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Home My WebLink About3209 180th St Ne_PJ26-0092_2026 City of Arlington 18204 59th Avenue NE, Arlington, • • Washington 98223 Phone: 360-403-3551 jNG� WASHINGTON C Invoice Number: 26-0137 INVOICE Invoice Date: February 9, 2026 Account Number: 1454629269 Bill To: ZIPLY NORTHWEST FIBER LLC Invoice Questions? 238 N OLYMPIC AVE ARLINGTON Phone: 360-403-3551 WA Email: ced@arlingtonwa.gov 98223 Invoice Due Date: February 9, 2026 Record Number: Project A26-0092 Parcel Number: 00472500000809 Location: 3209 180TH ST NE Date Description Paid Date Amount Paid Balance February 9, Processing/Technology Fee (320.341.43.00.02) $25.00 2026 February 9, Right of Way(006.322.40.00.02) $125.00 2026 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 February 9, 2026 Number Numb This Number Invoice 26-0137 1454629269 J$150.00 ZIPLY NORTHWEST FIBER LLC 238 N OLYMPIC AVE ARLINGTON WA 98223 18204 59th Avenue NE • op ' • 14 Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Civil Use - Right of Way Permit Parcel:00472500000809 Permit#:26-0092 Permit Address:3209 180TH ST NE Permit Expiration: May 15, 2026 Description of Work:PUD replaced ONE pole: Ziply just needs to transfer existing attachments from the old pole to the new existing pole then remove the old pole OWNER APPLICANT CONTRACTOR ZIPLY NORTHWEST FIBER LLC zipply Beon connect 238 N OLYMPIC AVE ARLINGTON,WA,98223 135 Lake Street S,Suite 155,Kirkland,WA 98033 253 3553741 abby.cogswell@ziply.com registration_number:BEONI799LT 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 disruptions in access or utility services. Please be advised Ziply is responsible for ensuring the placement of new and updated structures. Do not restrict 3.) existing use of right of way. Please take special note of secondary accesses that are used for RVA€"s, boats, or other special uses Restoration of any infrastructure affected by the installation shall be per City of Arlington Standards & 4.) Specifications within a period not to exceed 7 days from completion of the installation. Trench Restoration shall be per Standard Detail R-140; Contact the City Engineer for Roadway Restoration requirements, 360-403-3512. 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 February 9, ProcessingfIechnology Fee(320.341.43.00.02) $25.00 2026 February 9, Right of Way(006.322.40.00.02) $125.00 2026 TOTAL: Project Fees $150.00 $150.00 Credit/Debit Card 306 Payment Successful February 9, 2026 $150.00 $0.00 BEONCON-01 GGORASH ,d►coRo CERTIFICATE OF LIABILITY INSURANCE 7DATE(MMIDD/YYYY) 11/12/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT George Gorash Basin Pacific Insurance&Benefits PHONE FAc 8016-B Canyon Road E (A/C,No,Ext): (253)535-0234 / ,No):(253)535-1881 Puyallup,WA 98371 ADDRESS:ggorash@basinpacific.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Ohio Security Insurance Co 24082 INSURED INSURER B:United Financial Casualty Co. 11770 Beon Connect Inc INSURER C:Scottsdale Insurance Co 41297 11716 SE 229th PI INSURER D:Burlington Insurance Co Kent,WA 98031 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYYY MM DD YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BLS63126009 6/25/2025 6/25/2026 DAMAGE TO RENTED 1,000,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X PECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: STOP GAP $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO 03850065-4 7/1/2025 7/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED L $ NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE CXS4055548 6/25/2025 6/25/2026 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Commercial Umbrella 540BE08417-02 6/25/2025 6/25/2026 Excess 4,000,000 A General Liability BLS63126009 6/25/2025 6/25/2026 STOP GAP 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Arlington is listed as an Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Arlington THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 238 N Olympic Ave#1337 Arlington,WA 98223 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 80 2011 Edition 5.3 Two-Lane, Two-Way Roads Shoulder Work w/ Minor Road Encroachment Diag. 300 Use this detail for non-freeway work which extends into a travel lane and maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane cannot be maintained, or when traffic cannot safely pass by in both lanes simultaneously, use the appropriate lane closure diagrams—for example, Diagrams 310 through 350. A lane closure may be appropriate for conditions such as high traffic volumes, high speeds, and inadequate approach sight distance to the work space, or heavy equipment adjacent to the travel lane. 1. Use truck-mounted flashing warning lights on work and protection vehicles. See Section 4.3—Lights and Lighted Signs for exceptions. 