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APPROVED ENG2024-0438 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 9:01 1 • www.edmondswa.gov i Description: ZIPLY-REMOVE 3 BO POLES NJUNS 6104624 ISSUED: 12/16/2024 Address: 8726 185TH PL SW EDMONDS WA 98026-5755 EXPIRES: 06/16/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00630900001400 I 11-14111 a i NAME TYPE NAME ADDRESS PHONE APPLICANT KENNETH THOMAS 135 LAKE ST S SUITE 155, KIRKLAND WA 98033 (866)699-4759 CONTACT ZIPLY FIBER 135 LAKE ST S SUITE 155, KIRKLAND WA 98033 (866)699-4759 CONTRACTOR ZIPLY FIBER 135 LAKE ST S STE 155, KIRKLAND WA 98033 (425)284-8155 OWNER DAVID SAND SHANA P KESSELRING 8726 185TH PL SW, EDMONDS WA 98026-5755 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $396.00 $396.00 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: 12/16/2024 Printed: Monday, December 16, 2024 4:39:26 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!B E 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 X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL Printed: Monday, December 16, 2024 4:39:26 PM 2 of 2 RECEIVED NOV 19 2024 Lti�y of EDA404O� 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. 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 W0963314 Site Address or if no site address use Property Address at NW corner of project area: 8726 185th PL SW, EDMON DS WA 98026 Associated Permits: BLD N/A PLN N/A ENG N/A Owner and Entity Holdingapplicable) Name of Company Northwest Fiber, LLC, dba Ziply Fiber Franchise Ordinance No: Point of Contact Kenneth Thomas TStleJoint Use Program Manager Address 135 Lake Street S,Suite 155 Kirkland, WA 98033 City Kirkland State WA Zip 98033 Phone 509-720-7765 Email kenneth.thomas@ziply.com Contractor and Authorizedof • note below) Name of Company Pacific Cable Construction • • • During Construction Primary Name Isaac Buelna Agent Name Luke Jones Title PM Title Senior Executive Mobile N/A Address P.O. Box 573 Woodinville Email Isaac@paccab.com City Woodinville State WA Zip98072 Secondary Name N/A Phone (425) 348-7735 Title N/A Email Luke@paccab.com Mobile N/A City of Edmonds Business License No: N R-026774 Email N/A State License No: PACIFCC954PJ 91 Contractor verifies it is currently bonded Fil 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 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.) SNOPUD Replaced 3 Poles. Ziply needs to transfer our existing aerial equipment from old Poles to the new ones and remove old poles One pole contains Risers that will need to be relocated T to the new pole. That will be open trench at 36". This work is considered Maintenance Work. The Old poles will be removed and gravel will be backfilled/compacted. LOCATED @ 47.830851583804964,-122.35215201469533, 47.83093171154692,-122.35231428833673 & 47.83050676300936,-122.35216676684458 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: A telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be CompletedNo Does the utility owner have existin overhead infrastructure in the area of work? Yes 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? No If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? N/A 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/A 5. Does the work involve proposed additions to an aboveground utility system? If es: N/A Are the additions for the purpose of serving new commercial development? N/A Are the additions for the purpose of serving a single-family residential subdivision? N/A 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? rn 0 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: N/A 6a. Does your project involve wires/cables/lines? If yes: N/A How many are existing? I N/A How many are to be added? I N/A 6b. Does your project involve poles? If yes: yes How many poles are existing in the project area? 3 What is the height of the existing poles? 