20170195 ROW Permit Pkg 05182017City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360- 458 -8406
FAX: 360 - 458 -8417
Permit No. 2blfl0 1 vl .J
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
APPLICATION
The undersigned hereby makes application to:
Proof and place 2500' of fiber optic cable in existing conduit and replace an existing pedestal.
Location of work: Longmire St SE
I agree to perform the work in strict compliance with Yelm Municipal Code, 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: Josh Blakeslee
Address: 4610 Tacoma Ave, Sumner, WA 98390 Phone: 253 - 455 -1066
Proposed starting date of installation: Duration:
Date:
Signature:
PERMIT REQUIREMENTS I
For Official Use Only
Fee $ 125.00
Issued l
Fee Received $ 125.00
Application Approval
Signature:
Receipt Number 05-1
To Be Completed By City
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this form, and the followingspecial conditions:
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
City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360- 458 -8406
FAX: 360- 458 -8417
Permit No. 20120 1 vl J
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
APPLICATION
The undersigned hereby makes application to:
Proof and place 2500' of fiber optic cable in existing conduit and replace an existing pedestal.
Location of work: Longmire St SE
I agree to perform the work in strict compliance with Yelm Municipal Code, 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: Josh Blakeslee
Address: 4610 Tacoma Ave, Sumner, WA 98390 Phone: 253 - 455 -1066
Proposed starting date of installation: Duration:
Date:
Signature:
PERMIT REQUIREMENTS
For Official Use Only
Fee $ 125.00
Issued
Fee Received $ 125.00
Application Approval
Signature:
Receipt Number o5-1
To Be Completed By City
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this form, and the following special conditions:
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 A roval:
Date:
Revised 03/09/2011
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REFER TO CHAPTER 1.5.5 FOR ADDITIONAL INFORMATION
SION SPACING a X (FEET) ( 1 )
RURAL ROADS i URBAN ART6RIAL6 36 1.40 A1PN mck
"SID ROADS. URBAN S DISTRICTS
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anent Bennett
SEFNCO
COMM`UNJCAT"IOri S
01 1As t
L TYPICAL SHOULDER CLOSURE - LOW SPEED (40 MPH OR LESS) s
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214113 YE03 REBALANCE NEW NODE IN BUSS YE06 LONGMIRE STREET SE YELM TRAFFIC CONTROL
N Prepared By: =Blakeslee (253)4S5-1066
\ , Rev Date
SEFNCO Date: 21- Apr -17
yy E ENGINEERED FOR: NODE SPLIT REPLACE AN EXISTING PEDESTAL PROOF AND PLACE 2500' OF 48 COUNT FIBER INTO
COMMUNICATIONS EXISTING CONDUIT.
cco m cast Mark Torres
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LONGMIRE ST SE
214113 YE03 REBALANCE NEW NODE IN BUSS YE06 LONGMtRE STREET SE YELM overview
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SMEEO IYPHI
25 3D
3S
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45
SO 55
fi0
65
TO
LENGTH Ifestr
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250
305
360
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619
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100 MAX.
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ROLL AHEAD STOPPING
DISTANCE ASSUMES DRV
PAVEMENT
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VEHICLE SHALL BE STRATEGMCALLT LOCATED IH THE FELD TO
SHIELD WORKERS AND NO POLL AHEAD DISTANCE IS SPECIFIED.
REFER TO CHAPTER 1.5-5 FOR ADDITIONAL Iri ORMATION
SIGH 9 AC1No - x (FEET) 4 1 )
RURAL ROADS A URBAN AK1w RLk 9 ]S 1 eD ►aPH a6Of
AAXTAL. ROMDS, LKTBJW ARTERV.LS 261 b NPH anaf (m
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(2) This spsckV may be reduced In urban areas to tk roadway
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0 0 o et1ANNEUZIND CREVICES
PRCYTFCTTVE VEHICLE - RECOUMENOED
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TCP 5
#003973
Brent Bennett
SEFNCO
214113 YE03 REBALANCE NEW NODE IN BUSS YE06 LONGMIRE STREET SE YELM TRAFFIC CONTROL
N Prepared By: l 11 Blake I.. 12531455 -10ee
� Rev Date
SEFNCO Date: 21- Apr -17 REPLACE AN EXISTING PEDESTAL. PROOF AND PLACE 2500 OF 48 COUNT FIBER INTO
ENGINEERED FOR: NODE SPLIT
W r E COMMUNICATIONS EXISTING CONDUIT.
comcast Mark Torres
"Where service begins" Comcast a e
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: SEFNCO COMMUNICATIONS, INC.
Address: 4610 TACOMA AVE
SUMNER WA 98390
Property Information:
Site Address: innTW AVIF SF
Assessor Parcel No.:
Contractor Information:
Name: SEFNCO COMMUNICATIONS, INC.
Address:
4610 TACOMA AVE
SUMNER WA 98390
Contractor License No.:
Permit No.: 20170195
Issue Date: 5/18/2017
(Work must be completed within 180 days)
Phone: 360- 829 -0460
Owner:
Subdivision:
Phone:
Expires: 0 /00 /0000
Lot:
Project Information:
Project: UTILITY
Description of Work: PROOF AND PLACE 2500 FT OF FIBER OPTIC CABLE IN EXISTING CONDUIT AND
REPLACE AN EXISTING PEDESTAL.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Contractor
SEFNCO COMMUNICATIONS, INC.
TOTAL FEES:
A 1 ca is Affidavit:
I certify hat I have read and examined the information contained within the application and know the same
to be t e and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm r gulatio in ing se governing zoning and land subdivision, and in addition, all covenants,
ease nts a estrictions o record. If applying as a contractor, I further certify that I am currently
regist ed in a State of Signat e Date GJ' ((J'1
Firm k:w� J—
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cif of Ye lm
(36) 458 -3244
REC4: 00269841 5/18/2017 4:14 PM
OPER: CO TERM: 001
REFA: 60573
PAIC BY:
TRAM: 33.0000 BUILDING PERMII'3
20170195 125.0(CR
SEFNCO COMMUNICATIOPS, INC.
MOTH AVE SE
ROW 125.0(CR
TENDERED: 125.00 (HECK
APPLIED: 125.00 -
CHANGE: ~�` p,00