20160349 ROW Permit 10212016City of Yelm
Permit No. UP10
PUBLIC WORKS
I agree to perform the work in strict compliance with Yelm Municipal Code, Chapter , the special
conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions
applicable to permits contained on this form.
901 Rhoton Rd NW
Application to Perform Work on
Yelm, WA 98597
Public Right of Way and /or Connect
Phone: 360 -458 -8406
to Utilities
FAX: 360-458-8417
For Official Use Only_
APPT.Tf ATTON
The undersigned hereby makes application to:
Attach 8800' of new 1/4' strand along with a 288ct, 144ct, and a 98ct Fiber Optic cable. We plan to run this fiber on Mosman Ave SE in
between 1 st St S and 3rd St SE for 875', then go Northeast on 3rd St SE for 475', East on Mckenzie Ave for 485', Northwest on 4th St
SE for 675', Southeast on E Yelm Ave (507) for 4100'. Underground will cross Bald Hill Rd SE and Hwy 507 (see design for details)
and continue aerially eastbound on 507 for another 2350' before going underground for 1250' at which Point will cross out of city Right
of Way and become WSOOT jurisdiction.
Location of Work: Mosman Ave SE, 3rd St SE, Mckenzie Ave, 4th St SE, E Yelm Ave, Bald Hill Rd SE
I agree to perform the work in strict compliance with Yelm Municipal Code, Chapter , the special
conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions
applicable to permits contained on this form.
The Public Works Department (360 -458 -8406) must be contacted for inspection 24 hours before work
commences or this permit will be void.
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.
Name: Astound Broadband, LLC
Address: 401 Parkplace Center, Suite 500, Kirkland, WA, 98033 Phone: 206- 765 -0915
Proposed starting date of installation: 10/31 /16 Duration: - w e e.
Date: 10/19/2016
Signature:' —
PERMIT REQUIRE NTS
For Official Use Only_
Fee $
c�
Issued
Fee Received $ k L .
Application Approval A /
Signature:
Receipt Number obZ
To Be Completed By Ci
Permission is hereby granted to perform the above described work subject to the general provisions contained
on thi form, and the fqllowing special conditions:
1 - , �' A10 "
fne'7�AI-.
A bond in the amount of is required to insure compliance with the above
conditions, refundable upon satisfactory completion of work.
No work shall be done under this permit until the party or parties to whom it is granted shall have
communicated with and received instructions from:
Remarks:
First Inspection
Date:
Inspector Final Project
Completion Approval:._
Date:
Revised 03/09/2011
�ECEI EI
I
BY-- -------------- - - - - --
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458 -3144
Applicant:
Name. ASTOUND BROADBAND, LLC
Address: 401 PARKPLACE CENTER, STE 500
KIRKLAND WA 98033
Property Information:
Site Address: YELM AVE E
Assessor Parcel No.:
Contractor Information:
Name: ASTOUND BROADBAND, LLC
Address:
401 PARKPLACE CENTER, STE 500
KIRKLAND WA 98033
Contractor License No.:
Permit No.: 20160349
Issue Date: 10/21/2016
(Work must be completed within 180 days)
Phone: 425 - 256 -0547
Owner:
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: UTILITY
Description of Work: LOCATION OF WORK MOSMAN AVE SE, 3RD ST SE, MCKENZIE AVE, 4TH ST SE, YELM
AVE E AND BALKD HILLS ROAD SE. SEE APPLICATION FOR DISCRIPTION OF WORK.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Contractor
ASTOUND BROADBAND, LLC
TOTAL FEES:
Applicant' Affidavit:
I certify tha I have read and examined the information contained within the application and know the same
to be true a d correct. Loo - certify that the proposed structure is in conformity with all applicable City of
Yelm regul tions including those�overning zoning and land subdivision, and in addition, all covenants,
easements nd res Actions of record. If applying as a contractor, I further certify that I am currently
registered in, the St a of Wash' gton.
Signature Date
Firm X0 11�1-
Fees
$ 125,00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Gitl of Yelm
3g ,of 458 -3244
REC#: 00247718 10/21/2016 4:05 PM
OPER: CO TERM: 001
REFS': 178676
PAID BY.
TRAN: 33.0000 BUILDING 0(CRI1j
20160349
ASTOUND BROADBAND, [LC
YELM AVE E
ROW 125.0(CR
TENDERED: 125.00 (NECK
APPLIED: 125.00 -
CNANGE: 0.00
_ • r* - - --
wave
Eric Wehner
Fiber Permit Technician II
425.247.6963 (w)
ewehner@wavebroadband.com
401 Parkplace Center, Suite 500
Kirkland, WA 98033 ATA
gowave.com