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HomeMy WebLinkAbout6523 208th St Ne_PJ25-0099_2026 CONSTRUCTION PERMIT APPLICATION Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 CIVIL(TYPE I) GRADING/PAVING/DRAINAGE (TYPE II) ❑ RIGHT OF WAY(TYPE I1I) TYPE I&II ONLY NEW DEVELOPMENT 71 REDEVELOPMENT Project Name:206216 Project Address/Location: 6523 208TH ST NE, ARLINGTON Tax Parcel I.D.#:00701900000400 Description of Project: From terminal pole,bore approx.65'across 208th St NE,place new flowerpot,hand dig rest to customer property. Project Size in Acres: DOE General Construction Stormwater Permit#: OWNER Name:KALLICOTT STEVE & PATRICIA Address:6523 208TH ST NE, ARLINGTON City: ARLINGTON State:WA Zip:98223 Phone: Email: APPLICANT Name: Ziply Fiber Northwest LLC Address: 426 E Casino Rd City: Everett State: WA Zip: 98208 Phone: 402-670-8384 Email: grpatcopermits@ziplyfiber.com ENGINEER Name: Address: City: State: Zip: Phone: Email: License#: Expiration: CONTRACTOR Name: StarTak Fiber LLC. Address: 4401 S Technology Dr. City: Sioux Falls State: SD Zip: 57106 Phone: 484-747-8711 Email: rcorrell@teamstarlink.com License#: STARTFL790QE Expiration: 11/5/2025 I, hereby certify that I have read and examined this application, City of Arlington Municipal Code, Standard Plan & Specifications. Performance of the proposed work shall follow all applicable laws and regulations.The owner/applicant shall assume full and complete responsibility for said work and shall be responsible for the acquisition and compliance of all applicable permits and/or authorizations which may include,but not limited to, Right of Way Permit,WSDW Hydraulic Project Approval(HPA),WSDOE Notice of Intent(NOI),National Pollutant Discharge Elimination System (NPDES),Army Corp.of Engineers Permits,the requirements of the Endangered Species Act,and the Forest Practices Application(FPA). Signature �O Print Name: ARIANNE MOMMSEN Date: 11/11/25 Pagel of 2 REV2/2024 Complete package constitutes all items. Only complete submittals will be accepted. Civil-Submittal Requirements,Type I: Electronic files shall be PDF on USB flash-drive,email,or drop-box ✓ Complete Application Construction Plans including cut/fill quantities ■ 2 full size plan sets 22"x 34" ■ PDF file of the complete plan set ■ 2 full size set of landscape plans 22"x 34" Marysville Utility plans,if applicable(2 sets) Department of Ecology General Construction Stormwater Permit(if applicable) Drainage Analysis including calculations and downstream analysis(2 sets)and(PDF file);refer to Stormwater Drainage Requirements eGeotechnical Report(2 sets)and(PDF file) SEPA is required if 250 or more cubic yards of cut/fill is proposed (not required if included with a Land Use Permit);if there is not a Land Use Permit associated with the project,Public Notice Materials will be required Grading cut/fill quantity: Design Vehicle-demonstrate turning radius include 45' Fire truck,dual axle,256-inch wheelbase Drafts of easement(s)dedication(s),and/or CAPE(s)for review Flood Hazard Permit Application and required documentation if project is within 100-year flood plain;refer to Flood Hazard guidance documents eConstruction Calculation Worksheet NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts eAssurance Device will be required prior to Permit Issuance (Bond or Assignment of Funds) Permit Fee due at time of permit submittal Grading Paving Drainage Submittal Requirements,Type II:Electronic files shall be PDF on USB flash-drive,email, or drop-box ✓e Complete Application Construction Plans including import/export quantities ■ 2 full size plan sets 22"x 34" ■ PDF file of the complete plan set ❑ Drainage Analysis including calculations and downstream analysis(2 sets)and(PDF file);refer to Stormwater Drainage Requirements Department of Ecology General Construction Stormwater Permit(if applicable) Geotechnical Report(2 sets)and(PDF file) SEPA is required if 250 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit) SEPA Public Notice Material Requirements: ■ Snohomish County Assessor's Quarter Section Map: O Show Subject Property O Show 500 ft.Boundary ■ Current Owner List(of properties within 500ft.radius) including the following: O Tax Parcel ID Number(s) 13 Owner(s) Full Names) O Owner(s)Mailing Address(es) O Current Resident&Property Address (if property owner doesn't reside at the property) ■ Mailing Material:Provide O white,#10 envelopes with the following affixed to the envelopes: O Postage 11 Mailing Labels 11 Return Address labels: 18204 591h Ave NE,Arlington WA 98223 Grading cut/fill quantity: Construction Calculation Worksheet NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts Permit fee due at time of permit submittal Right of Way Submittal Requirements,Type III: Electronic files shall be PDF on USB flash-drive,email,or drop-box ✓ Complete Application. Construction Plans. Traffic Control Plan. Road Closure Request. Temporary Erosion&Sediment Control(TESC) Plan. Certificate of Insurance with the City of Arlington named as Additional Insured. Assurance Device will be required prior to Permit Issuance(Bond or Assignment of Funds). Engineers Estimated Cost of Construction;$ _ Permit fee due at time of permit issuance. Page 2 of 2 R yaht-of-Way P crmit A n2lication For submittal checklist, see below. *denotes required fields P Ioject Information *Project Name: 1206216 *Description of Project: From terminal pole, bore approx. 65' across 208th St NE, place new flowerpot, hand dig rest to customer property. Engineers Estimated C cst of C mstruction; $ 12000 C mtact Information Owmr Information *Owner Name: ziply fiber *Office No.: 4026708384 *Email Address: grpatcopermits@ziplyfik *C dl No.: 402 7708384 *Mailing Address: 1426 E casino rd *C ty: leverett, WA 98208 *State: WA *Zip: 98290 E igineer Information Engineer Name: O ffice No.: Email Address: Cd1No.: Mailing Address: C ty: State: Zip: Professional License Number: Expiration D zte: C cntractor Details Primary C mtractor: O ffice No.: Email Address: Cd1No.: Mailing Address: C ty: State: Zip: L&I C mtractor License Number: Expiration D Ete: A dknowledgement I, hereby certify that I have read and examined this application, Cty of Arlington Municipal C ale, Standard Plan & Specifications. Performance of the proposed work shall follow all applicable laws and regulations. The owner/applicant shall assume full and complete responsibility for said work and shall be responsible for the acquisition and compliance of all applicable permits and/or authorizations which may include,but not limited to, R#ht of Way Permit, WSDW Hydraulic Project Approval(HPA), WSD OENotice of Intent(NOS National Pollutant Dscharge Elimination System (NPDES),Army Corp. of Engineers Permits, the requirements of the Endangered Species Act, and the Forest Practices Application (FPA). *Print Name: lAriannemommsen I *Date: 2025-12-05 Submittal C becklist Canplete package constitutes all items. Only complete submittals wf71 be accepted. Electronic files shall be PD Fand