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APPROVED ENG2024-0409 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds www.edmondswa.gov i Description: ZIPLY - INSTALL NEW UNDERGROUND FIBER SERVICE ISSUED: 10/17/2024 Address: 1137 7TH AVE S EDMONDS WA 98020-6601 EXPIRES: 04/17/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00619400900702 i NAME TYPE NAME ADDRESS PHONE APPLICANT ARIANNE MOMMSEN 426 E CASINO ROAD, EVERETT WA 98208 (402)670-8384 CONTACT ZIPLY FIBER NORTHWEST LLC 426 E CASINO ROAD, EVERETT WA 98208 (402)670-8384 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)346-2083 OWNER AMBER & JANGULA JOSHU NIXON 1137 7TH AVE S, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 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: 10/17/2024 Printed: Thursday, October 17, 2024 12:30:47 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!BEJ 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm 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** E-7 RESTOR LIMITS Printed: Thursday, October 17, 2024 12:30:47 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. Aug 13 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 Namq_ 1, 84139 Site Address or if no site address use Property Address at NW corner of project area: 1137 7th AVE S, EDMON DS, WA 98020 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 Contractor and Authorized Agent of Owner (see note below) Name of Company StarTak Fiber LLC Contractor Contacts During Construction Primary Name Mike Hakahan Agent Name Mike Hakahan Title Engineer Title Engineer Mobile 425-949-0230 Address4401 S Technology Dr. Email mike.hakahan@ziply.com city Sioux Falls State SD I zip 57106 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: STARTFL790QE 0 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: A 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.) Telecommunications and broadband provider Ziply Fiber to ACCESS TERMINAL AT SW CORNER OF 1140 7TH AVE S, BORE UNDER STREET TO SW CORNER OF 1137 7TH AVE S. BORE FROM NEW FLOWER POT SOUTH ALONG PARKWAY AND UNDER DRIVEWAY TO SE CORNER, HAND DIG TO SE CORNER OF 1137TH AVE S. 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? • N 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? Y If yes, describe: FLOWERPOT PLACED IN GROUND 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? N 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? N 5. Does the work involve proposed additions to an aboveground utility system? If es: N 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? N 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: 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 additional poles to be laced? How many? I I What is the height of the additionalpoles? dd 6c. Are any poles to be modified/rebuilt/replaced? If yes: N 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: Charli Bowman APPLICANT TITLE: T�ot_r�De� NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 7/30/24 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LEGEND: j D EXISTING TERMINAL FTM-1 PROPOSED TERMINAL EXISTING UTILITY POLE ® PROPOSED NEW POLE H H 1 EXISTING HANDHOLE H H PROPOSED NEW HANDHOLE [2'x3'] M H EXISTING MANHOLE EH PROPOSED NEW MANHOLE 0 EXISTING FLOWER POT © PROPOSED NEW FLOWER POT - — EXISTING UNDERGROUND UTILITY PROPOSED UNDERGROUND — — — CONSTRUCTION [HAND DIG, BORE] EXISTING AERIAL SPAN PROPOSED AERIAL SPAN CENTER LINE — — PARCEL LIMITS [PROPERTY LINE] EOP EDGE OF PAVEMENT ROW RIGHT OF WAY RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR City of Edmonds 1131 POTHOLE SHALL BE REQUIRED WHERE EVER THE BORE PATH CROSSES ANY UNDERGROUND UTILITY 1137 O ATCO COMMUNICATIONS SERVICES, LLC WWW.