APPROVED ENG2025-0031 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
- N, Edmonds WA 98020 ENG2025-0031
www.edmondswa.govi
Description: ZIPLY - BORE FROM POLE INSTALL NEW FLOWERPOT ISSUED: 02/19/2025
Address: 221 4TH AVE S A EDMONDS WA 98020-3562
EXPIRES: 08/18/2025
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032300407300
i
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 PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)346-2083
OWNER JULIE B MEHR 2214TH AVE S A, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$49.00 $49.00
ENG - INSPECTIONS-1.1.25
$274.00 $274.00
ROW - STANDARD - 1.1.25 $411.00 $411.00
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: 02/19/2025
Printed: Wednesday, February 19, 2025 12:25:11 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,...Ave
N, Edmonds WA 9:0ENG2025-0031
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**
Printed: Wednesday, February 19, 2025 12:25:11 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.
JAN 27 2025
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 192088
Site Address or if no site address use Property Address at NW corner of project area: 221 4th Ave S, Edmonds, WA 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company Ziply Fiber Northwest, LLC Franchise Ordinance No:
Point of Contact M i ke H a ka h a n
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 Pacific Cable Construction
Contractor Contacts During Construction
Primary Name Luke Jones
Agent Name Luke Jones
Title Permit Manager
Title Permit Manager
Mobile 425-348-7735
AddressPO Box 573
Email luke@paccab.com
city Woodinville
State WA
zip 98072
Secondary Name
Phone 425-348-7735
Title
Email luke@paccab.com
Mobile
City of Edmonds Business License No: PACI FCC954PJ
Email
State License No: PACI FCC954PJ
E3 Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
❑ Traffic Control Only (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
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 bore approx. 14' from pole on 4th Ave S
underneath sidewalk and then install new flowerpot. From flowerpot hand dig approx. 30' to customer and
place new conduit and cable.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
Alley 72 hours +
LF
I x
I LF
SF
Parking 72 hours +
1 100 LF
JxJ
8 LF
1 800 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?
x
•
2.
Will an equipment be added underground or above round (e.g. pedestals, vaults, etc.)?
x
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?
X
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?
X
5.
Does the work involve proposed additions to an aboveground utility system? If es:
x
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
®i
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
X
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? 10 How many are to be added?
6b.
Does your project involve poles? If yes:
X
How many poles are existing in the project area?
What is the height of the existing poles? 45'
How many poles are to be removed?
Are additional poles to be laced? No
How many? What is the height of the additionalpoles?
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: 1/24/2025
APPLICANT PRINTED NAME: Eli Hersman
APPLICANT TITLE: TCP Permit specialist
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 RECEIVED
CITY OF EDMONDS
® EXISTING UTILITY POLE
® PROPOSED NEW FLOWER POT
PROPOSED UNDERGROUND
— — — — — — CONSTRUCTION [HAND DIG, BORE]
— CENTER LINE
— — PARCEL LIMITS [PROPERTY LINE]
EOP EDGE OF PAVEMENT
ROW RIGHT OF WAY
WATER LINES
STORM SEWER PIPES
WORK DETAILS:
BORE APPROX. 14' FROM POLE UNDERNEATH
SIDEWALK AND INSTALL NEW FLOWERPOT.
HAND DIG APPROX. 30' TO CUSTOMER.
Know whan below
Call before you dig
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATIN
ALL ON SITE UTILITIES. RELOCATION/REVISION TO A
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
MINIMUM STANDARDS FOR DIRECTIONAL BORING
STREET CROSSINGS
12" MIN 48" MIN J2
BORE PIT Wff, FROM EX. UTILITIES To RECEIVEPIT
PLACE END MARKER WITH UTILITY OWNER'S NAME DESCRIBING CONDUIT
BORE PIT TO BE BACKFILLED AND COMPACTED IN 12" LIFTS WITH MATERIAL REMOVED
FLOW OF ANY NEARBY DRAINAGE MUST BE MAINTAINED AT ALL TIMES
PROTECT ROOTS AT ALL TREE LOCATIONS, FIELD ADJUST AS NECESSARY
TYPICAL BOREDETA/LS
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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ATCO COMMUNICATIONS SERVICES, LLC
www.otcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
Kfiberyett, WA 98206
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DESIGNED BY:
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ATCO CONTACT: 512-627-6114
eli.hersman@atcotelecom.com
SCALE:
SHEET:
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SIGN LEGEND:
ROAD SHOULDER
WORK WORK
AHEAD
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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.
