrow C16 206th St SW Q I , 3 New Tap ❑i Main St o s ` _S� � »p _ � 208th St Phase Identifier Q I� Ps Power Suppy O r_ 210th St SW Hard Surface Cut Walnut St � Right of Way Completed By: EFREN FREGOSO Address: 19515 94TH PL W EDMONDS WA 98020 Completion Date: 2/9/2024 Right of Way Footages: Job Type: Line Extension New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0 New Aerial Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0 Empty Conduit Only: 0 New UG Coax: Existing UG Coax: 0 Are Additional Pages Needed: No Job Subtype: No Subtype Survey Scope: Post -Sale Project Manager: P2 ID: JB0001742705 Legend Provide Clear Right of Way Construction Details New Ped AT POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. New Vault 0 Existing U/G Existing Aerial .� r •� 1 (TIE IN) HERE AND PLACE (TIE IN) HERE AND PLACE �.� 1 NEW 2 WAY DIRECTIONAL — ,�+; • , - 1 NEW 2 WAY DIRECTIONAL SPLITTER HERE AT POLE. • �. • / • • New U/G SPLITTER HERE AT POLE. c �\ • 1 • • • : 1 1 New Aerial V.. Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop CD NEW 2" - rQ Riser Pole PROOF AND PULL EXISTING - 2" CONDUIT AND NEW 625 COAX PATH Lock Box 150' Footage Text Text Box Callout Arrow 0 New Tap RECEIVED ❑1 Phase Identifier APR 04 2024 ■ Power Suppy • CITY OF EDMONDS Hard Surface Cut DEVELOPMENT SERVICES DEPARTMENT Right of Way Completed By: EFREN FREGOSO Address: 19515 94TH PL W EDMONDS WA 98020 Completion Date: 2/9/2024 Right of Way Footages: Job Type: Line Extension New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0 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 Job Subtype: No Subtype Survey Scope: Post -Sale Project Manager: P2 ID: JB0001742705 Legend Provide Clear Right of Way Construction Details New Ped ❑ AT POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. New Vault �V Existing U/G t �' '� �'� �jjj� i '^� • • A Existing Aerial New U/G 1. ; r t , '�1 ' • • • m 1 1 New Aerial ----� NEW 2" R25' K, Interior Path ' 1 1 l Exterior Building Path Footage Break Fiber Splice Point " � y.y� � ` { � �� - - '�'F��, � � - •i ,yam R . Storage LoopCD _ PROOF AND PULL EXISTING Y ^ Riser ® r �- 2" CONDUIT AND NEW 625 COAX PATH Sh � Pole '4 �: i. tr Y' S i ♦ a L �e� :..< . • � - .� '-K y � 3 c F;, b'T1�� ! PROOF AND PULL EXISTING Lock Box + �y'`f `%fs % �� ,,%f �'o-' r �? lr "''►:� = _ ►� Tk` �� 2" CONDUIT AND NEW 625 COAX PATH ,:��.t'�,,"•�awy{r!;•a": i r, flr•... :�, _ *` sIKK'i:sa?. Footage Text Text Box Callout Arrow New Tap RECEIVED ❑1 Phase Identifier APR 04 2024 PS Power Suppy CITY OF EDMONDS Hard Surface Cut DEVELOPMENT SERVICES DEPARTMENT Right of Way Completed By: EFREN FREGOSO Address: 19515 94TH PL W EDMONDS WA 98020 Completion Date: 2/9/2024 Right of Way Footages: Job Type: Line Extension New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0 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 Job Subtype: No Subtype Survey Scope: Post -Sale Project Manager: P2 ID: JB0001742705 Legend Provide Clear Right of Way Construction Details New Ped ❑ AT POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. New Vault �V Existing U/G Existing Aerial '' • • 1 •Q ' �`�`- • �. `�� New U/G • • • ' • :+s 1 ' �'-�,','- s • ": i+ .cf. New Aerial Interior Path Exterior Building Path Footage Break Fiber Splice Point^ Loop Storage p CD ® Riser +� Pole _ .. PROOF AND PULL EXISTING 2" CONDUIT AND NEW 625 COAX PATH LOOKING AT NEW 17" X 30" GREEN TOP VAULT, NEW 2 PORT TAP. PROOF AND PULL EXISTING Lock BOX 2" CONDUIT AND NEW 625 COAX PATH 150' Footage Text Text Box Callout Arrow New Tap RECEIVED ❑1 Phase Identifier APR 04 2024 PS Power Suppy 0 CITY OF EDMONDS Hard Surface Cut DEVELOPMENT SERVICES