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APPROVED ENG2024-0349 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . Edmonds9:01 1 • LM www.edmondswa.gov i Description: ZIPLY-EMERGENCY WORK COMM POLE REPLACED ISSUED: 01/06/2025 Address: 402 3RD AVE S 13101 EDMONDS WA 98020-8444 EXPIRES: 07/05/2025 it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00843300210100 I 11-14111 a W 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 STARTAK FIBER, LLC 4401 S TECHNOLOGY DR, SUITE 3, SIOUX FALLS SD 57106- (717)371-3001 4249 OWNER STELLA'S CONDOMINIUMS j 402 3RD AVE SOUTH, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - HOURLY REVIEW - 4.1.24 $132.00 $132.00 ENG - INSPECTIONS - 4.1.24 $660.00 $660.00 ROW - STANDARD - 4.1.24 1 $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: 01/06/2025 Printed: Monday, January 06, 2025 2:17:39 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:01 i 1 • 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** E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS Printed: Monday, January 06, 2025 2:17:39 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. Jul 09 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 ZIPLY 6007303 Site Address or if no site address use Property Address at NW corner of project area: 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: ❑ Utility Franchise Work associated with development (check one of the above boxes as well) N(Trafiic 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 replace damaged pole on NW corner. ergencv worK co 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: o telecommunications ❑ cable ❑ power ❑ gas ❑ water CWT-wM1i ❑ storm Details 1. of Work to be Completed 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: 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 • to be Completed ni 6. Does your project involve rebuilding or replacing utility equipment which currently serves more NA 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: NA How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: NA 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: NA 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: Cr3@Y DATE: 7/8/2024 APPLICANT PRINTED NAME: Michelle Grieger APPLICANT TITLE: I UP & PermitSpecialist NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 LEGEND: SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM CITY OF EDMONDS 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 ROW RIGHT OF WAY WORK DETAILS: REMOVE POLE AT 402 3RD AVE S, EDMONDS WA. AND REPAIR SIDWALK REPLACING SIDEWALK PANEL. AT THE POLE ACROSS 3RD AVE S AT THE NE CORNER OF 3RD AVE S AND WALNUT ST ADD ARM TO SUPPORT COMM LINES. MINIMUM STANDARDS FOR DIRECTIONAL BORING STREET CROSSINGS :.RE IT ...0 -.. 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 RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR A �! OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE Know what's be101m Call before you dig. Applicant shall repair/replace all ENGINEERING DIVISION damage to utilities or frontage improvements in City right-of-way APPROVED AS NOTED per city standards that is caused or occurs during the permitted project. Jill 01/03/2025 VV RECEIVED Dec 11 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 0 ATCO COMMUNICATIONS SERVICES. LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 Kfiber yett, WA 98206 Cl) 0 M I- 0 0 Co I V) H- Z >J o5 U LU Q 0_ M U LU ❑ ❑ Q F- U W O w D_ Z O H U LU U 0r LU Z H U) W ry LU W Z 3 6 Lu U) > W of 0- U) U H Z >J 0 U L1 Q ❑ of M cn 0 M 0 0 m W Q Z LU J_ LL DATE: 7.5.2024 DESIGNED BY: M. GRIEGER ATCO CONTACT: 970.975.0572 michelle.grieger@atcotelecom.com SCALE: NOT TO SCALE SHEET: O' NO: 1 OF " RECEIVED Dec 11 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS Alder St WORK AREA VICINITY MAP W, In m 0 ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPIy fiber - Everett, WA 98206 cm o U) U) Co H H 3 o Z) 0 co > zZ p > > Cl) o6 od i W Lu L Of Q Q W ~ � Cui U) z o z Z U 06 Lu W Q Wp M M O O Cl) C) O DATE: 7.5.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: M. GRIEGER ATCO CONTACT: 970.975.0572 michelle.grieger@atcotelecom.com SCALE: SHEET: NOT TO SCALE NO: 1 OF 3 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LEGEND: OS SIGNALIZED INTERSECTION OCONE (CANDLESTICK) TYPE III BARRICADE WORKTRUCK WORK ZONE LIMITS PORTABLE SIGN Q EXISTING SIGN ® DRIVE WAY ARROW BOARD REQUIRED) (WHERE DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) 11 FLAGGER-SPOTTER wx FLAGGER STATION ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, OAKES 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 W20-4 ONE LANE, TWO WAY 50'-100' TRAFFIC TAPER SIDEWALK 3RD AVE S G� (25 MPH) a ---------------------------- SIDEWALK W20-1 X X CONTRACTOR TO PLACE NO PARKING SIGNS 72 HOURS PRIOR TO START WORK TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP SIDEWALK CLOSED R9-9 R8-3a SIDEWAL'' "'*I WAROEARK — 0 0 0 Mr% e SIDEWALK R9-9 W20-7A ENGINEERING DIVISION APPROVED AS NOTED jdl 01/03/2025 Vill R9-9 •� 0 0 0 0 0 0 0 •' 10 OO PHASE 1 WORK DETAILS: REMOVE POLE AT 402 3RD AVE S, EDMONDS WA. AND REPAIR SIDWALK REPLACING SIDEWALK PANEL. AT THE POLE ACROSS 3RD AVE S AT THE NE CORNER OF 3RD AVE S AND WALNUT ST ADD ARM TO SUPPORT COMM LINES. SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC AND DRIVEWAY ACCESS ONE LANE, TWO WAY 50'-100' TRAFFIC TAPER X W20-7A SIDEWALK X W20-4, 0 W20- ,QIr1F1A/Al v <3= <:= ------------------------ 3RD AVE S (25 MPH) 1 SIDEWALK SIDEWALK J WORK71 REA •9 R9- FLAGGERS WILL HAVE WORK STOP TO ESCORT PEDESTRIANS THROUGH WORKZONE TRAFFIC HALT SHALL TAKE NO R9-9 MORE THAN 5 MIN. TO ALLOW RMOVAL OF AERIAL CROSSING ON I W20-7A j< I I I I > A m (� W20-4 x W20-1 X NOTE: MON. - FRI. = 7:00am TO 4:00pm CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50 / 70 40 80 35 / 45 30 60 25130 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. ,a O ATCO COMMUNICATIONS SERVICES. LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 zipIy fiber Everett, WA 98206 CM I— O � o Z) 0 z co J W Q In co W [O z I- U w O 0_ H z J 06 U) LU Q 0 M z O_ U w cn w W z H w Q w z W 0 0 z ~ 0 LU t- 0 U a 0 a J O^' z 1 05 z LU W Q O c C) n M U_ C') t` cc:,) 0 LL CD Q z w J LL DATE: 7.5.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: M. GRIEGER ATCO CONTACT: 970-975.0572 michelle.grieger@atcotelecom.com SCALE: SHEET: 1 11=40' 02 NO: 2 OF 3 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LEGEND: 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. OS SIGNALIZED INTERSECTION APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN PHASE 2 SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) OCONE (CANDLESTICK) IV TYPE III BARRICADE SIGN LEGEND: 0 WORK DETAILS: ATCO COMMUNICATIONS SERVICES, LLC www.atcotelecom.com WORK TRUCK REMOVE POLE AT 402 3RD AVE S, EDMONDS WA. AND 360.563.9000 SIDEWALK�jj REPAIR SIDWALK REPLACING SIDEWALK PANEL. ROAD ONE LANE CLOSED AT THE POLE ACROSS 3RD AVE S AT THE NE CORNER OF 708 First Street WORK ZONE LIMITS WORK ROAD •� 3RD AVE S AND WALNUT ST ADD ARM TO SUPPORT COMM Snohomish, WA 98290 LINES. AHEAD AHEAD PORTABLE SIGN W20-4 W20-7A � SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC � � Q EXISTING SIGN R9-9 R8-3a AND DRIVEWAY ACCESS z I Iy !f „JJ I �' l e r ® DRIVE WAY Everett, WA 98206 ARROW BOARD (WHERE REQUIRED) M cn DIRECTION OF TRAFFIC X X X cm M 3 > 3RD AVE S 3RD AVE S Z) > o (NOT PAVEMENT MARKINGS 3RD AVE S o ~ ~ 25 MPH w2o-4 w2o-� _j z z Lu (25 MPH) MPH) ( ) w2oaA — Q a cn FLAGGER-SPOTTER Q LU SIDEWALK SIDEWALK SIDEWALK SIDEWALK • • W LU U FLAGGER STATION • Q Q ~ — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — �� ~ co • 3RD AVE S z O z _ (25 MPH) o a SIDEWALK SIDEWALK m®EN�AIIISIDEWALK U 111 SIDEWALK w 05 NA WORK AREA R9-9 O R9-9 4 I 3RD AVE S z Lu > W20-1 W20-4 W20-7A z (25 MPH) Z O Q R9 9 w • U m n I FLAGGERS WILL HAVE WORK STOP TO a M X X X \J/L I• ESCORT PEDESTRIANS THROUGH WORKZONE Z o U I - • LL LL TRAFFIC CONTROL INSPECTION SHALL BE w w Q •• � REQUIRED WHENEVER WORK ZONE IS SET UPgE z Q uJ �71 U U O Q V I U x z p p U uJ I W20-7A � I IL IL o cn � I �c I _� I cn I x W20-4 I I cn I o cn 1 0 D I 1 > x W20-1 I ENGINEERING DIVISION 14 APPROVED AS NOTED NOTE: MON. - FRI. = 7:00am TO 4:00pm I I ,%p11 Q.iy,H,.,,,ne 01 /03/2025 VV 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. DATE: 7.5.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: M. GRIEGEF ATCO CONTACT: 970-975.057� michelle.grieger@atcotelecom.com SCALE: SHEET: 1 "=40' O NO: 3 OF 3 RECEIVED CITY OF EDMONDS Right -of -Way Application #1513768 - ZIPLY 6007303 MyBuildingPermit.com Jul 09 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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 STARTAK FIBER LLC Number Street Apartment or Suite Number 4401 S TECHNOLOGY DR City State Zip Phone Number Extension SIOUX FALLS SD 57106 (605) 362-6630 State License Number License Expiration Date UBI # E-mail Address STARTFL790QE 11/5/2025 F;usiA1977 caitlin.reid@ziply.com Project Location Number Street Floor Number Suite or Room Number City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location 3rd Ave S & Walnut St - NW Corner Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 7/8/2024 Submitted By: Arianne Mommsen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1513768 - ZIPLY 6007303 Project Contact Company Name: Ziply LLC Fiber Northwest 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: ZIPLY 6007303 Description of Work: Emergency work completed. Replaced damaged pole on NW corner of intersection, new anchor placed behind sidewalk. All work is completed. Project Details Project Information Job Number 6007303 Page 2 of 2