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Home My WebLink About19324 67th Ave Ne_PJ26-0190_2026 Right-of-Way Permit Application For submittal checklist, see below. *denotes required fields Project Information *Project Name: P-110568 *Description of Project: LOCATE EXISTING LOOP AT PUD POLE 393 AT 67TH AVE NE AT LATLON 48.172758, -122.140806.- LOCATE CUSTOMER NEW CONSTRUCTION MPOE AND PULL A 12F FIBER CABLE FROM THE MPOE THRU EXISTING 4" CONDUIT TO RISER UP AT PUD Engineers Estimated Cost of Construction; $ 18300 Contact Information Owner Information *Owner Name: John H Kooy *Office No.: 13604748000 *Email Address: N/A *Cell No.: 13604748000 *Mailing Address: 119324 67th Ave NE, Arli *City: lArlington *State: WA *Zip: 98223 Engineer Information Engineer Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Professional License Number: Expiration Date: Contractor Details Primary Contractor: IZiply Fiber Office No.: Email Address: mason.nunn@ziply.com Cell No.: Mailing Address: 135 Lake St S Ste 155 City: Kirkland State: WA Zip: 198033 L&I Contractor ZIPLYF*8001-5 License Number: Expiration Date: 2026-06-04 Acknowledgement 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). *Print Name: Mason Nunn *Date: 2026-04-03 Submittal Checklist Complete package constitutes all items. Only complete submittals will be acce Electronic files shall be PDF and submitted through this portal, email or downloadable link to file server. • Construction Plans; refer to Design Recluirements and Chanter 1 of the City of Arlington's Design and Construction Standards and Specifications Manual for required sheets. • Traffic Control Plan. • Road Closure Request. • Temporary Erosion & Sediment Control (TESC) Plan if new or replaced hard surfacing is being constructed. • Certificate of Insurance with the City of Arlington named as Additional Insured. Permit fee and any assurarnce device (Bond 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. SCOPE OF WORK: ZIPLY CONTACTS: LOCATE EXISTING LOOP AT PUD POLE 393 AT 67TH AVE NE AT LATLON 48.172758,-122.140806. LOCATE CUSTOMER NEW CONSTRUCTION MPOE AND PULL A 12F FIBER CABLE FROM THE MPOE THRU PLANNER: SADIA SULTANA EXISTING 4"CONDUIT TO RISER UP AT PUD POLE 1951. ENGINEERING COORDINATOR: DAVID TOLBERT OVERLASH ONE SPAN NORTH FROM PUD POLE 1951 TO PUD POLE 393.SPLICE XD,1 OF 12F CABLE TO EXISTING OSP PROJECT MANAGER: CRAIG COLWELL a 72F OF FT424,37. CPA:JEFFREY CRANE NOC NOTIFICATION REQ. AT THE MPOE TERMINATE FIBER CABLE IN A 12F SLIM BOX.OPS TO PLACE 10G NID CONSTRUCTION LEAD: RYAN COLVIN NOC-888-608-8029 INSPECTOR: NWF TIER 1-888-488-4427 CONSTRUCTION