DEPARTMENT Right of Way Completed By: EFREN FREGOSO Address: 19515 94TH PL W EDMONDS WA 98020 Completion Date: 2/9/2024 Right of Way Footages: Job Type: Line Extension New Aerial Coax: 0 Overlash Coax: 0 New LIG Fiber: 0 New Aerial Fiber: 0 Overlash Fiber: 0 Existing LIG Fiber: 0 Empty Conduit Only: 0 New UG Coax: 0 Existing LIG Coax: 0 Are Additional Pages Needed: No Job Subtype: No Subtype Survey Scope: Post -Sale Project Manager: P2 ID: JB0001742705 Legend New Ped ❑ New Vault �V Existing LI/G Existing Aerial New LI/G New Aerial Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop CD Riser Pole Lock Box 150' Footage Text Text Box Callout Arrow 4 New Tap Phase Identifier • Power Suppy • Hard Surface Cut Provide Clear Right of Way Construction Details POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 5C 1 55 60 65 70 LENGTH (46M) 155 200 2W 305 363 425 1 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.900 TO 22.000 be. HOST VEHICLE WEIGHT > 22.000 Ibs. < 4S MPH 45+55 MPH > 55 MPH < 45 MPH 4S65 MPH > 55 MPH 100' 12T 172 74 100, 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED X I X ONE LANE ROAAjiEA 4 I a' aa' W20.4 X-. ROAD WORK <� PREARED AHEAD TO STOP aa' 4a W20.1 W20-78 WIM711 (OPTIONAL IF 40 MPH OR LESSI LEGEND FLAGGING STATION W TEMPORARY SIGN LOCATION CHANNELIZING DEVICES ® PROTECTIVE VEHICLE h ae X 1 ..-.' 101 3::' SIGN SPACING = X (1) RURAL WGtf:NYS 00 166 MPII 6002 RURAL ROADS 45 f5S MPH 500s RURAL ROADS 6 URBAN ARTERIALS 35 f4o MPH 350a RURAL ROADS. UNBAN AN TERIALS, 25 !10 MPH RESIDENTIAL 6 BUSIT•Ess DISTRICTS 0_ (4 URBAN STREETS 25 MPH OR LESS 700: (2) [I)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTLRSECTIONS AND DRh1LV&%YS. In 74S SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 5070 100 6 DEVICE i 00 0 5C TO !cc, 6 DEVICE R B MI.1. 0 to Ir S Fn7 h,. _Z41 W20.7A h: W20.70 (OPTIONAL IF 40 MPH OR LESS) 491 48' BE ROAD PREPARED WORK TO STOP AHEAD 48' 48-1 .8' 48• W20.78 ONE LANE W20.1 ROAD \ AHEAD 49• ae' W20-7A W20.4 x x X X EXCELSIOR PL /94TH PL W CHANNELIZATION DEVICE SPACING(FEET) MPH TAPER TANGENT 5465 10 TO 20 60 3W45 10 TO 20 1 60 25,070 1 10 TO 20 1 40 NOTES I. ALL SIGNS ARE BLACK ON ORANGE. Z EXTENDING THE CHAMNEL14NG DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY tIGHTING AT FLAGGING STATIONS. SEE T11E STANDARD SPECIFICATIONS FOR ADDITIONAL DETAILS. 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. P10t 1 FEO.AID PROJ.NO, -••_ - _ -• .s 7 TC1� Washington State •••• Department of Transportation v� ti.• TRAFFIC CONTROL PLAN •-�• ENGINEERING DIVISION APPROVED AS NOTED jell (VLj,6$,44Q 05/21 /2024 VV ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1468546 - COMCAST- JB0001742706 Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 170 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 98290 (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 19515 94TH PL W City Zip Code County Parcel Number EDMONDS 98020 00434600005801 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 Duane & Deanne Landsverk Number Street Apartment or Suite Number 24113 56TH AVE W City State Zip MOU NTLAKE WA 98043 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: 4/4/2024 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1468546 - COMCAST- JB0001742706 Project Contact Company CABLECOM LLC Name: Name: LEAH Email: WACONSTRUCTION JOINTUSE@COMCAST.COM 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: COMCAST- JB0001742706 Description of Work: " AT POLE WITH TIE IN, PLACE NEW RISER AND RISER DOWN POLE. CONTINUE PROOF AND PULL 260' TO NEW PLACED VAULT ON PRIVATE PROPERTY. Project Details Project Information Job Number JB0001742705 Page 2 of 2