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APPROVED ENG2024-0264 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds - N, Edmonds WA 9:01 1 .4 LM www.edmondswa.govi Description: ZIPLY - BORE NEW SERVICE WITH PAVEMENT CUTS ISSUED: 10/17/2024 Address: 7524 180TH ST SW EDMONDS WA 98026 EXPIRES: 04/17/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00477600000200 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 MICHAEL S & LUCINDA M ROWAN 7524 180TH ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $528.00 $528.00 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 12:37:38 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 7:00am 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 X-2 ENGINEERING FINAL A-1 JOB START E-7 TRAFFIC CTRL E-7 RESTOR LIMITS Printed: Thursday, October 17, 2024 12:37:38 PM 2 of 2 RECEIVED 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. May 28 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. SECTION A General • Project Name 181052 Site Address or if no site address use Property Address at NW corner of project area: 752418oTH ST SW EDMONDS, WA Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name ofCompan) 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 of • 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 Iz Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential )(Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: )<'Utility Franchise Work associated with development (check one of the above boxes as well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) Project• • 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 N --t cros:&. 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 Details of Work to be Completed 1. 1 Does the utility owner have existing overhead infrastructure in the area of work? Yes \� No 2. 1 Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? If yes, describe: Carson boxoffset 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 existing underground common utility system? \ 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 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: How many are existing? 11 1 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? 6c. Are any poles to be modified/rebuilt/replaced? If yes: 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: GUNNER MITCHELL APPLICANT PRINTED NAME: GUNNER MITCHELL APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 05/24/2024 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 OEXISTING 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 WATER SANITARY SEWER STORM SEWER WORK DETAILS: BORE 145' FROM EXISTING TERMINAL TO PROPOSED FLOWERPOT THEN HAND DIG AROUND RETAINING WALL TO CUSTOMER ADDRESS. MINIMUM STANDARDS FOR DIRECTIONAL BORING STREET CROSSINGS 01 4 12"MIN 48" MIN 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 CITY OF EDMONDS Utility patches shall be combined and full width or half width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. Call before you dig 1791 "7420 S�14 '� 7416 1790q i1jo., 1-4100% f ftiA r ECP- 7415 W r ,, 7 - EO RESTORATION LIMITS TO BE DETERMINED VICINITY MAP BY CITY ENGINEERING INSPECTOR OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 14"a --N ATCO COMMUNICATIONS SERVICES, LLC WWW.0tC0teleC0M.00M 360.563.9000 708 First Street Snohomish, WA 98290 K fibsyett, WA 98206 N a o 3: e7 0 H 0 C/) z o LU CO Q �� J J M a LO v I` N Lo U Of U) Lu m w � g p Lu z Q z U U W W LLI of Of w a a z 3 a N Ln 0 m Q m Iv M m DATE: 09/20/2024 DESIGNED BY: D.GRAHAM ATCO CONTACT: DOROTHY.GRAHAM@c3tcotelecom.com SCALE: SHEET: ENGINEERING DIVISION SEP 20 2024 APPROVED AS NOTED NOT TO 0 CITY OF EDMONDS SCALE JA LV,-&,�j,44z 10/16/2024 DEVELOPMENT SERVICES DEPARTMENT NO: 1 OF 1 RESUB ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SYMBOL LEGEND: OS SIGNALIZED INTERSECTION OCONE (CANDLESTICK) ® TYPE III BARRICADE WORK TRUCK WORK ZONE LIMITS PORTABLE SIGN Q EXISTING SIGN ® DRIVEWAY ARROW BOARD REQUIRED) (WHERE �•+" DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) 11 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 ONE LANE WORK ROAD AHEAD AHEAD W20-1 W20-4 W20-7A R8-3a TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP �A o� W20-1 CONTRACTOR TO PLACE NO PARKING SIGNS ON BOTH SIDES OF STREET WITHIN CONED AREA 72 HOURS BEFORE START OF WORK. 4-- WORK DETAILS: TRENCH FROM