MANAGER:NICK NICHOLSON NWF TIER 2-888-488-4435 ATCO ENGINEER: ABDIEL GONZALEZ *ATTENTION SPLICER:VERIFY TRAFFIC ON EMAIL: ABDIEL.GONZALEZ@ATCOTELECOM.COM ASSIGNED FIBERS AND EXISTING JUMPERS, AT THE OFFICE,SPLICE LOCATION,AND THE X-CONN.IF TRAFFIC IS FOUND,PLEASE ** CAUTION ** LOCAL CONTACTS: ESCALATE TO THE LOCAL INSPECTOR MULTIPLE VOLTAGE POWER 811NAME:MADDIE WOZNEY OR SPECIAL SERVICES TEAM. CIRCUITS OVERHEAD PHONE: 1-8028 EMAIL:MADDIADDIE@INTEGRATEDCOM.NET Kv OA/EXCH: 032/51397 COPPER TERMINAL: N/A CALL BEFORE FIBER TERMINAL:DOFTP FT-1018111 YOU DIG FIBER FEEDER ASSIGNMENT:F1-FT424,37 BACK TO ARTNWAXX AT PLANT 2030-BAY:T-418-M/S:59-PORT:37 LOCATION MAP • ALL FACILITIES NOT PERTAINING TO THIS WORK - ORDER HAVE BEEN OMITTED FOR CLARITY- UNITS/ACCT CODES MATERIAL TYPE QTY ' .. . - 1t_-+ ptTL M ► }a > SHEET 3 Nub ILI 0+00 t START - _ t „ ___ REVISIONS r _L .. 4 ci I f i ber _ •� . 'J ARTN -3515539-1 G _ _ y DIDGWALIC WELLNESS CENTER *�ti = •• �� PROJECT C.O.AREA: 032 b, i , NUMBER: P-11056816024043 EXCH.CODE: 51397 �• ' � �' � L� '==� � '�-`� - DRAWN DATE: ENGR: WAYNEW SNOBENDELL CNTY: SNOHOMISH ' _ Z 03/1312026 PHONE:425.308-7581 FILE: 51397-6024043.DWG SCALE: N.T.S TAX DISTRICT:617CP DWG 1 OF 6 TNNSHP: 31N RNG 5E SEC 15 LEGENDS' a ATCO ENGINEER: LINETYPES AREAS OF USE SYMBOL DESCRIPTION EMAIL: BF- ——— — BF — ———-BF—— PROPOSED BURIED FIBER C/L CENTERLINE ** CAUTION *" 811 --BF----- BF -----BF-- EXISTING BURIED FIBER ROW RIGHT OF WAY MULTIPLE VOLTAGE POWER CIRCUITS OVERHEAD AF AF AF PROPOSED AERIAL FIBER EOP EDGE OF PAVEMENT N(7 AF AF AF EXISTING AERIAL FIBER ESMT UTILITY EASEMENT UGF•————UGF————•UGF-— PROPOSED UG FIBER P/L PROPERTY LINE CALL BEFORE —-UGF-————UGF————-UGF-— EXISTING UG FIBER CO DIRECTION YOU DIG —-UFT-————UFT————-UFT-— EXISTING UG FIBER TAIL HH EXISTING HH —-BFT-—— BFT ——-BFT-— EXISTING BURIED FIBER TAIL HH PROPOSED HH ALL FACILITIES NOT PERTAINING TO THIS WORK EXISTING CONDUIT NORTH ARROW ORDER HAVE BEEN OMITTED FOR CLARITY**' C PROPOSED CONDUIT ® CO/EXCHANGE UNITS/ACCT CODES RIGHT OF WAY • SPLICE POINT EDGE OF PAVEMENT PROPOSED SPLICE ARROW CENTERLINE X FOREIGN OWNED POLE O ZIPLY POLE RAILROAD TRACKS ® JOINT USE POLE SECTION LINE EXISTING SPLICE ARROW BFT•——— —BFT— ——— •BFT-— PROPOSED BURIED FIBER TAIL O PROPOSED CONDUIT —-AFT•——— —AFT— ——— •AFT-— PROPOSED AERIAL FIBER TAIL FP PROPOSED FLOWERPOT —-UFT•——— —UFT— ——— •UFT-— PROPOSED UG FIBER TAIL PROPOSED PEDESTAL ------------------------------------------------- UTILITY EASEMENT EXISTING HUB SIDEWALK ram PROPOSED TERMINAL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FENCE EXISTING ANCHOR&GUY - — — — — — — — — — — — — — — — - DITCH • PROPOSED ZIPLY POLE CULVERT Hub HUB DIRECTION --DROP ----DROP---- DROP-— DROP REVISIONS OTREE TRIMMING 0 ZIPLY POLE REMOVAL X FOREIGN OWNED POLE REMOVAL I LOCATE MARKER ® EXISTING COPPER PEDESTAL 7\ SIDEWALK ANCHOR&GUY © PROPOSED MH ziply f i be r mH EXISTING MH - PROPOSED BORE PIT ARTN -3515539-1 G PEDESTAL REMOVAL SMOKEY POINT DISTRIBUTING PROJECT C.O EA: 032 BFI-ONT BFI OPTICAL NETWORK TERMINAL ,AR NUMBER: P 11056816024043 EXCH.CODE: 51397 rem DRAWN DATE: ENGR: WAYNEWENDELL CNTY', SNOHOMISH PROPOSED SLIMBOX TERMINAL _ 03/13/2026 PHONE,425-308-7581 FILE: 51397.6024043.DWG SCALE: N.T.S TAX DISTRICT 617CP DWG 2 OF 6 TWNSHR 31N RNG: 5E SEC: 15 3 3 a o U I � Z I ATCO ENGINEER:ABDIEL GONZALEZ a a EMAIL:ABDIEL.GONZALEZ@ATCOTELECOM.COM I I 5505804 2421.201 3626' 432E ** CAUTION ** XD,1-72+ ARTNWAXX FC1058,73-300+ MULTIPLE VOLTAGE POWER 811 XD,301-432 CIRCUITS OVERHEAD I 0CQ 2421.201 44 a 4407' O �O EXISTING SNO CNTY PUD PL 78 I I 48F � 48.173323, -122.140845 ARTNWAXX T10,1-24+ I XD,25-36+ CALL BEFORE 5W 48 FT180,37-44+ Q XD, I YOU DIG I I UTING I I I I I BRIDGE TAP*COON I *COUNT CHANGE* W 1 ***ALL FACILITIES NOT PERTAINING TO THIS WORK 5124497 2421.201 Z I ORDER HAVE BEEN OMITTED FOR CLARITY*** 4454' Q a 72F I ARTNWAXX FT424,1-6+ #19604 xo,7-8+ n 3 UNITS/ACCT CODES ARTNWAXX FT424,9-11+ D,12-14+ 1 SPLICE ENCLOSURE (ARTNWAXX FT424,15-68) ARTNWAXX FT424,15-36+ Q I LL I 1 MST W/1000'TAIL ARTNWAXX FT424,38-68+ c D,69-72 m I � I I I I I ' 1 I ENTRANCE I I II I , I I 1 I START - STA. 0+00 II- I EXISTING SNO CNTY PUD PL 79 YSC1 TAG: 393 �' 48.1727171,-122.1408675 I PLACE NEW AE ENCLOSURE I SEE PIC 1 a I 2427.207 I 72F 12F I I REVISIONS �I Q ll 1 oD z OVERLASH TO EXISTING I *PLACE 12F CABLE AE* Q I 6024043 2421.201 a OVERLASH TO EXISTING-266' R I 1 12F ARTNWAXX FT424,37+ I XD,2-12 EXISTING SNO CNTY PUD PL UNK I TAG: 392 48.1723655,-122.1408734 1 7 zi lyf 1 ber *SOURCE 72F AE* a I 5124497 2421.201 I I I I 4454' ARTNWAXX FT424,1-6+ G I D,7-8+ ARTN -3515539-1 G I ARTNWAXX FT424,9-11+ RR12-14+ SMOKEY POINT DISTRIBUTING TNWAXX FT424,15-69-72 PROJECT C.O,AREA: 032 NUMBER: P 11056816024043 EXCH.CODE: 51397 MATCHLINE SEE SHEET 4 DRAWN DATE: ENGR: WAYNEWENDELL CNTY SNOHOMISH 12/26/2025 PHONE,425-308-7581 FILE, 51397.6024043.DWG SCALE: N.T.S TAX DISTRICT 617CP I DWG 3 OF 6 TWNSHP: 31N RNG 5E SEC: 15 MATCHLINE SEE SHEET 3 - _ _ _ _ _ _ _ _ _ _ _ _ _ -r _ _ _ _ _ - a IRISER DETAIL I 0- I n¢ ATCO ENGINEER:ABDIEL GONZALEZ EXIST TEL d R EMAIL:ABDIEL.GONZALEZ@ATCOTELECOM.COM 4" PVC I EXIST PWR 00 3" PVC STA.2+66 ; ** CAUTION ** EXISTING SND CNTY PUD PL 19S1 — I MULTIPLE VOLTAGE POWER 811 TAG:392 I CIRCUITS