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APPROVED ENG2024-0161 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds 98020 ENG2024-0161 www.edmondswa.gov i Description: COMCAST - MOVE POWER SUPPLY TO NEW LOCATION ISSUED: 11/18/2024 Address: 8840 192ND ST SW EDMONDS WA 98026-6128 EXPIRES: 05/17/2025 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27041800301200 W NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 1701 JOHN F KENNEDY BLVD, PHILADELPHIA PA 19108 (206)401-2188 CONTACT COMCAST 1429 AVENUE D 339, SNOHOMISH WA 98290 (360)670-4291 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700 OWNER TIMOTHY J BEECHIE 8840 192ND ST SW, EDMONDS WA 98026 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: 11/18/2024 Printed: Monday, November 18, 2024 10:25:12 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds www.edmondswa.gov • • CONDITIONS CONDITION TYPE ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS REQUIREMENTS. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on SOUND AND NOISE weekdays and 10:OOam and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites and activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Monday, November 18, 2024 10:25:12 AM 2 of 2 RESUB INC. iago SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. Aug 20 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 • Project Name COMCAST - JB0001790259 Site Address or if no site address use Property Address at NW corner of project area: 8840 192ND ST SW EDMONDS WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of CompanyCOMCAST CABLE HOLDING Franchise Ordinance No: Point of Contact LYNDEE GEORGE 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 - CARLOYN HUGHES Agent NameLEAH IHLENFELDT Title CONSTRUCTION SUPERVISOR Title PERMIT SUPERVISOR Mobile360-926-3388 Address1423 AVENUE D #339 Email CARYOLYN. H UGHES@CABLECOMLLC. NET CitySNOHOMISH State WA ZiP98290 Secondary Name Phone 425-386-5535 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 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.) 'REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION. 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: RELOCATING EXISTING POWER SUPPLY TO NEW POLE LOCATION OIL- 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? v /� 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? 1 What is the height of the existing poles? NA How many poles are to be removed? o Are additionalpoles to be laced? NA How many? I NA I What is the height of the additionalpoles? NA 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: DATE: 4i9i2024 APPLICANT.. PRINTED NAME: LENAIZA ENRIQUEZ APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 8840192ND ST SW EDMONDS WA98026 Completion Date: 8/20/2024 Right of Way Footages: f i� COMCAST Job Type: Select 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: Select Survey Scope: Post -Sale Project Manager: Select Source System: JB0001790259 Legend REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION. REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION FROM 1922888TH AVE W. TO 8840192ND ST. SW. New Ped NEW PS Existing U/G Existing Aerial New U/G New Aerial Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop Riser Pole Lock Box Footage Text Box Callout Arrow New Tap Phase Identifier Power Suppy Hard Surface Cut Abandoned Cable :2Y1 .. op PROPOSED PS LOCATION Abl_ r,. �1 .fitt•„ RESUB Aug 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant shall repair/replace all ❑1 ORIGINAL PS LOCATION damage to utilities or frontage OWNER/CONTRACTOR IS RESPONSIBLE FOR improvements in City right-of-way ■ EROSION CONTROL AND DRAINAGE per city standards that is caused or occurs during the permitted project. '7ENGINEERING DIVISION eOWNER/CONTRACTOR RESPONSIBLE FOR LOCATING y _ _ APPROVED AS NOTED ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY "" = 'I1 � UTILITIES MAY REQUIRE A SEPERATE PERMIT. 