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APPROVED ENG2024-0566 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds - N, Edmonds WA 9:01 1 .. www.edmondswa.govi Description: ZIPLY - RELOCATE POLE 8' NORTH ISSUED: 01/14/2025 Address: 8029 238TH ST SW EDMONDS WA 98026-9265 EXPIRES: 07/13/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00451900102000 I 11-1411 a i NAME TYPE NAME ADDRESS PHONE APPLICANT CATLIN REID 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 BETTER BELLEVUE INC j 1371 247TH PL SE, SAMMAMISH WA 98075 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: 01/14/2025 Printed: Tuesday, January 14, 2025 11:31:44 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 X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL Printed: Tuesday, January 14, 2025 11:31:44 AM 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. DEC 19 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 6009953 Site Address or if no site address use Property Address at NW corner of project area: 8029 238th St SW Edmonds WA 98026 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 ID 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) A Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 vi 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 Re -locate pole 8' North of existing location. Attach exicting cables and new side arms. Move risers and splice into new fiber. Remove and replace copper cable. 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? - 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? If yes, describe: Moving pole 8'. 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 11 Yes==No 6. Does 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? 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: lee /C9C�Q/1 QdITi APPLICANT PRINTED NAME: Mark Robertson APPLICANT TITLE: TCP and Permit Coordinator NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 12/17/2024 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LEGEND: FINAL SIDEWALK RESTORATION TO BE COMPLETED BY THE DEVELOPER ® EXISTING UTILITY POLE ® PROPOSED NEW POLE 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 RIGHT OF WAY SANITARY SEWER PIPES WATER LINES STORM SEWER PIPES WORK DETAILS: Re -locate pole 8' North of existing location. Attach existing cables and new side arms. Move existing risers to new pole. Splice into new fiber. Remove/Replace the existing copper cable. MINIMUM STANDARDS FOR DIRECTIONAL BORING STREET CROSSINGS 01 th- 12"MIN 48" OIN FROI RECEIVE PIT 144w' EX UT TO BORE IT _S 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 Oft Knaw what's bel0m Call before you dig TYPICAL BOREDETA/LS OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. City of Edmonds OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE Applicant shall repair/replace all ENGINEERING DIVISION damage to utilities or frontage APPROVED AS NOTED improvements in City right-of-way per city standards that is caused or Ildl WQ✓.til rt�44VV 01 /09/2025 occurs during the permitted project. RECEIVED DEC 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O ATCO COMMUNICATIONS SERVICES, LLC WWW.