OVERHEAD 48.1719599,-122.1408858 70' a RISER DOWN IN uGF-— EXISTING 4" RISER O �O r SEE PIC 2 ? I I IN EXISTING 4" OCCUPIED DUCT I I I CALL RE *PLACE 12F CABLE UG* �I U I YOU DIG 6024043 2421.201 PLACE CABLE IN SUB-DUCT-216' ENTRANCE Z 12F It. � I ARTNWAXX FT424,37+ ; d XD,2-12 SEE PIC 3 ACC/CNH STA.4+04 I ALL FACILITIES NOT PERTAINING TO THIS WORK TERMIN ORDER HAVE BEEN OMITTED FOR CLARITY*** I I I AL NAME: 2 I I DOFTP FT-1018111 zazz.zol I UNITS/ACCT CODES CUSTOMER ADDRESS: 12F 12F -H #19324 19324 67TH AVE NE, �� I I 1 SPLICE ENCLOSURE ARLINGTON WA 98223 LCON NAME:MADDIE WOZNEY 1 12F SLIM BOX-STUBLESS LOCN PHONE:763-201-8028 552' 12F CABLE-TOTAL LENGTH LCON EMAIL:MADDIECNTEGRATEDCOM.NET Lu Z I I > I I I a END - STA. 4+54 n *PLACE NEW 12F SLIM BOX* DOFTP FT-1018111 I I ARTNWAXX FT424,37+ crI XD,2-12 L- STORAGELL z m ENTRANCE I I I � I I ' I EXISTING SNO CNTY PUD PL 80 I ® I I 48.1712748,-122.1409 375 I ' II I I REVISIONS I I ' I I II I OVERLASH TO EXISTING-266' *SOURCE 72F AE* 5124497 2421.201 I 4454' I 72F ARTNWAXX FT424,1-6+ XD,7-8+ ARTNWAXX FT424,9-11+ D, - I ziply f i ber RTNWAXX FT424,15-68+ I D,69-72 72 I � I I � I I I D II V ARTN -3515539-1 G A m o o 3t SMOKEY POINT DISTRIBUTING o or PROJECT C.O,AREA: 032 NUMBER: P-11056816024043 EXCH.CODE: 51397 DRAWN DATE: ENGR: WAYNEWENDELL CNTY: SNOHOMISH 12/26/2025 PHONE,425-308-7581 FILE: 51397-6024043.DWG SCALE: N.T.S TAX DISTRICT 617CP I DWG 4 OF 6 TWNSHP: 31N RNG 5E SEC: 15 a ATCO ENGINEER:ABDIEL GONZALEZ EMAIL:ABDIEL.GONZALEZ@ATCOTELECOM.COM CAUTION ** MULTIPLE VOLTAGE POWER 811 CIRCUITS OVERHEAD START STA. o+oo L O s0 EXISTING SNO CNTY PUD PL 79 - - CALL BEFORE TAG: 393 _ L _ 48.1727171,-122.1408675 YOU DIG "` «1- PLACE NEW AE ENCLOSURE 1 - ALL FACILITIES NOT PERTAINING TO THIS WORK - ORDER HAVE BEEN OMITTED FOR CLARITY- PICTURE *IMAGE CAPTURED FROM STREETVIEW UNITS/ACCT CODES LOOKING SOUTH STA.2+66 EXISTING SND CNTY PUD PL 19S1 TAG:392 48.1719 59 9,-12 2.1408858 RISER DOWN ±30' IN EXISTING 4" RISER REVISIONS - -_ - P zi lyf i ber - - *IMAGE CAPTURED FROM STREETVIEW *IMAGE CAPTURED FROM STREETVIEW PICTURE 2 PICTURE 3 LOOKING NORTH END - STA. 4+54 LOOKING WEST ARTN -3515539-1 G *PLACE NEW 12F MST W/100'TAIL* SMOKEY POINT DISTRIBUTING DOFTP FT-1018111 032 ARTNWAXX FT424,37+ PROJECT EXCH. O 513 XD,2-12 NUMBER: P-11056816024043 EXCH.CODE: 51397 DRAWN DATE: ENGR: WAYNEWENDELL CNTY, SNOHOMISH 12/26/2025 PHONE:425-308-7581 FILE: 51397.6024043.DWG SCALE:TWN N.T.S TAX DISTRICT:617CP DWG 5 OF 6 SHP: 31N RNG 5E SEC: 15 MPOE, new construction, different room than old MPOE. Existing crawl space from 4"conduit stub(old MPOE 8651)to New M POE. a