1 t)V><f6l�t�� 11/14/2024 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL Completed By: LENENRIQUEZ Address: 8840 192ND ST SW EDMONDS WA 98026 Completion Date: 8/20/2024 Private Exterior Footages: COM���� Job Type: Select 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 G Coax: 0 Existing UG Coax: 0 U Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Post Sale Project Manager: Select Source System: JB0001790259 Legend New Ped ❑ New Vault ❑� Existing U/G Existing Aerial New U/G New Aerial ----- Interior Path ----- Exterior Building Path Footage Break Fiber Splice Point Storage Loop W Riser Pole Lock Box ■ Footage 150' Text Box Text Callout Arrow New Tap 0 Phase Identifier ❑i Power Suppy ■ Hard Surface Cut • Abandoned Cable 1 Provide Clear Private Exterior Construction Details REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION FROM 19228 88TH AVE W. TO 8840 192ND ST. SW. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 5C 55 60 1 65 7C LENGTH (MeQ 155 200 250 305 360 425 4% 570 1 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.900 TO 22.000 IDs. HOST VEHCLE WEIGHT > 22.000 IDs. < 45 MPH 45.55 MPH > SS MPH < 45 MPH 45SS MPH 55 MPH tar 123' 172' 74' 100 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED x C 4C' W26d ROAD WORK AHEAD 4C' LEGEND FLAGGING STATION W TEMPORARY SIGN LOCATION O CHANNELIZING DEVICES ® PROTECTIVE VEHICLE .Me 1•10.. R Pa s.wl...e.•s�z-P., 'M.-4 ►M s x I x 48 8E PREPARED i0 STOP !8• W20.78 W10.70 (OPTIONAL F 40 MPH OR LESS) h 31ON SPACING = X (1) RURAL HIGHMAYS 60 16S MPH 600'& RURAL ROADS 4S 155 MPH SOD& RURAL ROADS a URBAN ARTERIALS A 140 MPH 350& RURAL ROADS. URBAN ARIEWALS 25 130 MPH RE5DEATIAL a BUSINESS OISTRICTS 200& M URBAN STREETS 2S MPH OR LESS TOD& M 11) ALL SPACING MAY BL ADJUSTED -0 ACCOMMODATE INTL RSEC710NS AND URIVLV%RYS 12) -49S SPACING MAY BE REDUCED IN LRBAN AREAS TO FIT ROADYdY CONDIIIONS SG TO 100 6 DEVICE MI I R WORK *� AREA E8—_1 SO'TO 100 6 DEVICL W'74.78 (OPTIONAL IF 44 MPH OR LESS) at• AS - BE ROAD PREPARED WORK TO STOP AHEAD 48' 48' 48.1 Id" .� yT�7B ONE LANE W20-1 ROAD \ AHEAD 48' !8' W20-7A W20-t x x x x x " �5� !g' 192ND ST SW 3 M 4r `\\ IN W294A TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP ENGINEERING DIVISION APPROVED AS NOTED ^I,Jl (V1,_,&,il,Ej,44z 11/14/2024 VV ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE RESUB Aug 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CHANNEUZATION DEVICE SPACING(FEET) TAPETANGENT 10 TO 20 ao IN" 10 TO 20 60 10 TO 20 1 40 NOTES I. ALL SIGNS ARF RLACK ON ORANGF. 2. EXTENDING THE CHANNEUb NG DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROAD'.VAY LIGHTING AT FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS FOR ADDITIONAL DETAILS. 4. SEE 3PECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. FED.AID PROJ.NO. � kB AI TC1+ Was•1ington State �•• ,��.,.,... Department of Irarspo-tatlon ,. TRAFFIC CONTROL PLAN ...•• Alpha Northern PWE Series Enclosures Outdoor Power System Enclosures RESUB Aug 20 2024 ' CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT'a ., PWE-3 (Northern) PWE-6 (Northern) Northern PWE-3/-6 enclosures with new integrated storm hoods Direct replacement for standard PWE-3/-6 with storm hoods Designed for climates where blizzard conditions are possible Innovative Z-bracket vents eliminate snow ingress in harsh conditions Tested to blizzard conditions with simulated 60mph wind -driven snow Optional insulated Battery Heater Mats (BHM) recommended The Northern PWE-3/-6 is a new pole mount cable power enclosure with integrated storm hoods for use in areas where inclement cold weather is prevalent during winter months. The Northern PWE-3/-6 is specifically designed for installations where wind -driven snow conditions (blizzards) are prevalent and snow ingress to standard power supply enclosure is possible. Alpha's innovative Z-bracket design prevents snow from entering the enclosure through the louver cover or lid. It is an ideal solution for geographical areas that experience blizzard conditions and have average annual temperatures below 86°F/30°C. Alpha Technologies memUerofTheElHDGrouPr Alpha Pole Moutpl� alPlru �;��-_ &nclosure