submitted through this portal, email or downloadable link to file server. • C instruction Plans; refer to D esign R Muirements and C lapter 1 of the C ty of Arlington's D esign and C instruction Standards and Specifications Manual for required sheets. • Traffic C introl Plan. • R cad Closure R equest. • Temporary Erosion & Sediment C introl (TESC)Plan if new or replaced hard surfacing is being constructed. • C ertificate of Insurance with the C ty of Arlington named as Additional Insured. P ermit fee and any assurarnce device (B and or Assignment of Funds) due at time of permit issuance. An invoice with link for payment will be sent to the applicant email address once permit is reviewed and approved. LEGEND: ED EXISTING PEDESTAL PROPOSED PEDESTAL ARL I N GTO N CITY TM EXISTING TERMINAL Al"o ATCO COMMUNICATIONS SERVICES.LLC WWW.atcotelecom.com FT-m-1 PROPOSED TERMINAL i i ' 360.563.9000 y I 708 First Street ® EXISTING UTILITY POLE Snohomish,WA 98290 si I ® PROPOSED NEW POLE Z I I f i b� � H EXISTING HANDHOLE {* - o f• py I i Everett,WA 98206 h PROPOSED NEW HANDHOLE[2'x3'] I s. M H EXISTING MANHOLE I N z z 3 0 0 � o I CI M a MH PROPOSED NEW MANHOLE I 00 o p Y I N ~ EXISTING FLOWER POT s Z PROPOSED NEW FLOWER POT � � _ ^^// � o I� x � o EXISTING UNDERGROUND UTILITY N ^ Il— PROPOSED UNDERGROUND CONSTRUCTION[HAND DIG,BORE] EXISTING AERIAL SPAN U L I IJ L Ik� PROPOSED AERIAL SPAN O N _ — CENTER LINE er I moll— PARCEL LIMITS[PROPERTY LINE] Ilk ; EOP EDGE OF PAVEMENT # , ROW RIGHT OF WAY '� z0 H U r LU LU LU U W WORK DETAILS: - j o LU z Q iLi FROM TERMINAL POLE,BORE APPROX.65'ACROSS 208TH E ST NE,PLACE NEW FLOWERPOT,HAND DIG REST TO LLI LLI LLI Z CUSTOMER PROPERTY. &VUpw r ' 0- 0- z LL I I¢ - # ; MINIMUM STANDARDS FOR DIRECTIONAL BORING 7 +'#Y'-'�1_ oftb STREET CROSSINGS . -�� -I� %*OP r DATE: 11.OK25 ,+- r EX.GRADE ` . -— f -". r DESIGNED BY: N. SANCHEZ ATCO CONTACT: 713.443.3392 nooh.sonchezOatcotelecom.com 48"MIN 12"MIN BORE PIT FROM EX.UTILITIES RECEIVE PIT Know man belm SCALE: SHEET: Call wefore ylou dig -PLACE END MARKER WITH UTILITY OWNER'S NAME DESCRIBING CONDUIT N 0 T TO O -BORE PIT TO BE BA BY DRAT AND COMPACTED IN 12"LIFTS WITH MATERIAL REMOVED SCALE -FLOW OF ANY NEARBY DRAINAGE MUST BE MAINTAINED AT ALL TIMES -PROTECT ROOTS AT ALL TREE LOCATIONS,FIELD ADJUST AS NECESSARY N0: 1 OF - TYPICAL BOREOETA/LS 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) CITY OF ARLINGT0N o ATCO COMMUNICATIONS SERVICES,UC www.alcotelecom.com 360.563.9000 708 First Street Snohomish,WA 98290 Lfiber yett,WA 98206 (o w w N z z 3 o U) cl a Ncl d v 04 o (0 O H w LO It LO z W (o � N (0 = C. ui co O T WORK AREA Ii U) i : T Mobile Mechanic W is \ O U LULU m � � o zQz w U U p 2 w w H Q z � � LU U d a O LL DATE: 11.03.25 REVIEWED BY: M. LUNA WTCS#013184 DESIGNED BY: N.SANCHEZ ATCO CONTACT: 713.443.3392 noah.sanchez@atcotelecom.com SCALE: SHEET: VICINITY MAP NOT TO SCALE NO: 1 OF 3 LEGEND: ATCO COMMUNICATIONS SERVICES,LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, O SIGNALIZED INTERSECTION MAKES NO REPRESENTATION AS TO ITS GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION. PHASE APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY O ENFORCEMENT AUTHORITY IN THE JURISDICTION.UTILIZATION AND IMPLEMENTATION OF THIS PLAN TRAFFIC SAFETY DRUM SHALL BE A RESULT OF THE APPROVAL.REF.MUTCD 2009 6A-01(10) TYPE III BARRICADE ATCO COMMUNICATIONS SERVICES,LLC WORK DETAILS: www.atcotelecom.com Al" WORK TRUCK 360.563.9000 708 First Street WORK ZONE LIMITS FROM TERMINAL