45,45,30 How many poles are to be removed? 3 Are additional poles to be laced? N/A How many? I N/A I What is the height of the additionalpoles? N/A 6c. Are any poles to be modified/rebuilt/replaced? If yes: 3 How many? 13 1 What is the height of the poles after? 150,50,35 Describe the modification rebuild: 3 POLE FROM THE 1960S ARE BEING REPLACED WITH NEWER POLES S TALLER 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: Z!! ��i2 tw-.� DATE: 08/22/2024 APPLICANT PRINTED NAME: Kenneth Thomas APPLICANT TITLE: Joint Use Program Manager 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 City of Edmonds Site Plan for Ziply Pole Maintenance work on SNOPUD JOINT OWNED POLES new pole from (3.1 D I1 ST WGS 198a Wab Meruta_Awdwy_Sphere O C ty of Edmonds 1 L Legend -' storm Cotch 8"ns a Pnvaro Storm Manholes 0 Lmv o 0 Rm! • s�rea!r+. • tiltentiOn Facilrtfes Culvert C FacI1My Feature Creaks Storm Lim! .�OabrVrOV No. SNSF. No. COUNTY No LYN L OuNl1AME ttRRAa No Poi SHORrLIrK No STATE No WO w F.04g10S Y. PRTVATF Fatuity unn - Storm Ditch Hydrants t Ed+ F GRV Valves 0 uet% CLOSED C MowoEta • AWK FkUW a COUPL64G • tUREDVAtVE c DOWESTIC n O"FAAP B ALnTum VALva o Frr.Ie 1: 379 This map is a user generated static output from an Internet mapping site and is for reference only Data layers that appear on this map may SNOPUD Replaced 3 Poles. Ziply needs to transfer our existing equipment from old poles to the new ones and remove old poles. OWNER/CONTRACTOR IS RESPONSIBLE FOR OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ENGINEERING DIVISION EROSION CONTROL AND DRAINAGE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY APPROVED AS NOTED UTILITIES MAY REQUIRE A SEPERATE PERMIT. 12/05/2024 P1 I PLAN VIEW I REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL R1 R2 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 ziply fiber RECEIVED NOV 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT UNDERGROUND TYPICALS X HMA (CL }'•) (MATCH —\ PANEL WIDTH PER PLAN EX. IF GREATER) 12" IT EX ASPHALT SURFACE MINI LAIIN. I r 11- Hh1A (CL 1" OR 1) 6' MIN. COMPACT MINERAL AGGREGATE TYPE 2 COMPACTED BACKFIL L 6" SAND COVER 6" SAND BEDDING TYPICAL ASPHALT TRENCH DETAIL SCALE: NM -1 W-W f" 12' T 4- T- 4 L NATIVF MATERIAL WARNING, TAPE (ITABOVE CONDUIT) BACKFILL - COMPACTED EARTH @ 909E (4') — PROPOSED CONDUIT (3B• MIN DEPTH) BEDDING - COMPACTED EARTH 10 90% (4•) TYPICAL TRENCH IN SOIL DETAIL SCALE NTS X HMA (CL I-) (MATCH EX. IF GREATER) EX CONCRETE TYPICAL CONCRETE TRENCH DETAIL 12191 REPLACE EX CURB PER STO PI AN 410C 4. COMPACT MINERAL 2EGATE TYPE 2 'ACTED BACKFILL ND COVER ND BEDDING r BODY SPECIFICATIONS SPECIFICATION PROOFLOAD PRODUCTS Cover Weight (Spiavzc.) 76lbs [34kg] AMERICAS STANDARDS Pit Weight 274lbs [124kg] Assembled Weight 426lbs [193kg] ANSIISCTE77TIER 22 33,750Ibf(150K VAULT DETAIL SCALE NTS CS CONSTRUCTION STANDARD REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL R1 R2 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 Company Logo Here RECEIVED NOV 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SEE SEE SEE NOTE 1 NOTE 1 NOTE 1 ROAD /0��L\��NE tW3-4 WORK ROAD �TAHEADAHEADW20-1 W20-4 W20-7A OPTIONAL IF <40MPH TABLE A SPEED (MPH) CONE SPACING (FT) BUFFER SPACING (FT) 55 TANGENT TAPER 25 25 30 35 40 45 20 30 85 35 120 40 170 45 220 ROLL SPACING (MIN 50' MAX 100') WORK AREA DOWNSTREAM TAPER (MIN 50' MAX 100') WITH TRUCK WITH BUFFER SPACE FLASHING (SEE TABLE A) BEACON OPTIONAL IF<40MPH W20-7A <i>< �60 000 00 �o0 00 TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP NOTES 1. DISTANCE BETWEEN SIGNS SHALL BE 100' FOR RESIDENTIAL STREETS (25 MPH) AND 350' FOR ARTERIAL ROADWAYS. 