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 zi I fiber Py Everett, WA 98206 0) O F M NO U: 00 0000 M J Q W (n o QZ O H � F- 0 W Z Uj O LU F- L) Q u1 U) LU z �F- V) LU width overlay will be required depending on the extent - &5 w WORK DETAILS: of disturbance. Where utility patches fall entirely within ° m LU U) one travel lane, the overlay shall extend to the o z ALU CCESS TERMINAL AT SW CORNER OF 11407TH AVE S, BORE UNDER STREET TO SW CORNER OF 11377TH AVE S. centerline of roadway. Where utilitypatches extend into y p J116 I z Q H BORE FROM NEW FLOWER POT SOUTH ALONG PARKWAY AND UNDER DRIVEWAY TO SE CORNER, HAND DIG TO SE both travel lanes then a full Width Overlay IS required. H U W F- U W U) CORNER OF1137THAVES. LU - O D_ O W D_ Q LU z MINIMUM STANDARDS FOR DIRECTIONAL BORING STREET CROSSINGS "l, . :.•,,,•���''RE PITo.a PLACE END MARKER WITH UTILITY OWNER'S NAME DESCRIBING CONDUIT BORE PIT TO BE BACKFILLED AND COMPACTED IN 12" LIFTS WITH MATERIAL REMOVED FLOW OF ANY NEARBY DRAINAGE MUST BE MAINTAINED AT ALL TIMES PROTECT ROOTS AT ALL TREE LOCATIONS, FIELD ADJUST AS NECESSARY TYPICAL BOREDETA/LS Know what's bekna Call before you dig OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE SANITARY/SEWER STORM SEWER WATER Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. ENGINEERING DIVISION RESUB APPROVED AS NOTED Sep 23 2024 Ildl'II CITY OF EDMONDS WQ✓1j,,44z 10/16/2024 DEVELOPMENT SERVICE VV DEPARTMENT I — DATE: 7.30.24 DESIGNED BY: M. LUNA ATCO CONTACT: 361.363.6642 charli.bowmanOatcotelecom.com SCALE: I SHEET: NOT TO O1 SCALE NO: 1 OF POTHOLE SHALL BE REQUIRED WHERE EVER THE BORE PATH CROSSES ANY UNDERGROUND UTILITY STREET VI EW: 1137 7th AVE S, EDMONDS, WA 98020 PHASE PHASE 2 RECEIVED Aug 13 2024 CITY OF EDMONDS DEVELOPMENT 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 LEGEND: '--dA O SIGNALIZED INTERSECTIONI" 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. ^ PHASE APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY 'I OENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN • CONE (CANDLESTICK) SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) WORK TRUCK SIGN LEGEND: Arco COMMUNICADONS SERVICES, LLC 7TH ST www.atcatelecom.corn WORK ZONE LIMITS WORK DETAILS: 360.563.9000 (25 MPH) 708 First Street ACCESS TERMINAL AT SW CORNER OF 1140 Snohomish, WA 98290 EWE PORTABLE SIGN ROAD SHOULDER 7TH AVE S, BORE UNDER STREET TO SW WORK WORK I t CORNER OF 1137 7TH AVE S. DRIVE WAY AHEAD • • CONTRACTOR TO PLACE NO PARKING SIGNS h Y' (NOT PAOVEMENT MARKINGS) X z' I �/ e 72 HOURS PRIOR TO START WORK P y W20-1 W21-5 FLAGGER-SPOTTER W20-1 Everett, WA 98206 11 FLAGGER STATION M 04 o � 0) 3 to rn 00 > Q W co � z 7 co m vi Z X It D ui W Q O U D r 0 > W21-5 � zp = J o o C6 LU R9-9 W o J Q Z W W U L O r� �Q > 0 > tT r- LU LL 00 M fn Q _j W � Z z? v 0 Q � p � 7 00 (If (ifQ O • y Q O U D_ o • j t > W CN 1137 7th AVE S �LU UW Y W a o 23' w LL D_I t O LL LU 0 w LL p o_j W • m w U W p Q 0 r►/ Q 0 = F- z Q LL ui 13� c/) R9-9 o z= W W F z m O J_ O O J LL W20-1 7TH ST ENGINEERING DIVISION RECEIVED Y x �/ A (25 MPH) APPROVED AS NOTED Aug 13 2024 ^jA�Q,4np 10/16/2024 CITY OF vv DEVELOPMENT ONDS ERVICES LLI DEPARTMENT 0 > a m NOTE: y D MON. - FRI. = 7:00am TO 4:00pm4 t 7TH ST (25 MPH) CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50 / 70 40 80 35/45 30 60 25/30 20 40 MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8 40 40 60 90 120 130 150 160 170 190 10 40 60 90 90 150 170 190 220 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8 DATE: 7.30.