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APPROVED ENG2024-0400 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds www.edmondswa.gov i Description: ZIPLY - ACCESS MH AND PULL FIBER THROUGH EXISTING CONDUIT ISSUED: 09/10/2024 Address: 18502 76TH AVE W EDMONDS WA 98026-5800 EXPIRES: 03/09/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434600010602 NAME TYPE NAME ADDRESS PHONE APPLICANT SHADYA KASHMIRY PO BOX 1127, EVERETT WA 98206 (346)606-5101 CONTACT ZIPLY FIBER PO BOX 1127, EVERETT WA 98206 (346)606-5101 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER 104 N 84TH LLC 8827 29TH AVE NW, SEATTLE WA 98117 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 ROW - MINOR - 4.1.24 $132.00 $132.00 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: 09/10/2024 Printed: Tuesday, September 10, 2024 11:08:53 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,... Ave N, Edmonds WA•:020 1 1411 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** Printed: Tuesday, September 10, 2024 11:08:53 AM 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. Aug 14 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 P-078173-6006818 DLC OLYMPIC VIEW DR & 76TH AVE W Site Address or if no site address use Property Address at NW corner of project area: 18502 76th Ave W Associated Permits: BLD N/A PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Northwest LLC Franchise Ordinance No: Point of Contact Shadya Kashmiry Title Agent Address 13501 Katy Freeway City Houston State TX zip Phone346-606-5101 Email Contractor and Authorized Agent of • Name ofCompanyZiply Fiber • - below) C• • • During Construction Primary Name Robert Nunez Agent Name David ReedTitle OSP Project Manager Title OSP Project Manager Mobile916-524-8948 Address 1800 41 st ST N-100 Email robert.nunez@ziply.com city Everett State TX zip 98203 Secondary Name Phone 352-345-2348 Title Email david . reed 1 @ziply.com Mobile City of Edmonds Business License No: Email State License No:ZI PLYF*800L5 ❑ Contractor verifies it is currently bonded x 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) N Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 X 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.) Accessing to existing Utility MH and HH along Olympic View Dr and 76TH Ave W intersection , - o splice I bU tt fiber optic cable to existing utility - conduit which oes into Drivate Dro 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: X 0 0 0 0 If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: N/A 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 11 1 How many are to be added? 6b. Does your project involve poles? If yes: X How many poles are existing in the pro'ect area? What is the height of the existing poles? N/A How many poles are to be removed? Are additional Roles to be laced? How many? 