POLE,BORE APPROX.65'ACROSS 208TH Snohomish,WA 98290 ST NE. PORTABLE SIGN I f i b�r Q EXISTING SIGN p y CONTRACTOR TO PLACE NO ZI ® PARKING SIGNS 72 HOURS DRIVEWAY 6523 208TH T PRIOR TO START WORK Everett,WA 98206 ARROW BOARD ST NE (WHERE REQUIRED) co LU Lu N Z Z 3 DIRECTION OF TRAFFIC CO I-_ of PAVEMENT MARKINGS) oN U) 0 a 2 = z U 208TH ST NE X o p ■ nT FLAGGER-SPOTTER SIDEWALK (25 MPH) M ( Q 0 —EP EP EP SIDEWAL W20-1 � LUQ P EP Qp Z CO . EP EP EP SIDEWALK I­_ N FLAGGER STATION EP EP EP EP C° E EP 2 O J P EP EP EP_ N -T- C O EP y —► I - - —�' ~— O DIG PIT EP EP qlx: EP EP CO .♦ w' e E rL.YL 1 W21-Lo EP EP -� EP _•_ �E�EP ALh Z X40' O SHOULDER I TAPER TAPER � LIJ W o� � I — LL CoLL w w Q I m of I a Z Q LLI z m I NOTE: W w Z MON.-FRI.=7:00am TO 4:00pm O O U LU d a- J _j LL CHANNELIZATION DEVICE SPACING(feet) MPH TAPER TANGENT 50/70 40 80 DATE: 11.03.25 35/45 30 60 25/30 20 40 REVIEWED BY: M.LUNA WTCS#013184 SIGN LEGEND: SIGN SPACING=X(1) DESIGNED BY: N.Sanchez FREEWAY&EXPRESSWAYS 55/70 MPH 1500'± MINIMUM SHOULDER TAPER LENGTH=L/3(feet) RURAL HIGHWAYS 60/65MPH 8001± ATCO CONTACT: 713.443.3392 RURAL ROADS 45/55 MPH 500'± noah.sanchez@atcotelecom.com ROAD SHOULDER POSTED SPEED(MPH) RURAL ROADS&URBAN ARTERIALS 35/40 MPH 350'± WIDTH WORK SHOULDER (feet) 25 30 35 40 45 50 55 60 65 70 RURAL ROADS&URBAN ARTERIALS 25/30 MPH 200'± (2) SCALE: SHEET: AHEAD WORK RESIDENTIAL&BUSINESS DISTRICTS > < 8 40 40 60 90 120 130 150 160 170 190 URBAN STREETS 25 MPH OR LESS 100'± (2) 1 If 701 O 10 40 60 90 90 150 170 190 990 220 240 L (1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, W21-5 R8-3a USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' AT-GRADE INTERSECTIONS AND DRIVEWAYS (2)THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. NO:2 OF 3 LEGEND: ATCO COMMUNICATIONS SERVICES,LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, O SIGNALIZED INTERSECTION MAKES NO REPRESENTATION AS TO ITS GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION. PHASE L APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY O ENFORCEMENT AUTHORITY IN THE JURISDICTION.UTILIZATION AND IMPLEMENTATION OF THIS PLAN ^/ TRAFFIC SAFETY DRUM SHALL BE A RESULT OF THE APPROVAL.REF.MUTCD 2009 6A-01(10) TYPE III BARRICADE ATCO COMMUNICATIONS SERVICES,LLC WORK DETAILS: www.atcotelecom.com WORK TRUCK 360.563.9000 Al" 708 First Street WORK ZONE LIMITS PLACE NEW FLOWERPOT,HAND DIG REST TO CUSTOMER Snohomish,WA 98290 PROPERTY. PORTABLE SIGN I f i b�r Q EXISTING SIGN p y 6523 208TH ® DRIVEWAY ST NE CONTRACTOR TO PLACE NO ZI PARKING SIGNS 72 HOURS Everett,WA 98206 PRIOR TO START WORK ARROW BOARD (WHERE REQUIRED) co w w 40' SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC N Z Z 3 DIRECTION OF TRAFFIC SHOULDER AND DRIVEWAY ACCESS m I— of a 208TH ST NE = 0 7 0- (NOT PAVEMENT MARKINGS) TAPER 40 N L (25 MPH) R9-9 SHOULDER I— H • SIDEWALK TAPER X X oD It -'gin■I FLAGGER-SPOTTER EP EP SIDEWALK Rg_g 04 od co 0 EP W21-5 P EP Ep p EP SIDEWALK W20-1 Cl)N w J Q _ ~ E P EP E � Z —� P FLAGGER STATION EP EP EP cn m �► --► y—� _ oN —EP—EP—EP—EP— H ❑ SIDEWALK EP EP OD EP� y p O EP E!�� �� �� N DIG PIT W20-1 EP EP p 7♦/ EWALK r Ep EP Ep—T X I W m W20-1 Z x O LU W Z T U lzt I W u_ w w I cm M W c C1 Z Q I..V LLIW I L) L) z c I FMON w w 0ZFRI.