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: C.BOWMAN ATCO CONTACT: 361.363.6642 Charli.Bowman@atcotelecom.com SCALE: SHEET: 1 "=40' � 2 NO: 2 OF 3 LEGEND: OSIGNALIZED INTERSECTION OCONE (CANDLESTICK) WORKTRUCK WORK ZONE LIMITS PORTABLE SIGN DRIVE WAY DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) ■�'� FLAGGER-SPOTTER FLAGGER STATION 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) SIGN LEGEND: ROAD SHOULDER WORK WORK AHEAD > < W20-1 W21-5 SIGN SPACING = X (1) FREEWAY & EXPRESSWAYS 55/70 MPH 15001± 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. NOTE: MON. - FRI. = 7:00am TO 4:00pm CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50 / 70 40 80 35/45 30 60 25/30 20 40 0O W 0 Z Y = D_ 0 m OZ z0 LU Q Uw D Q OZ 0O OV I.- U li <O LLI Z� Ocf) U? M W20-1 7TH ST (25 MPH) it U D R9-9 It W ❑W J O ❑ CL Q O -U cn 0 H • M �> • < FP 1137 7th AVE S -23' It T_ pol R9-9 Y J o lit rW21-5 It 7TH ST (25 MPH) D � o � D r W20-1 of w� b❑w �Q 7TH ST __I (25 MPH) PHASE WORK DETAILS: BORE FROM NEW FLOWER POT SOUTH ALONG PARKWAY AND UNDER DRIVEWAY TO SE CORNER, HAND DIG TO SE CORNER OF 1137TH AVE S. CONTRACTOR TO PLACE NO PARKING SIGNS 72 HOURS PRIOR TO START WORK ENGINEERING DIVISION x APPROVED AS NOTED jd] ( J,&,j0 ,,,,,Q 10/16/2024 vv RECEIVED Aug 13 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8 40 40 60 90 120 130 150 160 170 190 10 40 60 90 90 150 170 190 220 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' O ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziplyfiber Everett, WA 98206 M to a) _ a Q w Z Q U Z w Q 0 J w � r � wW Z w cn U J Q w U r W tO o t` w w /1/ w c 7 r Z M U) Z w w O U z CU U LL LU m 0J LL Z Q Z w U W U LU O F < z Z OO a a ULLI O DATE: 7.30.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: C.BOWMAN ATCO CONTACT: 361.363.6642 Charli.Bowman@atcotelecom.com SCALE: SHEET: 1 11=401 0 NO: 3 OF 3 CITY OF EDMONDS o ATCO COMMUNICATIONS SERVICES, LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziP y I fiber Everett WA 98206 M 04 co � V 0O'0 30 CO W J Q W co (n Z Ly O z Q w PHASE 1 PHASE 2 0 W W W Z c6 o w Q LU r > W =Q � M w U/ M Z rn M W W ' I w I W 1-- z > ~ O 1142 U �U) W W m� �M z Q Z ui U U O 2 W LU H Q Z U LU a a O LL DATE: 7.30.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: C.BOWMAN ATCO CONTACT: 361.363.6642 RECEIVEDCharli.Bowman@atcotelecom.com Aug 13 2024 SCALE: SHEET: VICINITY MAP CITY OF E T SERVI NOT TO DEVELOPMENT SERVICES DEPARTMENT SCALE v NO: 1 OF 3 RECEIVED /// Aug 13 2024 CITY OFDEVELOPMENT EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1525812 - 184139 Applicant First Name Last Name Company Name ARIANNE MOMMSEN Ziply Fiber Northwest LLC Number Street Apartment or Suite Number E-mail Address 426 E Casino Road grpatcopermits@ziplyfiber.com City State Zip Phone Number Extension Everett WA 98208 (402) 670-8384 Contractor Company Name PACIFIC CABLE CONSTRUCTION INC Number Street Apartment or Suite Number P.O. Box City State Zip Phone Number Extension Woodinville WA 98072 (425) 348-7725 State License Number License Expiration Date UBI # E-mail Address PACIFCC954PJ 10/21/2025 F=5877nq luke@PACCAB.com Project Location Number Street Floor Number Suite or Room Number 1137 7TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00619400900702 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 Amber & Jangula Joshua Nixon Number Street Apartment or Suite Number 1137 7TH AVE S City State Zip EDMONDS WA 98020 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: 8/12/2024 Submitted By: ARIANNE MOMMSEN Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1525812 - 184139 Project Contact Company Name: Ziply Fiber Northwest LLC 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 Disturbance of Surface Project Name: 184139 ACCESS TERMINAL AT SW CORNER OF 1140 7TH AVE S, BORE UNDER STREET TO Description of SW CORNER OF 1137 7TH AVE S. BORE FROM NEW FLOWERPOT SOUTH ALONG Work: PARKWAY AND UNDER DRIVEWAY TO SE CORNER, HAND DIG TO SE CORNER OF 1137TH AVE S. Project Details Project Information Job Number 184139 Page 2 of 2