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)
SIDEWALK
CLOSED
R8-3a R9-9
d3 d d3 03 —d r VV
PARKING PARKING
4TH AVE S a
(25 MPH)
PARKING PARKING • •
d3PARKWAY d3 d3 d3 1PPARKWAY d3
SIDEWALK SIDEWALK
W20-1 W21-5
OCONE
(CANDLESTICK)
WORKTRUCK
WORK ZONE LIMITS
PORTABLE SIGN
DRIVEWAY
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
FLAGGER-SPOTTER
40' SHOULDER TAPER
W20-1
SIDEWALK
d3 PARKWAY d3
PARKING
a
• � PA
LPOLE
FLOWERPOT
CONTRACTOR TO PUT NO
PARKING SIGNS ON EAST
SIDE OF 4TH AVE S
MINIMUM SHOULDER TAPER LENGTH = L/3 (feet)
SHOULDER
POSTED SPEED (MPH)
WIDTH
(feet)
25
30
1 35
1 40
1 45
1 50
1 55
1 60
65
70
8
40
40
60
90
120
130
150
160
170
190
10
40
60
90
90
150
170
190
220
220
240
USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8'
R9-9
PHASE 1
WORK DETAILS:
BORE UNDERNEATH SIDEWALK FROM POLE.
INSTALL NEW FLOWERPOT.
SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC
CONTRACTOR TO PLACE NO PARKING SIGNS 72
HOURS PRIOR TO START WORK
SIDEWALK
ARKWAd3 d3 d3
PARKING
C� 4TH AVE S
(25 MPH)
PARKING
7-A3 d3 6 0 IA,,,
SHOULDER TAPER
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50 / 70 40
80
35/45 30
60
25/30 20
40
ENGINEERING DIVISION
APPROVED AS NOTED
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RECEIVED
JAN 27 2025
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SIGN SPACING = X (1)
FREEWAY & EXPRESSWAYS 55 / 70 MPH
1500' ±
RURAL HIGHWAYS 60 / 65 MPH
800' ±
RURAL ROADS 45 / 55 MPH
500' ±
RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH
350' ±
RURAL ROADS & 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.
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ATCO COMMUNICATIONS SERVICES. LLC
www.atcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
zipyEverett,Ifiber
WA 98206
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DATE:
1.23.2025
REVIEWED BY:
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WTCS# 013184
DESIGNED BY:
E. HERSMAN
ATCO CONTACT:
512-627-6114
eli.hersman@atcotelecom.com
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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)
CITY OF EDMONDS
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JAN 27 2025
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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www.otcoteiecom.com
360.563.9000
708 First Street
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REVIEWED BY:
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WTCS# 013184
DESIGNED BY:
E. HERSMAN
ATCO CONTACT:
512-627-6114
eli.hersman@atcotelecom.com
SCALE:
SHEET:
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RECEIVED
JAN 27 2025
CITY OF EDMONDS
Right -of -Way Application #1605490-192088
MyBuildingPermit. corn
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
PACIFIC CABLE CONSTRUCTION INC
Number Street Apartment or Suite Number
PO Box 573
City State Zip Phone Number Extension
Woodinville WA 98072 (425) 348-7735 (206) 399-1703
State License Number License Expiration Date UBI # E-mail Address
PACIFCC954PJ 10/21/2025 FDD5877Dq Luke@paccab.com
Project Location
Number Street Floor Number Suite or Room Number
221 4TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032300407300
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
Julie B Mehr
Number Street Apartment or Suite Number
221 4TH AVE S A
City State Zip
EDMONDS WA 98020
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: 1/24/2025 Submitted By: Arianne Mommsen
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1605490-192088
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: 192088
Description of Work: Bore approx. 14' from pole underneath sidewalk and install new flowerpot. Hand dig
approx. 30' to customer.
Project Details
Project Information
Job Number
192088
Page 2 of 2