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: Shadya Kashmlry APPLICANT PRINTED NAME: Shadya Kashmiry APPLICANT TITLE: Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE FIT-018011M City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Hen lIW2J3d ' Ol NOISI IlVOO-1 2J EXISTING DLC EXT. MH 1 1N&k tdSN1 11b E1n4EIHOS 2441.101 OUT:C91PER SKE004,1-96+ HLLKWAXX 2751 XD,97-100+ 10"X5"X7" C91PER SKE004,101-196+ EX. 1-4" CONDUIT - 139' XD,197-200+ C91PER SKE004,201-296+ XD,297-300+ 2 C91PER SKE004,301-396+ 1 RIB XD,397-400+ C91PER SKE004,401-496+ 36/24 XD,497-500+ D C9SEA SKE004,501-596+ XD,597-600+ L C9SEA SKE004,601-696+ XD,697-700+ C9SEA SKE004,701-772+ C9SEA SKF004,773-796+ XD,797-800+ C9SEA SKE004,601-696+ XD,697-700+ C9PER FH 162,1-28+ XD,829-850+ C91PER FH162,101-128+ XD,879-900+ C9PER SKE005 1-96+ EX. 14" CONDUIT -150' 1 72/24 EXT. H H 2441.101 HLLKWAXX UNK XD,996-1000+ EX.1-4" CONDUIT - 481' C91PER SKE005,101-196+ XD,1097-1100+ C91PER SKE005,201-296+ XD,1197-1200+ C91PER SKE005,301-396+ XD,1297-1300+ C91PER SKE005,401-496+ XD,1397-1400+ C91PER SKE005,501-596+ D4A #m�4JwsO�� 2JOd 3 0RJ3NM0 XD,1596-1600+ C91PER SKE005,701-796+ XD,1696-1700+ J Rh, OEXISTING 72 FIBER FC1032 FC-145968 2422.401 481' I I XD,181-184+ ' (HLLKWAXX FC1032,185-240)+ > I > XD,63-72 'a I C/X co rzw I I \ I A RN3W0 n0 ON NE]NI�dO1 1� 3❑ NG aim � I � m 19 31V2J3d3s V 32JIf1032J Avn s3nniin -joafoad pad; med ayj 6uianp sm000 /\ 2IWNOUVO0_I32J 's3nnIlfl 311S NO T1V ao pasneo sI }eye spaepue�s Ap aad Dd D�91SNOdS32J 2JOlOV2UNOORJ3NM0 D FOR CLARITY. {em-40-ju6u A113 ui sjuauaanoadwi 'OC(150') INSIDE I MH#27S1.SPL a6ejuoa4ao saipp o} 96ewep FC1032,237-238 FROM 72CT #145928 TO 36CT #145964 Ike aoeldaa/aledaa pays;ueoilddy \ � MJ� \Mb\ W W ONEW 24 SM FIBER CABLE HLLKWAXX FC-2656602 2422.201 150, HLLKWAXX FC1032,237-238+ XD,3-24 OEXISTING 36 FIBER 34 FC-145964 2422.201 139' (HLLKWAXX 34,1-4)+ HLLKWAXX FC1032,237-238 XD,7-36 I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER ❑ ETHERNET ❑ CIAC ❑ DAMAGE ® OTHER CONSTRUCTION START 06/18/2024 IN SERVICE DATE 08/18/2024 CONSTRUCTION ® FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: CITY OF EDMONDS ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER ACCOUNT CODES 112411.001 POLES El ❑ 2421.101 OH COPPER El ❑ 2421.201 OH FIBER ❑ ❑ 2422.101 UG COPPER ❑ 2422.201 UG FIBER 2441.001 CONDUIT 34XX.XXX REMO)t ISIONS V1 Know what's below. ACAUTION Qverh�d Call before you dig. cables ziply-f i be IOLYMPIC VIEW DR&76TH AVE W,EDMONDS,WA 98026 I PERRINVILLE ESA PROJECT C.O. AREA: EDMONDS NUMBER: P-078173 EXCH. CODE: HLLKWAXX DRAWN DATE: ENGR:DAVID REED CNTY: SNOHOMI 3 04/18/2024 PHONE: (352)345-2348 FILE: P-078173.c SCALE: 1:50 TAX DISTRICT: 5160E DWG 3 OF 4 TWNSHP: T27N RING: R4E SEC: SO �tlIre] ►69:Le9IA[•2.NN1v/ 10 W 4 0 W �� U �A a *ALL DRIVEWAYS ARE TO REMAIN OPEN DURING CONSTRUCTION *INSTALL TEMP NO PARKING SIGNS 72 HRS PRIOR TO COMMENCING WORK. SIGNS SHALL STATE DAY(S) AND HOURS OF RESTRICTION. NOTIFY POLICE DEPT. ONCE SIGNS ARE POSTED. *FLAGGER STOPS PEDESTRIAN UNTIL PEDESTRIAN PATH HAS BEEN RE-ESTABLISHED. LENGTH