Enclosure Mechanical Dimensions H x W x D (in/mm): 24.5x24.3 x14/622x 615 x 355 25.4x24.8 x14.11645 x 628 x 359 24.8x30.3 x161629x 768 x 406 36.8x24.3 x14/933x 615 x 355 37.7x24.8x 14A/958x 628 x 359 27.5x29.3x 17.5/698x 753 x 445 36.9x30.3 x16/937x 768 x 406 47x24.3x 14/1194x 615 x 355 47x24.3x 14/1194x 615 x 355 Weight (Ib/kg): 39 / 18 (without batteries) 42 / 19.1 (without batteries) 57 / 26 (without batteries) 68131 (without batteries) 73 / 33.1 (without batteries) 57 / 26 (without batteries) 121 / 55 (without batteries) 85 / 38.5 (without batteries) 75 / 34 (without batteries) Specifications Material: Exterior powdercoated aluminum Vent Screen: Mesh fabric with .005 x .005in / A 2 x .12mm opening size to minimize snow, water and dust ingress Door and Lid Seal: Poron gasketing Color: Gray (custom colors available) Lid: Removable Door: Hinged removable Pole Mount: Galvanized steel brackets for wood, and concrete pole mount and wall mount Tamper Switch: Optional Battery Side Tray: Optional PWE-3 PWE-4 PWE-6 PWE-6FT PWE-8 PWE-9 PWE-D36 iz Northern Enclosure Option For Colder Climates PWE-3 Northern Enclosure PWE-6 Northern Enclosure Northern Enclosure Hood and Door 'V Northern Enclosures feature Z-bracket, vented hood and doors with no RESUB Aug 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT For contact information visit www.alpha.com The Alpha Group > North America Europe, Middle East R Africa Asia Pacific Latin 3 South America USA Cyprus Germany Lithuania P.R. China Contact USA office Tel: +1 360 647 2360 Tel: +357 25 375 675 Tel: +49 9122 79889 0 Tel: +370 5 210 5291 Tel: +852 2736 8663 Fax: +1 360 6714936 Fax: + 357 52 359 595 Fax: +49 9122 79889 21 Fax: +370 5 210 5292 Fax: +852 2199 7988 Canada Russia United Kingdom Tel: 1 604 4301476 Tel: +7 495 925 9844 Tel: +441279 501110 Fax +1 604 430 8908 Fax: +7 495 9161349 Fax: +44 1279 659870 Alpha Technologies reserves the right to make changes to the products and information contained in this document without notice. 04MM-11-007 (3=) Copyright ® 2009 Alpha Technologies. All Rights Reserved. Alpha* is a registered trademark of Alpha Technologies. t✓l ASBUILT COVER Completed By: LENENRIQUEZ : v _. E s Completion Date: 8/20/2024 Address: 8840 192ND ST SW EDMONDS WA 98026 I COMICAST Job Type: Select Job Subtype: Select 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 1 Select Source System: JB0001790259 Legend Provide Clear Route Overview Construction Details RESUB New Ped ❑ REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION FROM 19228 88TH AVE W. TO 8840 192ND ST. SW. Aug 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES New Vault ❑V DEPARTMENT Existing U/G Existing Aerial Z New U/G ` New Aerial Interior Path s Exterior Building Path \� �\ I idelands.07 Park •••• • ..• <- ""' Footage Break ••• Fiber Splice Point Storage Loop ® Lynnwood Riser Pole ■ Lock Box iso, Edmonds Footage Text Text Box Callout Arrow New Tap ❑1 Phase Identifier Ps Power Suppy C O Hard Surface Cut RECEIVED APR 10 2024 CITY OF EDMONDS MBuildingPermit.corn CITY OF EDMONDS DEVELOPMENT Right -of -Way Application #1470753 - COMCAST- JB0001790259 SERVICES DEPARTMENT Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 1701 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 8840 192ND ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800301200 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 Timothy J Beechie Number Street Apartment or Suite Number 8840 192ND 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: 4/9/2024 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1470753 - COMCAST- JB0001790259 Project Contact Company COMCAST Name: Name: LEAH IHLENFELDT Email: SNOHOMISH.PERM ITTING@CABLECOMLLC.NET Address: 1429 AVENUE D 339 Phone (360) 670-4291 AVENUE D 339 #: SNOHOMISH WASHINGTON 98290 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST- JB0001790259 Description of Work: 'REQUESTING TO MOVE EXISTING POWER SUPPLY TO NEW POWER SUPPLY LOCATION. Project Details Project Information Job Number JB0001790259 Page 2 of 2