Existing 120V receptacle. EUC's: 1.Entry pipe from crawl space. ATCO ENGINEER:ABDIEL GONZALEZ 2.Wooden backboard(minimum 2'x2'). EMAIL:ABDIEL.GONZALEZ@ATCOTELECOM.COM Customer Troy Fuller agreed to provide these already. *' CAUTION j MULTIPLECIRCUITS OVERHEAD CALL BEFORE Future Customer YOU G Provide wooden backboard space c ALL FACILITIES NOT PERTAINING TO THIS WORK m ORDER HAVE BEEN OMITTED FOR CLARITY**. UNITS/ACCT CODES Future Customer 1 Provide 2"entry hole _ = „a from crawl space J lr 10/12 Customer Feed PUD Riser Pole 19S1"392". 4"conduit stub in crawl -Existing 4"riser going inside Customer Buildingcrawl space. S ace,COnt... a-wr 50pr in w1oduct P from Customer Feed -bypass old MPOE and continue through Riser Pole crawl space to new MPOE. :,rMPOE965t. REVISIONS Old 50pr cut an0 '1T dangbngincrawl s ace i a MPOE ;�/� �� ,�r♦ywr A If If I. __ iplyf1 ber ll - - e i el ARTN —3515539—1 G V `y SMOKEY POINT DISTRIBUTING PROJECT C.O.AREA: 032 NUMBER: P-11056816024043 EXCH.CODE: 51397 8/1 DRAWN DATE: ENGR: WAYNEWENDELL CNTY: SNOHOMISH 12126/2025 PHONE:425-308-7581 FILE7 51397-6024043.DWG SCALE: N.T.S TAX DISTRICT:617CP IDWG 6 OF 6 TWNSHP: 31N RNG: 5E ISECI 15 www.invarion.com ttt tt t iat, t� �6aet,� t,N\tea0 N\tea �O N\te0�N � ev0 N �tet Piar Pia p iapaR O t\o t%on P 6y d�c 6y d�c 6y d�c 6y d�c 6y d�c Orly )Urns Only )U�vs Only )�r�s Or\y )U��s Only � )U'��s PP ovova PPpCova PP9Cova PPpCova PPpCova P v at%ors r ators f aeons C attons r ators P\te O�N Pete O�N Pete O�N P\te O\N P\te O�N Phan -Nhe R t�or Pear .the t\on P\ar .�6e t%or P\an .ire R t\or Phan -�\�e R ton P Orly 161 T\ )U'��sa;c On\y 6 a\ )U�;sa;c Only 6 a\ )U�;sd;c Or\y 6 a\ )UV;sd;c Orly 161` )U�;sa"c PPPVov PPpcov PPpc0 PPpvov PPpcov P tors tors tors tors tors P\te(a O� P�teta O� P�te�a O� Patera O� P�teca O� Pear -Nre " . 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V% P;ar -Nre w t�or Plan -Nre�, t�or Plan .the R' t�or P\ar .Nhe R'kict�or P Or`y 161` W ksarc On\y 161` )U�Vsa;c On\y 6 a\ )UV�sa;c Or\y 161\ )UV;salt on\y 161` )�r,gc PPpcov PPpcov PPpcov PPpcov P 3ptov P tors tors tors tors tors Patera O� Patera O� Patera O� Patera O� Patera O� Poar -,he�� t�or Pear the t0r P\a`' Ire� t�or Pear the R t�or P\a`\ -�6e R to'� P Orly 61 )Ur;sd%c On\161 )Ur;sdic Or y 6y\ )OV-VOIc On\y 6y\ )UrIsd1C Or\y 6y )U'��sa,c PPpCova PPprova PPprova PPprova p►P 3vo j P r Alterat,R 0 r Alterat,�0 r Alterat,�0 n N�tevat,RO n p,�terat,R 0 Pia -the t%on Pia -Nhe t\on P\a -ire t%or Pia 16e t\on P\a '(he t%on P 6y dxc 6y d"c 6y d1c 6y , Ic 6y a;c Orly )UV's Only )Ur's 0vM \ )Ur's Only )Ur's Only )Ur's PP 3vova PPpCova PPp(ova PPpCova P'PpCova P