OF DELAY = 2 MIN. POST TAPER SPACING SIGN BUFFER SPEEDMIT LENGTH OF SPACING LENGTH CONES 25 50' 12' 100, 50' �-� �w �� CV CSW. F` EXISTING MH HLLKWAXX 27S1 LAT 47.831674, LONG-122.338484 SPLICE POINT LAT 47.831636, LONG-122.338541 LEGEND TYPE III BARRICADE W/ SIGN TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE T TRAFFIC CONE WITH CLIP ON T SIGN OSIGNALIZED INTERSECTION ARROW PANEL (FLASHING ARROW) VZOZ/,0/60 NO OM �3n o� �S N II O IdS% 0 J 7O �0 y �L PREP REO SO �n Z CSW �i j CSIN EXISTING HH HLLKWAXX UNK LAT 47.831596, LONG-122.338358 Q N SAIG1iTfVEL 0kW DEVICE (FLAGTREE) NOISIAIa ONIH33NION3 FLAGGER TANS TOW AWAY NO STOPPING _ TO _ (SHOW HOURS) TAN SAT TOW AWAY NO STOPPING ANY TIME ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) A ROADWAY DESIGNATION (A THROUGH D) 00 oljjvbl ROPO WORK \ 'PNE PHEPO O ON\PD gE RED PHEPD �O 0' \ N s N SP PG\N ow R\�\ 0 0 S\G am+ 00 v1 N DR 25 m? ra .LN31/1.L lWd30 SpaI�Q_I�AJn SINOW03 d0 "ID t,ZOZ t q 5ny GENERAL TRAFFIC CONTROL NOTES 1. TRAFFIC CONTROL PLAN SHALL TO THE MOST CURRENT STATE MANUAL ((3< RI R1� T l \�CES (MUTCD) AND STATE STANDARD PLANS. ,, `` Q 2. ALL AFFECTED RESIDENTS, BUSINESS, AGENCIES, AND SCHOOLS SHALL BE GIVEN 72 HOURS NOTICE PRIOR TO THE START OF WORK AND THEIR ACCESS SHALL BE MAINTAINED AT ALL TIMES 3. MAINTAIN SAFE FED ACCESS & DRIVEWAY ACCESS, POST TEMPORARY NO PARKING SIGNS 72 HRS PRIOR TO ANY WORK 4. ALL CONFLICTING SIGNS, STRIPING OR PAVEMENT MARKING SHALL BE COVERED OR REMOVED AND REPLACED WHEN WORK IS COMPLETED ziply fiber THIS IS A TYPICAL LAYOUT WORK AREA FOR LANE/SIDEWALK CLOSURE. THIS TRAFFIC CONTROL PLAN IS FOR GAINING ACCESS TO EXISTING ZIPLY POLES 9411912924 TCP REV DATE OESCRIPTICN BY P-078173-TCP GEO: - DA: - ENGINEER: TECHWAVE TELEPHONE: (352)345-2348 SHEET TITLE: TRAFFIC CONTROL PLAN SHEET NUMBER. 03 OF 04 HLLKWAXX P-078173 BD_DLC_PERRINVILLE ESA OLYMPIC VIEW DR&76TH AVE W,EDMONDS,WA 98026 aw VF PERRINVILLE ESA �1 f OLYMPIC VIEW DR&76TH AVE W ,EDMONDS, WA 98026 ZIPLY ENGINEER: DAVID REED PHONE: (352)345-2348 f Q UUPic 4.�fm 1!111 7blp i i PERMITS TCP REQUIRED PERMITTING NOT REQUIRED PA's NOT REQUIRED 0 1A III IgIgggs­ — v -." ZIPLY ENGINEER: JEFF BARRY PHONE: (916)701-0900 I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET 06/18/2024 ❑ CIAC IN SERVICE DATE ❑ DAMAGE ® OTHER 08/18/2024 CONSTRUCTION ® FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: CITY OF EDMONDS ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER ACCOUNT CODES ❑ 2411.001 POLES El ❑ 2421.101 OH COPPER El ❑ 2421.201 OH FIBER ❑ ❑ 2422.101 UG COPPER ❑ 2422.201 UG FIBER 2441.001 CONDUIT 34XX.XXX REMO)t ISIONS 04 BMI SSION V 1 Know what's below. OC 471 L'1llbefore you dig. 1ply-f i be OLYMPIC VIEW DR&76TH AVE W,EDMONDS,WA 98026 PERRINVILLE ESA PROJECT C.O. AREA: EDMONDS NUMBER: P-078173 EXCH. CODE: HLLKWAXX DRAWN DATE: ENGR:DAVID REED CNTY: SNOHOMISH 1 04/18/2024 PHONE: (352)345-2348 FILE: P-078173.dwg SCALE: 1:50 TAX DISTRICT: 5160E DWG 1 OF 4 TWNSHP: T27N RING: R4E SEC: SO Ll 3W12JVd30 31N3WdO13A30 STRAIGHT LINE DIAGRAM HLLKWAXX F1032,237-238 HLLKWAXX DLC PERRINVILLE ESA MH HLLKWAXX 2751 CONSTRUCTION NOTES: 1. CAUTION: FACILITIES SHOWN ON THIS PLAN WERE OBTAINED FROM RECORDS AND/OR VISUAL SURFACE INSPECTION. 