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 Kfiber yett, WA 98206 M rn Q 3 o c -No o Q 0 a U a Lu 06 Ln 0 0 U CMD 00 M N N 04 N 0 °° z Q 1� z O H m z U w C/) w ow Q U w U Lu U) ~ z U O ili < Q z O O Q w W W W _J 0- d z LL DATE: 12.17.2024 DESIGNED BY: M. Robertson ATCO CONTACT: 832.758.0094 mork.robertson®atcotelecom.com SCALE: NOT TO SCALE SHEET: O' NO: 1 OF " LEGEND: SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM OSIGNALIZED INTERSECTION OTRAFFIC SAFETY DRUM ® TYPE III BARRICADE WORKTRUCK WORK ZONE LIMITS PORTABLE SIGN Q EXISTING SIGN ® DRIVEWAY ARRW BOARD REQUIRED) (WHERE DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) FLAGGER-SPOTTER MIX 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 SIDEWALK < > WORK ROAD CLOSED AHEAD AHEAD W20-1 W20-4 W20-7A R9-9 R8-3a 50'-100' ONE LANE, TWO WAY TRAFFIC TAPER SIDEWALK SIDEWALK Z`11 t 0 ,• SIDEWALK SIDEWALK tR R R `W20-4 `W20-7A `W20-1 X X X TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP Private property PHASE 1 WORK DETAILS: Re -locate pole 8' North of existing location. Attach existing cables and new side arms. Move existing risers to new pole. Splice into new fiber. Remove/Replace the existing copper cable. SPOTTER CALL OUT SPOTTER NEEDED FOR DRIVEWAY ACCESS SIDEWALK CLOSED FLAGGERS WILL HAVE WORK STOP TO ESCORT PEDESTRIANS THROUGH WORKZONE NO PARKING 72 HR NOTE CONTRACTOR TO PLACE NO PARKING SIGNS 72 HOURS PRIOR TO START WORK 802� 238th St SW 50'-100' (25 MPH) ONE LANE, TWO WAY X X X TRAFFIC TAPER New Pole Location R8-3a Pole Location R8-3a W20-7AN W204� W20-I { SIDEWALK SIDEWALK 00000000�-0 O 000 0 00 1 V MIN. 4110 a ~ F SHOULDER F SHOULDER � O SHOULDER SHOULDER R8-3a R8-3a W20-7A 80th Ave W (Private Rd) RECEIVED DEC 19 2024 ENGINEERING DIVISION APPROVED AS NOTED CITY OF EDMONDS J�LVZ,,�'��z 01/09/2025 DEVELOPMENT SERVICES DEPARTMENT F 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. O ATCO COMMUNICATIONS SERVICES, LLC www.atcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPIy fiber Everett, WA 98206 LO 0 a m 0 a 0 a' 00 a W otf M J� LO Cn y o _r_ W CO N 00 c0 N J W N O 00 o ct Z O CU U_ LL Lu m u) 01 LL Z Q Z LLI U LU U LU O H- Q Z o_ � o- U O Lu LL DATE: 11.21.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: M. Robertsor ATCO CONTACT: 832.758.0094 mark.robertson@atcotelecom.com SCALE: SHEET: 111=50' 02 NO: 2 OF 2 City of Edmonds -� r-amuy home - 2351h Pt SW Trailer Lane Park Edmonds 0 Park Edmon L s 0 Lutheran Church - Apartment Homes North Haven lh St SW 236th St SW r Manor Apartments Xfinity Stare by Comcast � 3 Branded Partner 99 Safeway L b O Original Electrical cc ti oluon s - SWork Area IT.J- Maxx lleparOnentstore Q O O 2381h St SW 238th St SW — — 2381h St SW Our Place Dessert Cafe 0 Econo Lodge Edmonds North Seattle 3.3 * (351 y 2-star hotel L a m 3 Sewer Friendly s i _ 0 Great IKids Academy c � 240th St SW 2401h St SW 2441h St sW 2401h St SW a O Q ly Go Go 0 Careful ''Movers Burlington Clothing store 104 VICINITY MAP m a t 236th St. SW .}a :9 101 z 1c 2401h St SW 240th St SW \ ,,Edmonds Gc 3 } Door R L Playground ,01' Mathay-Ballinger , `r Park Temporari ly closed RECEIVED DEC 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 zipIy fiber Everett, WA 98206 Cl) Q rn a 3 M N a 0 o a o co ° a H -a x h w ? rn U o U)_ U � CD Cn S_ a M MC, M C, (V N O W v / 0i W 0 U w w m � o z Q 6i z U U O Q z 0� 0� O J_ d d J IL DATE: 11.21.2024 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: M. Robertson ATCO CONTACT: 832.758.0094 mark.robertson@atcotelecom.com SCALE: SHEET: NOT TO SCALE NO: 1 OF 2 HLLK - CIAC - POLE RELOCATION - 8029 238TH ST SW. EDMONDS, WA. THIS PROJECT REQURIES THE RELOCATION OF (1) POLE. BORING /PLACING NEW CONDUIT & CABLE. RELOCATING EXISTING CABLES AND EQUIPMENT TO THE NEW POLE LOCATION. ESTIMATED RELEASE TO CONSTRUCTION: ESTIMATED IN-SERVICE PLANNER: PHONE: WHERE: END USER: BELL PROPERTIES. INC. ADDRESS: 8029 