p�\tecat%o O�1 p,\terat%o OWN P�tetiat%o rat%o O)N p�\te OWN p�\terat'o OWN TY O City of Arlington 18204 59th Avenue NE, Arlington, • • 1114r(" too Washington 98223 Phone: 360-403-3551 1 G,�0 WASHINGTON N Invoice Number: 26-0342 INVOICE Invoice Date: April 6, 2026 Account Number: 3421125614 Bill To: Invoice Questions? Mason Nunn Phone: 360-403-3551 423 S Chilton Email: ced@arlingtonwa.gov Invoice Due Date: April 6, 2026 Record Number: Project A26-0190 Parcel Number: 31051500400200 Location: 19324 67TH AVE NE Date Description Paid Date Amount Paid Balance April 3, 2026 Processing/Technology Fee (320.341.43.00.02) $25.00 April 3, 2026 Right of Way(006.322.40.00.02) $498.00 TOTAL: Project Fees $523.00 $523.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------- 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 April 6, 2026 Number Number This Invoice 26-0342 3421125614 $523.00 Mason Nunn 423 S Chilton 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:31051500400200 Permit#:26-0190 Permit Address:19324 67TH AVE NE Permit Expiration: July 6, 2026 Description of Work:LOCATE EXISTING LOOP AT PUD POLE 393 AT 67TH AVE NE AT LATLON 48.172758,-122.140806.-LOCATE CUSTOMER NEW CONSTRUCTION MPOE AND PULL A 12F FIBER CABLE FROM THE MPOE THRU EXISTING 4a€CONDUIT TO RISER UP AT PUD POLE 19S1.- OVERLASH ONE SPAN NORTH FROM PUD POLE 19S1 TO PUD POLE 393.SPLICE XD,1 OF 12F CABLE TO EXISTING 72F OF FT424,37.-AT THE MPOE TERMINATE FIBER CABLE IN A 12F SLIM BOX.OPS TO PLACE 10G NIDNOC NOTIFICATION REQ.NOC-888-608-8029NWF TIER 1-888-488- 4427NWF TIER 2-888-488-4435*ATTENTION SPLICER:VERIFY TRAFFIC ONASSIGNED FIBERS AND EXISTING JUMPERS,AT THE OFFICE,SPLICE LOCATION,AND THEX-CONN.IF TRAFFIC IS FOUND,PLEASEESCALATE TO THE LOCAL INSPECTOROR SPECIAL SERVICES TEAM. OWNER APPLICANT CONTRACTOR Mason Nunn Ziply John H Kooy 423 S Chilton 135 Lake St S Ste 155,Kirkland,WA 98033 19324 67TH AVE NE ARLINGTON,WA, 98223-8769 9035392104 000-000-0000 mason.nunn@ziply.com mason.nunn@ziply.com registration_number:ZIPLYF*800L5 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. Restoration of any infrastructure affected by the installation shall be per City of Arlington Standards & 3.) 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. Private property owners which may be affected by the proposed work must be notified in advance of potential 4') disruptions in access or utility services. Please be advised Ziply is responsible for ensuring the placement of new and updated structures. Do not restrict 5.) existing use of right of way. Please take special note of secondary accesses that are used for RVA€"s, boats, or other special uses. 