2. SOME FACILITIES MAY BE OMITTED, OR SHOWN AT AN INCORRECT LOCATION. EXACT LOCATION OF ALL FACILITIES MUST BE DETERMINED PRIOR TO START OF CONSTRUCTION. 3. ALL MATERIALS, METHODS OF PLACEMENT AND RESTORATION MUST MEET THE REQUIREMENTS CITY OF EDMONDS AND SNOHOMISH COUNTY. 4. CONSTRUCTION MUST REPLACE AND RESTORE ANY LANDSCAPED AREA DISTURBED DURING CONSTRUCTION BACK TO ITS ORIGINAL OR BETTER THEN CONDITION. 5. CONTRACTOR IS TO PLACE ALL NEW UG FACILITIES PER WORK PLAN, CONTRACTOR WILL NEED TO NOTIFY THE AREA ZIPLY INSPECTOR AND OR THE ENGINEER FOR MAKING ANY ADDITIONAL FIELD CHANGES. Ziply Mat ID Description UOM MAJ/MIN? Qty 024ZU4-T4F22D20-0 FO CABLE 24F 3422 GRP NON-ARMW/FAB/024ZU4-T4F22D20 FT MA 150 I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER ❑ ETHERNET ❑ CIAC ❑ DAMAGE El OTHER CONSTRUCTION START 06/18/2024 IN SERVICE DATE 08/18/2024 CONSTRUCTION M FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: CITY OF EDMONDS ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER ACCOUNT CODES ❑ 2411.001 POLES El ❑ 2421.101 OH COPPER Ei ❑ 2421.201 OH FIBER ❑ ❑ 2422.101 UG COPPER ❑ 2422.201 UG FIBER 2441.001 CONDUIT 34XX.XXX REMMEA ISIONS 04 BMISSION V1 Know what's below. A CAUTION erh Q3 Call before you dig. �_bles_ d *'I'ply-fiberl IOLYMPIC VIEW DR&76TH AVE W,EDMONDS,WA 98026 I PERRINVILLE ESA PROJECT C.O. AREA: EDMONDS NUMBER: P-078173 EXCH. CODE: HLLKWAXX DRAWN DATE: ENGR:DAVID REED CNTY: SNOHOMISH 04/18/2024 PHONE: (352)345-2348 FILE: P-078173.dwg 2 SCALE: 1:50 TAX DISTRICT: 5160E DWG 2 OF 4 TWNSHP:T27N RNG:R4E SEC: SO 31A121Vd30 31N3ndO13n30 PLACING TASKS PAGE # ACTIVITY # ACCOUNT CITY UNIT Description 3 1 2422.201 1 ea FIBER UG/VAULT - SETUP EXISTING CLOSURE 3 1 2422.201 150 ft PLACE FIBER CABLE IN CONDUIT (cable jet method, existing conduit) 3 2 2422.201 1 ea FIBER UG/VAULT - SETUP EXISTING CLOSURE SPLICING TASKS PAGE #ACTIVITY #ACCOUNT CITY UNIT Description 3 1 2422.201 1 ea BIDIRECTIONAL FITESTING(C.O. to FSAI or C.O. to C.O.) 3 1 2422.201 1 1 ea FIBER UG/VAULT- SETUP EXISTING CLOSURE 3 2 2422.201 1 L:jj] FIBER UG/VAULT- SETUP EXISTING CLOSURE 51 I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET 06/18/2024 ❑ CIAC IN SERVICE DATE ❑ DAMAGE ® OTHER O8/18/2024 CONSTRUCTION ® FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: CITY OF EDMONDS ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER ACCOUNT CODES ❑ 2411.001 POLES El ❑ 2421.101 OH COPPER El ❑ 2421.201 OH FIBER ❑ ❑ 2422.101 UG COPPER ❑ 2422.201 UG FIBER 2441.001 CONDUIT 34XX.XXX REMO)t ISIONS 04 BMI SSION V 1 Know what's below. OCAUTION Overhead Call before you dig. cablestames **1ply-f*1berl )LYMPIC VIEW DR&76TH AVE W,EDMONDS,WA 98026 PERRINVILLE ESA