EXISTING T/P THEN BORE TO CUSTOMER ADDRESS AT 7524 180TH ST SW SPOTTER NEEDED FOR DRIVEWAY ACCESS �A t20-4 0� W20-7A � O s �9T�2F� T O l.9 00 A� Fq / R8-3A� T/P �A\ 50-100' ONE LANE TWO WAY TRAFFIC TAPER TRAFFIC TAPER. vv IF] 0 1 OVV (25 MPH) 7524 180TH ST SW PHASE 1 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 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. W20-7A ENGINEERING DIVISION APPROVED AS NOTED jell Ul &U,44z 10/16/2024 VV RECEIVED May 28 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT J"u ATCO COMMUNICATIONS SERVICES, LLC www.citcatelecom.corn 360.563.9000 708 First Street Snohomish, WA 98290 ziPyEverett,Ifiber WA 98206 N o Q 5 U ~ m 00 ' o O U) a Z ~ 0 W 00 ❑ Z Q o J 00 � cf)W >Q J �Q = Oo v LO r r ctN O CU U z o LL m � M U W w LL � z p Q � z W w w w Q O Of O a- ¢ z UJ DATE: REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: G. MITCHELL ATCO CONTACT: 469.510.2840 gunner.mitchell@atcotelecom.com SCALE: SHEET: 1 11=50' 02 NO: 2 OF 3 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SYMBOL LEGEND: ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, OS SIGNALIZED INTERSECTION 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 PHASE 2 O ENFORCEMENT 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) ® TYPE III BARRICADE O ATCO COMMUNICATIONS SERVICES. LLC WORK TRUCK SIGN LEGEND: www.otcoteiecom.com 9000 WORK ZONE LIMITS 08 First Street 708 First Street Snohomish, WA 98290 PORTABLE SIGN WORK DETAILS: EXISTING SIGN ROAD ONE LANE 4 WORK ROAD 7� TRENCH FROM EXISTING • • T/P THEN BORE TO CUSTOMER NOTE: Z I I f I b e r ® DRIVEWAY AHEAD AHEAD ADDRESS AT 7524 180TH ST SW MON. - FRI. = 7:00am TO 4:00pm p y SPOTTER NEEDED FOR DRIVEWAY ARROW BOARD ACCESS. CHANNELIZATION DEVICE Everett, WA 98206 (WHERE REQUIRED) SPACING (feet) DIRECTION OF TRAFFIC W20-1 W20-4 W20-7A R8-3a MPH TAPER TANGENT (NOT PAVEMENT MARKINGS) 50 / 70 40 80 FLAGGER-SPOTTER 35 / 45 30 60 L0 Q z \ 25/30 20 40 0 � u � ui7 FLAGGER STATION t^q O ` H o� a o 0 W c J 00 Fq� U) d� � 5 -- J W20-1 C) a O o E- 0 Fq CSC / t d� N r IL ■i Ln r` S TRAFFIC CONTROL INSPECTION SHALL BE W20-4 O REQUIRED WHENEVER WORK ZONE IS SET UP z CONTRACTOR TO PLACE NO wzo-7A E- IL PARKING SIGNS ON BOTH SIDES OF Fo w LL STREET WITHIN CONED AREA 72 HOURS BEFORE START OF WORK. rO M [If j o ~ LL z Q ? 50-100' LLj H- H- H < ONE LANE ° o� U U Q TWO WAY X Z TRAFFIC TAPER X X O O Q LU J_ ♦• • a� Fa W20-7A W20-4 W20-1 W20-1 � W20-4 W20-7A X X 50-100' R8-3A X ONE WAY TWO LANE 180TH ST SW TRAFFIC TAPER (25 MPH) ENGINEERING DIVISION RECEIVED APPROVED AS NOTED May 28 2024 11�1 UI ;tj$., joz 10/16/2024 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 R 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. DATE: REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: G. MITCHELL ATCO CONTACT: 469.510.2840 gunner.mitchell@atcotelecom.com SCALE: SHEET: 1 "=50' O 3 NO: 30F3 CITY OF EDMONDS o ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 zipyEve!rett,fiber WA 98206 N >QLo m PHASE Z = C) 2 c o 00 0 W Wr,. W Q W co Lo r7 Z 1 ► ~ WU W <L W OZ cf) cf) cl)awn Lu U mW< mow Ilu Z Q z �kbQ Q o z ` o o 0 Lu a_ CL o ILL DATE: 5.20.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: G. MITCHELL ATCO CONTACT: 469.510.2840 gunner.mitchell@atcotelecom.com RECEIVED SCALE: SHEET: VICINITY MAP May 28 2024 NOT TO CITY OFEDMONDS SCALE v DEVELOPMENT SERVICES DEPARTMENT NO: 1 OF 3 RECEIVED CITY OF EDMONDS Right -of -Way Application #1494630 - 181052 / May 28 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 Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7524 180TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00477600000200 Associated Building Permit Number Tenant Name 181052 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Michael S & Lucinda M Rowan Number Street Apartment or Suite Number 7524 180TH 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: 5/27/2024 Submitted By: Caitlin Reid Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1494630 - 181052 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 Single Family Residential Encroachment Structures Permanent in Nature Project Name: 181052 Description of Work: TRENCH FROM EXISTING T/P THEN BORE TO CUSTOMER ADDRESS AT 7524 180TH ST SW SPOTTER NEEDED FOR DRIVEWAY ACCESS. Project Details Clearing and Grading Disturbance There is 1 acre or less of disturbance Page 2 of 2