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 April 3, 2026 ProcessingfIechnology Fee(320.341.43.00.02) $25.00 April 3, 2026 Right of Way(006.322.40.00.02) $498.00 TOTAL: Project Fees $523.00 $523.00 Credit/Debit Card 511 Payment Successful April 6, 2026 $523.00 $0.00 4rtk( tot( WASHINGTON Project Information - ' 'nfornnat;^- Project # 26-0190 Parcel # 31051500400200 Building ID Location 19324 67TH AVE NE Project Type Civil Use Project Use Right of Way Parent Project# Subdivision Applicant Name Mason Nunn Address 423 S Chilton Applicant Email mason.nunn@ziply.com Phone 9035392104 Cell Owner Name John H Kooy Address 19324 67TH AVE NE ARLINGTON, WA, 98223-8769 Owner Email Phone Cell Contractor ziply Address 135 Lake St S Ste 155, Kirkland, WA 98033 Contractor Email mason.nunn@ziply.com Phone 000-000-0000 Cell Type/Improveme Accessory/Struct nt ure Current Use Proposed Use Current Zoning Proposed Zoning Project Cost 8300 Project Value 8300 Current Use And LOCATE EXISTING LOOP AT PUD POLE 393 AT 67TH AVE NE AT LATLON 48.172758, -122.140806.- LOCATE Proposed CUSTOMER NEW CONSTRUCTION MPOE AND PULL A 12F FIBER CABLE FROM THE MPOE THRU EXISTING 4" Changes CONDUIT TO RISER UP AT PUD POLE 19S1.-OVERLASH ONE SPAN NORTH FROM PUD POLE 19S1 TO PUD POLE 393. SPLICE XD,1 OF 12F CABLE TO EXISTING 72F OF FT424,37.-AT THE MPOE TERMINATE FIBER CABLE IN A 12F SLIM BOX. OPS TO PLACE 10G NIDNOC NOTIFICATION REQ.NOC-888-608-8029NWF TIER 1 - 888-488-4427NWF TIER 2 - 888-488-4435*ATTENTION SPLICER: VERIFY TRAFFIC ONASSIGNED FIBERS AND EXISTING JUMPERS,AT THE OFFICE, SPLICE LOCATION,AND THEX-CONN. IF TRAFFIC IS FOUND, PLEASEESCALATE TO THE LOCAL INSPECTOROR SPECIAL SERVICES TEAM. 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 17, 2026 10:23AM 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 5 April 17, 2026 10:23AM WASHINGTON Contractors License# Business Name Type Contact ZIPLYF*8001-5 Ziply General Contractor Mason Nunn ©Community Development Online Portal Page 3 of 5 April 17,2026 10:23AM 4rtk( tot( WASHINGTON Contacts Contact Name Type Project Address Phone Mason Nunn Applicant 423 S Chilton 903-539-2104 Ziply Contractor 135 Lake St S Ste 155, 000-000-0000 Kirkland, WA 98033 John H Kooy Owner 19324 67TH AVE NE ARLINGTON, WA, 98223-8769 Mason Nunn Others 423 S Chilton 903-539-2104 ©Community Development Online Portal Page 4 of 5 April 17, 2026 10:23AM 4rtk( tot( WASHINGTON Fees Fee Type Date Debit Credit Balance Project Fees April 3, 2026 $523.00 $523.00 $523.00 $0.00 T O T A L $523.00 $523.00 $0.00 ©Community Development Online Portal Page 5 of 5 April 17, 2026 10:23AM