2. For added visibility, a truck-mounted arrow board or PCMS in caution mode may be used. 3. Cones shall be placed along the entire length of the work space. If a protection vehicle is used and work is in place one hour or less, the taper and tangent devices may be omitted. 4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there is limited sight distance, consider placing cones or tubular markers on centerline. 5. An arrow board in caution mode or truck-mounted PCMS with "SHOULDER WORK" or other appropriate message may be used for higher visibility. Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs "Buffer" Speed A B C Space 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 500 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 81 Shoulder Work w/ Minor Road Encroachment Diag. 300 ROAD WORK • AHEAD I t Initial Warning A • Sign • • • (Optional) • • Protection Vehicle w/TMA(both Optional) See Chapter 4 • Buffer 10, • minimum • U3 • • A ROAD M NARROWS (Optional) B l ROAD WORK AHEAD Initial Warning Sign September 2016 Chapter 5 Appendix A $2°$7$." Ipm" 0 Joint Pole Notification 2022 Year Price List Rev 01/2021 To Joint Owner: CATV: Exchange: Date: ZIPLY FIBER COMCAST 2110 04/19/2023 U Customer Name: Service Address: U) PUD 3124 180TH ST NE o0 ARLINGTON WA 98223-8705 o � o BO Pole Z � , � [ LO L � co Order: 100111218 PUD Engineer: Trevor Krauja Date Out: 360-435-7512 04/19/2023 PUD INTENDS TO PERFORM THE FOLLOWING WORK: Date In:04/27/2023 Set Poles HSet Set Additional 8"Anchors � X ReplacePoles Additional 12"Anchors SAP Contract# Eliminate Poles from PUD System 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 Y PUD is abandoning its use of each pole designated to be replaced or eliminated hereunder and is removing its attachments therefrom Ziply Loc A Trans 1 attachment RMv 1 pole Rmv 1 anc/guy Place 1 do guy 2 flaggers req Return to Joint Use By 5/10/23 FOR JOINT OWNER USE ONLY: JOINT OWNER ACCEPTS THE FOLLOWING: NO JOINT USE o 8 o y E a N Recovery E a N Recovery Pole/Location Reference N of w Q in Size/Year Cost Pole/Location Reference co of w Q to Size/Year Cost A X 4 45- 6 2,8 8.77 Additional Anchor at the following Locations WO/USOA Codes Fielded By:G Bear 4/24/23 Date: Approo Date: SiK SWISH COWTx 0 PUBLIC UTILITY DISTRICT No.1 OF SNOHOMISH COUNTY TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT LOCATION 3118 180TH ST NE, ARLINGTON ARLINGTONAREA WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. POLE NO. 97181 NE1/4S 20 T 31 R 5 DATE 3/30/23 ORDER 100111218 REASON FOR WORK REPLACE BO POLE ENGINEER KRAUJA OPERATION 0030 DRAFTER " U.G. NO. 1300-1 SCALE 1"=100' APPROVED & DATE PRINTED DATE WORK COMPLETED DATE �`g% FOREMAN SUBSTATION SMOKEY POINT FEES REQ'D ❑ YES 0 NO CIRCUIT NO. 12-1509 PHASE 23 PRIMARY OVERHEAD -OLD PLI: 97181; NEW PLI:_________ ❑ RESIDENTIAL -REPL BO POLE W/ 45' CL2 POLE & GRNDS 3' TO EAST AS STAKED ENGR'S TEL. #❑ COMMERCIAL -SET DEPTH AT 6.5' PER STD 4-5-15.0 (PW2045 & N0110) 360-435-7512 -INST 2PH FLAT DEADEND W/ 10' CROSSARM (12F209) LEo No. -INST 3/8" DWN GUY W/ 8' LEAD & 8" ANCH @$ _$ ENGR'S CELL -TRANSFER GUY WIRE FROM GUY STUB PLI: 240168 SECONDARY OVERHEAD NESC VIOLATIONS 425-231-2860 -TRANSFER PRI LATERAL TO THE NORTH N BASIC FEE 8 e NO ❑ YES (SEE NOTES) -INST 2" PRI RISER (12U111)-TRANSFER STREET LIGHT SL-111771-H @$ _$ PERMITS (DATE GRANTED) -STENCIL POLE AS "CET-9" METER/CONY. POLE g ❑ TREE TRIM -STRIP AND TOP OLD POLE FOR COMMS PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY J ❑ COMMERCIAL CITY NIA 45-03 1 1 BASIC FEE 8 LEU NO. EASEMENTS Comcast @$ _$ ❑ REQUIRED ■ NOT REQUIRED 3108 SECONDARY UNDERGROUND Q o BASIC FEE 8 �— N @$ _$ DATE RELEASED �� Co FOREIGN CONTACTS 1801 - UNDERGROUND PLAT BASIC FEE 8 e JPN# 100111218 FT.