2. FLASHING BEACON INSTALLED AT EACH SIGN FOR NIGHT-TIME USE (OPTIONAL). 3. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. 4. SIGN SIZE PER MUTCD. SEE NOTE 1 W3-4 W20-4 W20-1 ONE LANE ROAD j,) ROAD WORK AHEAD AHEAD SEE SEE NOTE 1 NOTE 1 I FGFND CONE OR CHANNELIZING DEVICE SEE STANDARD DRAWING 713. contractor to escort pedestrians thru work zone Work hours are from 9AM-3PM 5. THIS PLAN IS PROVIDED AS A GUIDE ONLY. FOR SPECIFIC INFORMATION ON TRAFFIC CONTROL PLANS SEE CURRENT MUTCD. RECEIVED ENGINEERING DIVISION NOV 19 2024 APPROVED AS NOTED ,I2JI tVl,, j ,4z 12/05/2024 CITY OF EDMONDS vv DEVELOPMENT SERVICES DEPARTMENT TRAFFIC CONTROL PLAN 2 LANE ROADWAY: ONE LANE CLOSED WITH ALTERNATING FIBER TYPICAL DETAIL — A POLE ARRANGEMENT FOR AERIAL TO BURIED CABLE 4' AN POLE TOP NEW GROUND LEVEL TYPICAL DETAIL — D TYPICAL DETAIL — G 3.. JOINING 045 LASHING WIRE REMOVE ANY SUCK N THE LASHING FORM THE LASHING WIRE AROUND THE WIRE BY MANTAINBq A PULL ON THE STRAND AND PUCE R BELOW THE STUD WIRE AND TAPPING THE STRAND AND BETWEEN THE SECOND WASHER SHARPLY. THEN FORM TE WIRE OVER AND STUD SHOULDER. THE STUD AND TIGHTEN THE NUT. CUT THE FREE END OF THE HASHING WIRE OFF 3/4" BEYOND THE END OF THE CHAMP. FORMING WIRE OVER STUD OF CLAMP FORMING LASHING WIRE MOUND STRAND AERIAL TYPICALS TYPICAL DETAIL — B POLE ARRANGEMENT FOR REPEATER OR HANDHOLE LOCATION CABLE LASHING I x x WIRE CLAMP yl 2 2•• STAINLESS STEEL SHER (x-YIN. OF 20 TIMES TCABLE DMA.) CABLE LIE SUPPORT AND 1/2" SPACER 24" CAUTION TAG FIBER OPTIO CABLE BUCK IN COLOR CABLE CLAMP CABLE POLE ROLE LOP NEW U- GROUND LEVEL 6" YN. PITUARTER ON POLE LEAST Y. EXPOSED 42" MN.rSTEELpCDNDU R TO TO TRAVEL WAY. •' IISIEEL BEND (36" RADIUS) DUBS WRIT DUCT PLUGS AND SIYPLEK PLUGS USE APPROPRIATE PAC TO srm COUPLER TYPICAL DETAIL — E _ SUSPENSION STRAND — PULL AWAY FROM POLE — 5 FEET OR MORE POLE TOP lE SUSPENSION r xJRVED WASHER 2 GUY MOOR SPACER NUT B' x 2" ROUN CW SLIER ER SUSPENSION P TYPICAL DETAIL — H LASHING WIRE GRIP AND CLAMP C LA HRIG WINE GRP INSTALLED ON STRAND D CABLE LASHING CLAMP C LASHING WIRE GRIP OTE !0 N LASHING WINE SHOULD FOLLOW LAY OF STRAND WIRES UNDER GRIP. IST LASHING WIRE SH42�ND 2ND LASHING WIRE CLAMPING NUTTERMINATING NUT THREADED STUDT WASHER GROOVED PLATES WASHER TYPICAL DETAIL — C TYPICAL CABLE & HARDWARE INSTALLATION (6.6M STRAND \ 10M STRAND) 12"12—I—•• 1n' t 12 CABLE LASHING GROUND WIRE CLAMP WIRE CLAMP 6.6Y OR TOM STRAN STAINLESS STEEL USHER CABLE SUPPORT AND 1/2" SPACE CAUTION TAG FIBER OPTIC CABLE ORANGE IN COLOR POLE /6 INSULATED COPPER WIRE AND 10x3/4" COPPERC GROUND LEVEL GROUND ROD GROUND EVERY 1/4 MILE AT STRAND TO SHEATH BOND LOCATION TYPICAL DETAIL — F TYPICAL ARRANGEMENT OF CABLE LASHER AND CABLE GUIDE CABLE GLIDE;x' jam- CABLE LISMER 4" TO CABLE CABLE TYPICAL DETAIL — I SUSPENSION STRAND — PULL TOWARD POLE — LESS THAN 5 FEET — CURVED WASHER CABLE SUSPENSION BOLT 2 GUY HKxx .. SPACER NUTS CABLE SUSPENSION CLAMP CURVED WASHER 5/a" CABLE SUSPENSION BOLT Know w,rs below. Call before you dig. CS2 CONSTRUCTION STANDARD REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL RI R2 R3 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 z1ply RECEIVED NOV 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT VICINITY RECEIVED W0963314 NOV 19 2024 8726 185th PI SW, Edmonds, WA 98026 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SCOPE OF WORK -' AERIAL CONSTRUCTION UNDERGROUND CONSTRUCTION t '•e','o ` SNOPUD Replaced 3 Poles. Ziply needs to transfer our Pole #8975 has two risers in 99 existing equipment from old Pole to the new one and soft surface to transfer to PAGE ID QC3 remove old pole. new pole from old one C BUILDING CONSTRUCTION SITE CONSTRUCTION O N P CS PER EASEMENTS 1 CITY ES rN CD" � ! suu jmffin T-o�(weiei SW t f y L^ C L GENERAL INFO SNOPUD Replaced 3 Poles. Ziply needs to transfer our existing equipment from old Pole to the new one and remove old pole. LOCATED @ 47.830851583804964,-122.35215201469533 47.83093171154692,-122.35231428833673 & 47.83050676300936,-122.35216676684458 Prepared for: py °+ fiber CONTACTS PERMIT LEAD: NAME: KENNETH THOMAS PHONE NUMBER: 509-720-7765 EMAIL: kenneth.thomas@ziply.com PROGRAM MANAGER: NAME: MICHAEL MILLER EMAIL: michael.miller@ziply.com ZIPLY MANAGER: NAME: TIMOTHY HESSELMAN EMAIL: timothy.hesselman@ziply.com PAGE INDEX DESCRIPTION COVER NOTES PLAN CONSTRUCTION STANDARD Erosion and sedimentation control plan JURISDICTION STAMP HERE C COVER REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL R1 R2 R3 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 Filter for Storm Drain E EROSION AND SEDIMENTATION CONTROL PLAN REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL R1 R2 R3 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 Zi py fiber RECEIVED NOV 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ,�- City of Edmonds Site Plan for catch basin filters 43� a nsr oa. WGS 198a Web Mercator_Aw�Wry SV�erc O City of Edmor d, Tha map d a user goWated static output from an Internet mapphV srte and K for reference only. Data lavers that appear on this map may E EROSION AND SEDIMENTATION CONTROL PLAN REVISIONS REV DATE: REVISION: 9/6/24 INITIAL SUBMITTAL R1 R2 R3 KENNETH THOMAS W0963314 8726 185th PI SW, Edmonds, WA 98026 z 1 piy RECEIVED NOV 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED CITY OF EDMONDS Right -of -Way Application #1543636 - W0963314 NOV 19 2024 MyBuildingPermi1:.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Kenneth Thomas Ziply Fiber Number Street Apartment or Suite Number E-mail Address 135 Lake St S Suite 155 kenneth.thomas@ziply.com City State Zip Phone Number Extension Kirkland WA 98033 (866) 699-4759 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 ZI PLYF*800L5 6/4/2026 FD4477g7D kenneth.thomas@ziply.com Project Location Number Street Floor Number Suite or Room Number 8726 185TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00630900001400 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 David S And Shana P Kesselring Number Street Apartment or Suite Number 8726 185TH PL SW City State Zip EDMONDS WA 98026-5755 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: 9/6/2024 Submitted By: Kenneth Thomas Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1543636 - W0963314 Project Contact Company Name: Ziply Fiber Name: Kenneth Thomas Email: kenneth.thomas@ziply.com Address: 135 Lake St S Suite 155 Phone #: (866) 699-4759 Kirkland WA 98033 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: W0963314 Description of SNOPUD Replaced 3 Poles. Ziply needs to transfer our existing equipment from old Poles Work: to the new ones and remove old poles. Pole #8975 has two risers insoft surface to transfer to new pole from old one. Project Details Project Information Job Number W0963314 Page 2 of 2