=7:00am TO 4:00pm O p O J D_ a- J LL CHANNELIZATION DEVICE SPACING(feet) MPH TAPER TANGENT 50/70 40 80 DATE: 11.03.25 35/45 30 60 25/30 20 40 REVIEWED BY: M.LUNA WTCS#013184 SIGN LEGEND: SIGN SPACING=X(1) FREEWAY&EXPRESSWAYS 55/70 MPH 1500'± DESIGNED BY: N.Sanchez MINIMUM SHOULDER TAPER LENGTH=L/3(feet) RURAL HIGHWAYS 60/65MPH 8001± ATCO CONTACT: 713.443.3392 RURAL ROADS 45/55 MPH 500'± noah.sanchez@atcotelecom.com ROAD SIDEWALK SHOULDER POSTED SPEED(MPH) RURAL ROADS&URBAN ARTERIALS 35/40 MPH 350'± SHOULDER WIDTH WORK WORK CLOSED (feet) 25 30 35 40 45 50 55 60 65 70 RURAL ROADS&URBAN &BUSINESS DISTRICTS 25/30 MPH 200'± (2) SCALE: SHEET: AHEAD 8 40 40 60 90 120 130 150 160 170 190 URBAN STREETS 25 MPH OR LESS 100'± (2) 1 11 701 10 40 60 90 90 150 170 190 220 290 240 01 (1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, .- W20-1 W21-5 R9-9 R8-3a USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' AT-GRADE INTERSECTIONS AND DRIVEWAYS (2)THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. NO:3 OF 3 City of Arlington 18204 59th Avenue NE, Arlington, • • Washington 98223 Phone: 360-403-3551 jNG� WASHINGTON C Invoice Number: 25-0092 INVOICE Invoice Date: December 11, 2025 Account Number: 3148292788 Bill To: Invoice Questions? ATCO Telecommunications Phone: 360-403-3551 708 First St. Email: ced@arlingtonwa.gov Invoice Due Date: December 11, 2025 Record Number: Project 25-0099 Parcel Number: 00701900000400 Location: 6523 208TH ST NE Date Description Paid Date Amount Paid Balance December 8, Processing/Technology Fee (320.341.43.00.02) $25.00 2025 December 8, Right of Way(006.322.40.00.02) $125.00 2025 TOTAL: Project Fees $150.00 $150.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------- REMITTANCE INFORMATION If you are paying by check, please include this portion with your payment and remit to the address listed on this invoice. Remittance Information Invoice Account Total Due Your payment is due by December 11, 2025 Number Number This Invoice 25-0092 3148292788 $150.00 ATCO Telecommunications 708 First St. 18204 59th Avenue NE • ' • 14 op Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Civil Use - Right of Way Permit Parcel:00701900000400 Permit#:25-0099 Permit Address:6523 208TH ST NE Permit Expiration: March 13, 2026 Description of Work:From terminal pole,bore approx.65'across 208th St NE,place new flowerpot,hand dig rest to customer property. OWNER APPLICANT CONTRACTOR ATCO Telecommunications StarTak Fiber LLC ziply fiber 708 First St. 4401 S Technology Dr,Sioux Falls,SD 57106 6523 208TH ST NE ARLINGTO,,98223 4026708384 4847478711 permits@atcotelecom.com rcorrell@teamstarlink.com registration number:STARTFL790QE PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. It is unlawful to use or occupy a building or structure until a final inspection has been made and approval or a Certificate of Occupancy has been granted. This permit authorizes only the work noted and covers work to be done on private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a separate permit. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. CONDITIONS Traffic Control must comply with the current version of MUTCD. Work Hours are 7 am to 7 pm Monday- Saturday (no work on Sundays or City Recognized Holidays). Inspections are not available on Saturday or 1.) Sunday. Non-motorized traffic control must be provided if any part of the work impacts existing non-motorized facilities. Non-motorized traffic control measures shall provide a level of accessibility that are, at minimum, equal to the existing conditions of the site. Two days before starting work, the applicant must have all utilities located. One Call, is a public utility locating 2.) service (#811 or 1-800-424-5555). Privately installed facilities must also be