@� -$ ❑ JOINT TRENCH ZIPLY & CATV 1111A 45-66 STREET LIGHTING ❑ JOINT BORE ZIPLY & CATV Fattachments laced ONE pole: 1872 O Comcast rt FT.@$ =$ ° t needs to transfer existing 010-M © SL 1 1770 H SL 1 1 776-H POLE STENCILING from the old pole to the SL 111771 H o ❑ORIMARRK N RIGHT OF WAY FROM To ting pole then remove the old pole 0E-9 25346597 ❑ SECONDARY TAKE OFF POLE FU50 97181 68 4 w FT.@$ _$ PRE-CONST. REQUIRMENTS ________________________ ___________ ❑ TREE TRIM ❑PUD LOCATOR _ MISCELLANEOUS FEES ❑ BACKHOE ❑FLAGGING N04 ® o O 180TH ST NE FU40 VAULT 8 ■ ONE CALL DATE X x PERMIT 8 No. o ~ c g STREET LIGHTING 7930 a 8 ❑ YES ■ NO SL-106142 A ® � 240168 8 M&R AS-BUILTGIS �,' c TOTAL DUE 8 GIS QC M&R 7920 12 3124 /200 DATE PAID �� 1509 118 0 RECEIPT NO. GIS Ph JOINT USE o SERVICE ORDER NO. LOCATION MAP PAGE 316 G7 A-780 n- LEGEND: '0 25-25880 T" yo O EXISTING POLE NL X EXISTING POLE-TO BE REMOVED �Q �N ® NEW POLE � NEW POLE TO REPLACE EXISTING POLE SHEET OF 1 �Q �o R yaht-of-Way P crmit A n2lication For submittal checklist, see below. *denotes required fields P Ioject Information *Project Name: 1W0948475 *Description of Project: PUD replaced O N= pole: Ziply just needs to transfer existing attachments from the old pole to the new existing pole then remove the old pole Engineers Estimated C cst of C mstruction; $ 10 C mtact Information Owmr Information *Owner Name: ZIPLY NO RTH W 6T FIBS *Office No.: 9713316672 *Email Address: abby.cogsw dl@ziply.co *C dl No.: 9713316672 *Mailing Address: 1135 Lake Street S, Suite *C ty: Kirkland *State: WA *Zip: 98033 E igineer Information Engineer Name: 0 ffice No.: Email Address: Cd1No.: Mailing Address: C ty: State: Zip: Professional License Number: Expiration D zte: C mtractor Details Primary C mtractor: IBEO N CO NV ECT Office No.: 12533553741 Email Address: Alex@beonconnect.com C dl No.: 12533553741 Mailing Address: 11716 SE 229th PL C ty: KENT State: IWA Zip: 198031 L&I C mtractor IBEO N799LT License Number: Expiration D fie: 2027-06-30 A cknowledgement 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: JAbbyCogswell *Date: 2026-02-04 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. 4rtk( tot( WASHINGTON Project Information - ' 'nformat;^ Project # 26-0092 Parcel # 00472500000809 Building ID Location 3209 180TH ST NE Project Type Civil Use Project Use Right of Way Parent Project# Subdivision Applicant Name zipply Address 135 Lake Street S, Suite 155, Kirkland, WA 98033 Applicant Email abby.cogswelI@ziply.com Phone Cell Owner Name ZIPLY NORTHWEST FIBER LLC Address 238 N OLYMPIC AVE ARLINGTON, WA, 98223 Owner Email Phone Cell Contractor Beon connect Address Contractor Email Phone 253 3553741 Cell Type/Improveme Accessory/Struct nt ure Current Use Proposed Use Current Zoning Proposed Zoning Project Cost 1500 Project Value 1500 Current Use And PUD replaced ONE pole: Proposed Ziply just needs to transfer existing Changes attachments from the old pole to the new existing pole then remove the old pole 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 5 April 15, 2026 09:56AM WASHINGTON Structure Information Structure Type # of Stories Usable Floor Area (Sq Ft) Structure Height # of Units 0 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 5 April 15, 2026 09:56AM WASHINGTON Contractors License # Business Name Type Contact BEON1799LT Beon Connect General Contractor Alex beon ©Community Development Online Portal Page 3 of 5 April 15,2026 09:56AM 4rtk( tot( WASHINGTON Contacts Contact Name Type Project Address Phone CITY OF ARLINGTON Applicant 238 N OLYMPIC AVE ARLINGTON, WA, 98223 zipply Applicant 135 Lake Street S, Suite 155, Kirkland, WA 98033 ZIPLY NORTHWEST FIBER Owner 238 N OLYMPIC AVE 425 LLC ARLINGTON, WA, 98223 Beon connect Contractor 11716 SE 229th PL, kent, 253 3553741 WA 98031 ©Community Development Online Portal Page 4 of 5 April 15, 2026 09:56AM 4rtk( tot( WASHINGTON Fees Fee Type Date Debit Credit Balance Project Fees February 9, 2026 $150.00 $150.00 $150.00 $0.00 T O T A L $150.00 $150.00 $0.00 ©Community Development Online Portal Page 5 of 5 April 15, 2026 09:56AM