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APPROVED ENG2025-0073 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 121 •:i 1 11 C www.edmondswa.gov i Description: ZIPLY - TRANSFER ATTACHMENTS REMOVE BO POLE NJUNS 6566169 ISSUED: 03/18/2025 Address: 22224 76TH AVE W - ESPERANCE EDMONDS WA 98026 EXPIRES: 09/14/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00501100001200 NAME TYPE NAME ADDRESS PHONE APPLICANT CAITLIN 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, SIOUX FALLS SD 57106 (484)747-8711 OWNER CORNERSTONE HOMES NW LLC 13805 SMOKEY POINT BLVD 101, MARYSVILLE WA 98271 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $49.00 $49.00 ENG - INSPECTIONS-1.1.25 $548.00 $548.00 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: 03/18/2025 Printed: Tuesday, March 18, 2025 12:11:52 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2025-0073 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: Tuesday, March 18, 2025 12:11:52 PM 2 of 2 Lti�y of EpiyO�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. RECEIVED 17a OW, rX041 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 P088435 Site Address or if no site address use PropertyAddress at NW corner of project area: 22224 76th Ave W 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 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) 91 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 Tranfer aerial attachments and drop. Remove old pole. 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.)? 24 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? _V 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 utili 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 • 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: _V How many are existing? 11 1 How many are to be added? 10 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? 50 How many poles are to be removed? 1 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: jim 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: 7A4" /Ce(yQ/1 QdI1i Mark Robertson APPLICANT PRINTED NAME: APPLICANT TITLE: TCP and Permit Coordinator NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 2/21 /2025 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR A WHO: Ziply and PUD jointly owned pole. Property owner at site is Tage Nickerson, Keystone Land, LLC @ 13805 Smokey Point Blvd, Suite 102, Marysville, WA 98271 Office:360.659.9444 Mobile:425.508.3317 tage@keystoneland.com WHAT: JFN 100136831 for 1 pole replacement NJUNS 6566169 WHERE: Hillside 22224 76th Ave, Edmonds, WA 98026 47.79710992413655,-122.3357035600166 WHEN: 3/3/2024-3/7/2024 WHY. BOP judged and inspected by PUD for replacement. PUD has placed new pole in the field. PUD and Comcast have transferred. Ziply next to go. HOW. 1 slack span strand transfer, and 1 service drop transfer, removing pole, with flaggers. City of Edmonds TCP permit required. Sidewalk replaced by Keystone Land, LLC. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. RECEIVED Feb 24 2025 MONDS SERVICES 4ENT Exchange: Halls Lake 51419 Project: P-088435 Engineer: mike.hakahan@ziply.com 425-949-0230 Location: 22224 76th Ave W Edmonds, WA 98026 Notes: Hillside pole 13S2 transfer Zipfilly", ber P-088435 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. Page 1 of 3 ENGINEERING DIVISION APPROVED AS NOTED ldl ty'(Lu"".t 03/14/2025 Ipm " 93 Rev 01 /2021 Appendix A Joint Pole Notification $3,187.67 2024 Year Price List To Joint Owner: CATV: Exchange: Date: ZIPLY FIBER COMCAST 2100 09/10/2024 U Customer Name: Service Address: u PUD 22224 76TH AVE W r BO Pole EDMONDS WA 98026-7908 aMo Z co CAM Z C) D_ C) r o r.� N Order: 100136831 PUD Engineer: Amanda Bennett Date Out: 425-670-3205 09/10/2024 PUD INTENDS TO PERFORM THE FOLLOWING WORK: Date In: Set Poles H Set Additional 8" Anchors Replace 1 Poles Set Additional 12" Anchors Eliminate Poles from PUD System X SAP Contract# Abandon Poles Customer Pay PUD To Contact Joint Owner Pole(s) At Location(s) NJUNS# Other Joint Owner Agrees to Pay $ for Easements PUD Work Completion Date: Joint Owner Transfer: Attachee 1 Transfer: Attachee 2 Transfer: Attachee 3 Transfer: Y 1, PUD is abandoning its use of each pole designated to be replaced or eliminated 4 hereunder and is removing its attachments therefrom ZIPLY: POLE A ZI y Pu�` TRANS 1 ATTCH 1 A DROP REMOVE POLE FLAGGERS REQ r RECEIVED Feb 24 2025 P-088435 CITY OF EDMONDS DEVELOPMENT SERVICES Page 2 of 3 DEPARTMENT Return to Joint Use By ZIPLY = 45% OF A 45' POLE - y 10/1/24 FOR JOINT OWNER USE ONLY: JOINT OWNER ACCEPTS THE FOLLOWING: NO JOINT USE d m c c ar ivi a c C .� H Recovery ,i= N Recovery Pole/Location Reference to X w ¢ in (Size/Year) Cost Pole/Location Reference u) 0: w ¢ in (Size/Year) Cost POLE A X 50 45/70 3,187.67 Additional Anchor at the following Locations WO/USOA Codes Fielded By: PB S 9/24/24 Date: Appro s�/6;,o~e, G�, 9/26/24 Date: a pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 22224 76TH AVE W EDMONDS WA 98026 SOUTH COUNTYAREA POLE No. PLI 14775 SE1/4S 30 T 27 R 4 DATE 05/28/24 ORDER 100136831 REASON FOR WORK RELOCATE BO POLE ENGINEER ACBENNETT OPERATION 0030 MOVING NEW POLE TO CUSTOMERS PROPERTY DRAFTER U.G. NO. SCALE 1" = 60' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. 