2021.0622.ST0067 ROW Permit Issue 12.21.2021ROW Permit Date Issued:
12/20/2021
Permit #:
2021.0622.ST0067
Applied Date:12/08/2021 Issue Date:12/20/2021 Expiration Date 06/18/2022
Proposed Use:UPGRADE EXISTING DOG HOUSE TO NODE
PEDESTAL
- DIG UP AND REPAIR CONDUIT.
- PROOF AND PULL 48CT FIBER THROUGH EXISTING 4"
CONDUIT
- INTERCEPT EXISTING CONDUIT , DIRECTIONAL BORE
TO PROPOSED JOINT TRENCH LOCATION AND PULL
48CT FIBER THROUGH
Physical Address:15025 TAHOMA BLVD SE Require Sprinklers:No
Parcel #:21724420300 Structures:Heating:
Subdivision:Stories:Roofing:
Zoning:Moderate Density Residental Bedrooms:Bathrooms:
Load:Construction Type:
Use:Multi-family Code Edition:2015
Occupancy:Service Location:
Applicant Contractor
URBANIAK LEIGH URBANIAK LEIGH
406 PORTER WAY 406 PORTER WAY
MILTON, WA 98354 MILTON, WA 98354
Contact:Contact:
Phone:(253) 922-2787 Phone:(253) 922-2787
Fax:( ) -Fax:( ) -
Email:lurbaniak@cannonconstructioninc.com Bus Lic:
Cont Lic:
UBI:
Fees Qty Rate Amount Date Fully Paid Invoice #Amount
v Standard ROW Permit 1.00 250.00 250.00 12/20/2021 3231 450.00
v Street Cut Up To 50 Sq. Ft.1.00 200.00 200.00
450.00 450.00
Estimated Balance Due:
Conditions
Set By:DerekM The contractor shall be responsible for all
traffic control in accordance with MUTCD.
No work shall commence until all approved
traffic control is in place.Resolved Date:Resolved By:
Set By:DerekM Trench - Pavement Restoration shall
conform to specifications found in Chapter
2.10.140 of City of Yelm Development
Guidelines and Standard Details Dwg 2-10Resolved Date:Resolved By:
Set By:DerekM Temporary Street Patching shall conform to
specifications found in Chapter 2.10.130 of
City of Yelm Development GuidelinesResolved Date:Resolved By:
Inspections
Initials ______Page 1
City of Yelm, Washington
106 2nd Street SE | Yelm, WA 98597
To Schedule Inspections Please Call:
(360) 458-8410 | www.yelmwa.gov
ROW Permit Date Issued:
12/20/2021
Permit #:
2021.0622.ST0067
Initials ______Page 2
City of Yelm, Washington
106 2nd Street SE | Yelm, WA 98597
To Schedule Inspections Please Call:
(360) 458-8410 | www.yelmwa.gov
All work will comply with terms as described in Chapter 15.72 YMC "Conditions for Use of Right-of-Way" and
Chapter 18.28 YMC : Engineering Specifications and Standard Details"
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The Underground Utilities Coordinating Council (1-800-424-5555) must be contacted two (2) working days
before proceeding with any excavation associated with this permit.
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Notify the City of Yelm Inspection Hotline @ (360) 458-8410 at least 24 hours before work commences and to
coordinate final inspection.
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