located using a private utility locating service. Private property owners which may be affected by the proposed work must be notified in advance of potential 3') disruptions in access or utility services. INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. APPROVED BY Admin - Thad Newport Development Services Engineering Manager ASSOCIATED FEES Date Description Paid Date Amount Paid Balance December 8, 2025 Processing/Technology Fee (320.341.43.00.02) $25.00 December 8, Right of Way(006.322.40.00.02) $125.00 2025 TOTAL: Project Fees $150.00 $150.00 Credit/Debit Card 92 Payment Successful December 15, 2025 $150.00 $0.00 4rtk( tot( WASHINGTON Project Information - ' 'nformat;^ Project # 25-0099 Parcel # 00701900000400 Building ID Location 6523 208TH ST NE Project Type Civil Use Project Use Right of Way Parent Project# Subdivision Applicant Name ATCO Telecommunications Address 708 First St. Applicant Email permits@atcotelecom.co Phone 4026708384 Cell m Owner Name ziply fiber Address 6523 208TH ST NE ARLINGTO, , 98223 Owner Email Phone Cell Contractor StarTak Fiber LLC Address 4401 S Technology Dr, Sioux Falls, SD 57106 Contractor Email rcorrell@teamstarlink.co Phone 4847478711 Cell m Property Information Type/Improveme Accessory/Struct nt ure Current Use Proposed Use Current Zoning Proposed Zoning Project Cost Project Value 2000 Current Use And From terminal pole, bore approx. 65' across 208th St NE, place new flowerpot, hand dig rest to customer Proposed property. Changes Lot Width Lot Depth Map Number Total Area of Building & Accessory Total Area of All Man-made Improvements Structures (Sq Ft) (Sq Ft) General Notes Restrictions/ Variances ©Community Development Online Portal Page 1 of 6 April 7, 2026 04:17PM WASHINGTON Structure Information Structure Type # of Stories Usable Floor Area (Sq Ft) Structure Height # of Units Load per Floor (Lbs) Sign Dimensions # of Bedrooms # of Bathrooms Occupancy With Chairs Tables & Chairs Empty Room Foundation Foundation Type Footing Depth Material Foundation Information Setbacks Front& 0 0 Setbacks Right & 0 0 Rear Left Sides Setbacks Information Water Utility Sewage Utility Gas Utility Electric Utility Driveway Width # of Off Street # of Off Street Parking Loading Miscellaneous Information ©Community Development Online Portal Page 2 of 6 April 7, 2026 04:17PM WASHINGTON Contractors License # Business Name Type Contact STARTFL790QE StarTak Fiber LLC General Contractor NA NA ©Community Development Online Portal Page 3 of 6 April 7,2026 04:17PM WASHINGTON Inspections Inspection # Inspection Type Status Date Inspector 25-0057 Civil- Right of Way Pass December 31, 2025 Brian Grieve Inspections 26-0012 Civil- Right of Way Final Pass January 7, 2026 Brian Grieve ©Community Development Online Portal Page 4 of 6 April 7,2026 04:17PM 4rtk( tot( WASHINGTON Contacts Contact Name Type Project Address Phone StarTak Fiber LLC Contractor 4401 S Technology Dr, 484-747-8711 Sioux Falls, SD 57106 ATCO Applicant 708 First St. 402-670-8384 Telecommunications ziply fiber Owner 6523 208TH ST NE ARLINGTO, , 98223 ATCO Others 708 First St. 402-670-8384 Telecommunications StarTak Fiber LLC Others 4401 S Technology Dr, 484-747-8711 Sioux Falls, SD 57106 ©Community Development Online Portal Page 5 of 6 April 7, 2026 04:17PM 4rtk( tot( WASHINGTON Fees Fee Type Date Debit Credit Balance Project Fees December 8, 2025 $150.00 $150.00 $150.00 $0.00 T O T A L $150.00 $150.00 $0.00 ©Community Development Online Portal Page 6 of 6 April 7, 2026 04:17PM