'rd� SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ '=$ PERMITS (DATE GRANTED) METER/CONV. POLE g ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY LEU NO. SECONDARY BASIC FEE ❑ EASEMENTS @$ _$ ■ REQUIRED ❑ NOT REQUIRED UNDERGROUND BASIC FEE S .@$ .=$ DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS JPN# BASIC FEE S (L FT.@$ '=$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING q FT.0 '=$ ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY q FT.@$ '=$ PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT S ■ ONE CALL DATE ovuem - PERMIT S No. 24380837 $ STREET LIGHTING ❑ YES ■ NO $ M&R AS -BUILT $ GIS TOTAL DUE 3 DATE PAID GIS QC M&R RECEPT NO. GIS Ph JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE LEGEND: o EXISTING X EXISTING • NEW POLE X NEW POLE POLE POLE -TO BE REMOVED TO REPLACE EXISTING POLE DATE SUBSTATION 5CR CIRCUIT NO. 12-1284 PHASE 321 ENGR'S TEL. # 425-670-3205 ENGR'S CELL # 425-725-0389 RECEIVED Feb 24 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT L 22224 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. CONSTRUCTION NOTES: AT PLI 14775: REMOVE 15KVA OH XFMR UTC # 15-8935 SER #692017474 SET (1) NEW 50' CLS 2 POLE (PW1050) 7' DEEP W/ GROUNDS, 8' TO THE WEST AS STAKED FRAME POLE PER ASSY 12F337 (30 11' DOUBLE ALLEY ARM TANGENT) INSTL (1) 3/8" PRI DG (GO113) & (1) (8") AHR, L= 10' WEST AS STAKED (AO101) INST NEW 10 XFMR MOUNTING ASSY 12V601 ON NEW POLE. HANG (167) KVA OH XFMR (BA21TS) UTC # ________________ SER# _______________ TRANSFER (3) SPANS OF 336 AAC OH PRI AND NEUT TO NEW POLE. TRANSFER (1) OH SVC TO NEW POLE STRIP AND TOP POLE TO COMMUNICATIONS 22304 J 45-70 Comcast PLI 14775 15-893 _PI I 1477 15-4562 5CR 12 1284 --------- -- 22217 22119 22215 22221 A-6490 75-388468 2 22230 2307 i A-15748 22311 --J 37-12561 ziply ibe P-088435 Page 3 of 3 SHEET 1 OF 1 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 FLAGGER STATION ENGINEERING DIVISION APPROVED AS NOTED jell (,i/Q,, j,$. 44z 03/14/2025 VV 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) WORK DETAILS: Transfer aerial attachments and drop. Remove old pole. NO PARKING 72 HR NOTE CONTRACTOR TO PLACE NO PARKING SIGNS 72 HOURS PRIOR TO START WORK SIDEWALK CLOSED FLAGGERS WILL HAVE WORK STOP TO ESCORT PEDESTRIANS THROUGH WORKZONE RECEIVED Feb 24 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 2222A o 0 I t It lit Iit 0 D r 0 x ramm 76th Ave W (30 MPH) IW20-1 x PHASE 1 SIGN LEGEND: ROAD SIDEWALK WORK SHOULDER CLOSED AHEAD WORK W20-1 W21-5 R9-9 R8-3a TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 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' 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 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. CoM ILE ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 / zi fiber PyI Everett, WA 98206 a U) co W a to o a D- O co >a (V N > > (V (V N w w M z Q Z U U O LU LU H O O U a a O z _j 0- O ct z O CU U LL H Q I- 3 a a U L6 M v 00 00 0 a DATE: 2.20.2025 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 0 ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 Hon da dealer zipIY fiber 221 St P1 Sw Everett, WA 98206 A M >Q 00 00 N O - : V d O ch N L6 04 Doug'HfUrldl w «s v Doug's Hyundai: o 00 222nd Street SW 222rtd Street SW Tucson Hybrid a' Q w d Work Area L Uj Ern-erald Best r N N Motel in E MY ands N � V J M aoU��r� Lf;nnweod Ma _ Mazda d r L.L Baseball Field w 23rd St SW - > Basketball Court � 0 U 223rd St SW w LU m o o Will Chen CPA, PLLC w ° Q0 0 0 Q Z w 0 d d 0� 0� -1 J LL Deck of Hope Baptist Church DATE: 2.20.2025 REVIEWED BY: M. LUNA WTCS# 013184 Aft 51A1nnte%n ttiinnr DESIGNED BY: M. Robertson ATCO CONTACT: 832.758.0094 mark. robertson@atcotelecom.com RECEIVED SCALE: SHEET: VICINITY MAP Feb 24 2025 NOT TO CITY OF EDMONDS 1 DEVELOPMENT SERVICES SCALE DEPARTMENT v NO: 1 OF 2 RECEIVED Feb 24 2025 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1617038 - P-088435 Applicant First Name Last Name Company Name Caitlin 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 22224 76TH AVE W - ESPERANCE City Zip Code County Parcel Number EDMONDS 98026 00501100001200 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 CORNERSTONE HOMES NW LLC Number Street Apartment or Suite Number 13805 SMOKEY POINT BLVD 101 City State Zip MARYSVI LLE WA 98271 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: 2/21/2025 Submitted By: Caitlin Reid Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1617038 - P-088435 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: P-088435 Description of Work: Transfer aerial attachments and drop. Remove old pole. Project Details Project Information Job Number P-088435 Page 2 of 2