238TH ST SW. EDMONDS. WA. CKT TYPE: CIAC.'RELOCATION CUSTOMER CONTACT: SITE LCON: CJ SERGEY ANTONYUK LCON EMAIL: CJaBELLPROPERTIES.NET LCON PHONE: 425-334-0441 (0) 425-985-9325 (C) OA/EXCH: 032/51419 COPPER TERMINAL: FIBER TERMINAL: FIBER FEEDER ASSIGNMENT: RECEIVED DEC 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT NOC NOTIFICATION REQ. NOC - 888-608-8029 NWF TIER 1 - 888-488-4427 NWF TIER 2 - 888-488-4435 'ATTENTION SPLICER: VERIFY TRAFFIC ON ASSIGNED FIBERS AND EXISTING JUMPERS. AT THE OFFICE. SPLICE LOCATION. AND THE X-CONN. IF TRAFFIC IS FOUND. PLEASE ESCALATE TO THE LOCAL INSPECTOR OR SPECIAL SERVICES TEAM. S: 2 ISSUED DUE ADDRESS SERVICE TYPE ASSIGNMENT VEST db @ kHz SPECIAL NOTE UNITS / ACCT CODES I� ZI fiber - CIAC - POLE RELOCATION PROJECT NUMBER O. AREA 6009953 CN. CODE 51419 DRAWN DATE ENGR M. HAKAHAN CNTY SNOHOMI 2024-09-05 PHONE 425-949-0230 FILE SCALE 1:100 TAX DISTRICT DWG 1 of 2 rr�.iic�yrr�rrcr � �yx. HLLK - CIAC - POLE RELOCATION8029 238TH ST SW, EDMONDS, WA. 11 /15/2024 N:1 w RE -LOCATE POLE 8' NORTH i OF EXISTING LOCATION PLACE 1 OF 9 DE ARMS ON THE POLE Z •- ATTACH EXIST CABLES TO NEW r SIDE ARMS MOVE EXIST 2' PVC °f RISERS TO THE NEW POLE 1 x 5 0 r 2 SPLICE LOC"4FTP4 1 101 - - - - �J aRELMOVE l (COMCA DER301-3M-, (COMCA OEP.304-330) = - - - _ -juuo COMA DEP.301-302+ qA' i X0.3+ COMCA DEP.304-350 ' � � � - = 50.24 � PED 001 0127 2423 10 t _ 122 1 ' COMCA OEP.301-W2+ X0.3+ i COMCA 002 304-350 1 r A# ,I i 00, 1� 1' 1' 1 1 1 - - :ABLE'1 500 - 6 FTTP MLILTIPORT HLL K)NAXX H4007.300-370► X0.6 -----��-r------ _.v _-_ = _ I L - AKF 000-24 85 Lam-- AKF 2400-26 COMCA DEP 3 1-35C. *INTERCEPT NOT= DIG AND iNTERCEP' AT _ THE BASE O� THE ? = __ _ - .�' THE EXIST CC=D= CAS - DEVELOPE= =_EZ _ A - z =E VYITH T NEW LOCAT :'' BY STAKING IT. DEVELOPER .'✓FORMATION_ manary Ps00 Bel Prapwses. Im L&R Binders 6e. 8610 132nd Ave N. E. PMB 12- KirWand. WA 08033 Ol:or 425 334 D441 Celt 425 985 0325 www Bd ftow es net --- I__ -'�E__----- mW �� FAA] ISSUED DUE ADDRESS SERVICE TYPE ASSIGNMENT VEST db @ kHz SPECIAL NOTE UNITS / ACCT CODES RECEIVED DEC 19 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Zi fiber - CIAC - POLE RELOCATION PROJECT NUMBER C.O. AREA 6009953 EXCH. CODE 51419 DRAWN DATE ENGR M. HAKAHAN CNTY SNOHOMI 2024-09-05 PHONE 425-949-0230 FILE SCALE 1:100 TAX DISTRICT IDWG2 of 2 I119+I►690IN► ff,IMBED HLLK - CIAC - POLE RELOCATION8029 238TH ST SW, EDMONDS, WA. 11/15/2024 RECEIVED DEC 19 2024 CITY OF EDMONDS Right -of -Way Application #1591689 - 6009953 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Catlin Reid 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 (484) 747-8711 State License Number License Expiration Date UBI # E-mail Address STARTFL790QE 11/5/2025 FD4R1RR77 rcorrell@teamstarlink.com Project Location Number Street Floor Number Suite or Room Number 8029 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00451900102000 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 BETTER BELLEVUE INC Number Street Apartment or Suite Number 1371 247TH PL SE City State Zip SAMMAMISH WA 98075 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: 12/17/2024 Submitted By: Catlin Reid Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1591689 - 6009953 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: 6009953 Description of Work: Re -locate pole 8' North of existing location. Attach existing cables. Move riser to new pole. Remove and replace existing copper cable. Project Details Project Information Job Number 6009953 Page 2 of 2