PROJECT C.O. AREA: EDMONDS NUMBER: P-078173 EXCH. CODE: HLLKWAXX DRAWN DATE: ENGR:DAVID REED CNTY: SNOHOMISH 04/18/2024 PHONE: (352)345-2348 FILE: P-078173.dwg SCALE: 1:50 TAX DISTRICT: 5160E DWG 4 OF 4 TWNSHP: T27N RING: R4E SEC: SO 31Al2JVd30 31N3WdO13A30 LEGEND UNDERGROUND CABLE PLACEMENT - UTILITY TRAFFIC CONTROL TO PLACE UNDERGROUND CABLE 781, CITY OF EDMONDS EXISTING MH HLLKWAXX 27S1 SPLICE POINT EXISTING HH H LLKWAXX UNK 9 Perrinville Animal Hospital 10 Nancy Designs On Canines Bistro 76 Cafe 9 M ziply fiber maim-5191201% GEO: - DA' - ENGINEER: TECHWAVE TELEPHONE: (352)345-2348 CABLE PLACEMENT MAP #01 SHEET TITLE COVER PAGE SHEET NUMBER: SITE ID # H LLKWAXX-P-078173-TCP 01 OF 04 1N311UHVd30 S301ni13S 1N3Wd0�3�30 Table 6 -3. Taper Length Criteria for Temp*ram Traffic Control Zones Ty pe of Taper Taper ILen!gttl Merging fieper � at leeret L Shfting 7appr at krmst OS L Shoulder Taw at hoas1 0,33 L _ Orne4l_w, a, Two -'ma r Traft Taper 5o F949t rninimt n. 100 ito rrla irrr im Dmffwki Trpr W I" mtlirr l,rrL 14G IBM RlarLakri,.lr-1 Nola.- Use Teter SC-4 Fe eak;IlaW L Table 6C-4. Formulas for Determining Taper Length Speed (S) Taper Length (L) in, feet wall 40 mph or leesI so L = 4:5 mph -Dr more L = WS Where. L =leper Wrlgih `n ieei W width at of iA in fo-ut S = pOste+d speed Irnit.. or oti-peak 65M-perrt+n4rre sped pnor In wLwk slarlirV, Im 1ha anlicipatadopcoatiN Vacd in rnph Table 6IM-3. Meaning of ILetter Codes on, Typical Application Diagrams Rvacl Typs A 100 ieel Distance Between Signs' B '1001 Iraet C 1coo regmI Urban lbw spe&j" Urban lh gh spwd l" 350 iaat 350 fQat f;QI Rural 5W 'IPA 5W 1116W sww Exprewway - F eewayr 1.0w KIAE4 , _500 iW 2.641)met Spwd cabagcty to be awb2rminQd by hrcrw:aW agony •• Tlv �,,oU nn haailalgs A- p, ar d C A* ctio dirxunsiorre shy in Firurm 6H-1 through U4.46. TIv A dinKwrsrttiry 6 tho dGtwx* from the Iranan*n of paint of re-sincllan to the hr1M 9W- . The JB -01menstan a the MBrce Wvm4w VW hrst aria sec pnd t:�n&, The n n��n ih�r dot. -�w I�twgQn the sy�rrd a� third F.Fgrm jhQ �Ir�t �rgn' i� the, zW n a 0ree-stgn senee ttw is #oaeal ko the TIC none The -Mind stpr"'msthe eqn &W is iur1hest upelream from 1he TTO z*ne.j ziply fiber IREV I DATE I DESCRIPTION IBY1 P-078173-TCP GEO: - DA: - ENGINEER: TECHWAVE TELEPHONE: (352)3452348 SHEET TITLE: TRAFFIC CONTROL PLAN SHEET NUMBER: 02 OF 04 1N3Ni8Vd30 S301�a3S 1N7Wd?13A311 "ALL DRIVEWAYS ARE TO REMAIN OPEN DURING CONSTRUCTION `INSTALL TEMP NO PARKING SIGNS 72 HRS PRIOR TO COMMENCING WORK. SIGNS SHALL STATE DAY(S) AND HOURS OF RESTRICTION. NOTIFY POLICE DEPT. ONCE SIGNS ARE POSTED. `FLAGGER STOPS PEDESTRIAN UNTIL PEDESTRIAN PATH HAS BEEN RE-ESTABLISHED. LENGTH OF DELAY = 2 MIN. POST TAPER SPACING SIGN BUFFER LENGTH OF SPACING LENGTH SPEED IMIT25 CONES 50, 12' 100' 50' I�Ytiy\I�l TYPE III BARRICADE W/ SIGN TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE T TRAFFIC CONE WITH CLIP ON T SIGN OSIGNALIZED INTERSECTION ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) FLAGGER TANS TOW AWAY NO STOPPING _ TO _ (SHOW HOURS) TAN SAT TOW AWAY NO STOPPING ANY TIME ® WORK ZONE (ACTIVITY AREA) LIMITS — DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) A ROADWAY DESIGNATION (A THROUGH D) ziply fiber THIS IS A TYPICAL LAYOUT WORK AREA FOR LANE/SIDEWALK CLOSURE. THIS TRAFFIC CONTROL PLAN IS FOR GAINING ACCESS TO EXISTING ZIPLY POLES 9411912924 TCP REV DATE OESCRIPTICN BY P-078173-TCP GEO: - S301A213S 1N3 WdOl3A30 S4NOW43 zIO A110 DA' ENGINEER: TECHWAVE TES}y.,ZOZ }y., v FIC CONTROL OSHALL GI. OVICES(MUTCD) TRAFRAL FICFCO CONTROL PLAN TO THE MOST CURRENT STATE MANUAL ON UNIFORM TRAFFIC COtJTROL AND STATE TELEPHONE: (352)345-2348 STANDARD PLANS. �I 13 03 SHEET TITLE: 2. ALL AFFECTED RESIDENTS, BUSINESS, AGENCIES, AND SCHOOLS SHALL BE GIVEN 72 HO ORK AND THEIR ACCESS SHALL BE MAINTAINED AT ALL TIMES TRAFFIC CONTROL PLAN 3. MAINTAIN SAFE FED ACCESS & DRIVEWAY ACCESS, POST TEMPORARY NO PARKING SIGNS 72 HRS PRIOR TO ANY WORK 4. ALL CONFLICTING SIGNS, STRIPING OR PAVEMENT MARKING SHALL BE COVERED OR REMOVED AND REPLACED WHEN WORK IS COMPLETED SHEET NUMBER 04 OF 04 RECEIVED Aug 14 2024 ///-- CITY OF EDMONDS , MyBuildingPermit.com DEVELOPMENT SERVICES CITY OF EDMONDS DEPARTMENT Right -of -Way Application #1529931 - P-078173-6006818 DLC OLYMPIC VIEW DR & Applicant First Name Last Name Company Name Shadya Kashmiry Ziply Fiber Number Street Apartment or Suite Number E-mail Address PO Box 1127 shadya.kashmiry@techwave.net City State Zip Phone Number Extension Everett WA 98206 (346) 606-5101 Contractor Company Name ZIPLY FIBER Number Street Apartment or Suite Number 135 Lake St S Ste 155 City State Zip Phone Number Extension KIRKLAND WA 98033 (425) 284-8155 (425) 263-4020 State License Number License Expiration Date UBI # E-mail Address ZIPLYF*800L5 6/4/2026 FD4477g7D shadya.kashmiry@techwave.net Project Location Number Street Floor Number Suite or Room Number 18502 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00434600010602 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 * 104 N 84TH LLC Number Street Apartment or Suite Number 8827 29TH AVE NW City State Zip SEATTLE WA 98117 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: 8/8/2024 Submitted By: Shadya Kashmiry Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Right -of -Way Application #1529931 - P-078173-6006818 DLC OLYMPIC VIEW DR & 7 Project Contact Company Name: Ziply Fiber Name: Shadya Kashmiry Email: shadya.kashmiry@techwave.net Address: PO Box 1127 Phone #: (346) 606-5101 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: P-078173-6006818 DLC OLYMPIC VIEW DR & 76TH AV Description of Accessing to existing Utility MH and HH along Olympic View Dr and 76TH Ave W Work: intersection (47.8316794,-122.338505) to splice 150 ft fiber optic cable to existing utility 1-4" conduit which which goes into private property. Project Details Project Information Job Number P-078173 Page 2 of 2