20170199 ROW Permit Pkg 05242017City of Yelm Permit No. _ AbI7 C> t cv9
PUBLIC WORKS
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
APPLICATION
The undersigned hereby makes application to: OVERLASH 3100' OF 144 COUNT FIBER FROM CORNER OF
VIEW DRIVE CT SE ON CRYSTAL SPRINGS ST NW TO 500' SOUTH OF 95 CT SE INFRONT OF COMMUNITY
CENTER.
OVERLASH 1500' OF 144 COUNT FIBER STARTING 300' NORTH OF 1ST STREET SOUTH ON EAST YELM
AVE AND CONTINUING EAST ON 1ST STREET SOUTH TO THE CORNER OF MOSMAN AVE SE.
Location of work: JOB STARTS ON CRYSTAL SPRINGS AND VIEW DRIVE, ENDS ON 1sT STREET AIN
YELM AVE
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: LACEE WENTWORTH
Address: 4610 TACOMA AVE SUMNER, WA 98390
Phone: 253- 329 -7138
Proposed starting date of installation:
Duration:
Date: 5/3/17
a ure
PERMIT REQUIREMENTS
For Official Use Only
Fee $ 0
Issued S
Fee Received $ 0
Application Approval
Signature:
Receipt Number
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:
Revised 03/09/2011
City of Yelm Permit No. o1 oll D 119
PUBLIC WORKS
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
APPLICATION
The undersigned hereby makes application to: OVERLASH 3100' OF 144 COUNT FIBER FROM CORNER OF
VIEW DRIVE CT SE ON CRYSTAL SPRINGS ST NW TO 500' SOUTH OF 95 CT SE INFRONT OF COMMUNITY
CENTER.
OVERLASH 1500' OF 144 COUNT FIBER STARTING 300' NORTH OF 1ST STREET SOUTH ON EAST YELM
AVE AND CONTINUING EAST ON 1ST STREET SOUTH TO THE CORNER OF MOSMAN AVE SE.
Location of work: JOB STARTS ON CRYSTAL SPRINGS AND VIEW DRIVE, ENDS ON 1ST STREET A
YELM AVE
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: LACEE WENTWORTH
Address: 4610 TACOMA AVE SUMNER, WA 98390
Phone: 253 - 329 -7138
Proposed starting date of installation:
Duration:
Date: 5/3/17
Laur5—e/
PERMIT REQUIREMENTS
For Official Use Only
Fee $ 0
Issued
Fee Received $ 0
Application Approval
Signature:
Receipt Number
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:
Revised 03/09/2011
N
ENGINEERED FOR:
W 6 l F M C II E
c omcast
S
YE01D NEW NODE YE07 REBAL
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222771
YELM AVE SE
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CONTACT PERSOI
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SEFNCO Communications Comcast
Project OPE Mark Torres
NW, , Yelm, \VA 98597 r s.
elJl
Lacee Wentworth
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(253)329 -7138 410 Valley Ave NW Suite 12
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v
4610 Tacoma Ave. BLDG C
Sumner, WA 98390 Puyallup, Washington 98371
`
5 Crystal Springs St
Y NNW, Yelm, WA 38597
SHEET INDEX:
1- COVER SHEET /PROJECT LOCATION
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LL
2- OVERVIEW
tam•
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3- TRAFFICE CONTROL PLAN
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YELM
comcast.
SEFNCO
JT # 222771
FILE NAMEYE01D NEW NODE YE07 REBALANCE
SHEET
PERMIT
1 OF3
COMMUNICATIONS
DATE:
5/3/2017
NUMBER :
'Where service begins"
THIS IS PROPRIETARY INFORMATION- NOT FOR DISTRIBUTION
222771 YE01D NEW NODE YE07 REBALANCE YELM AVE SE YELM Detail View
N Prepared By: 1- 1—cwon 11-1329 -n3e OVERLASH 3100' OF 144 COUNT FIBER FROM CORNER OF VIEW DRIVE CT SE ON
r Rev Date CRYSTAL SPRINGS ST NW TO 500' SOUTH OF 95 CT SE INFRONT OF COMMUNITY
SEFNCO Date
W E ENGINEERED FOR: Node Split CENTER.
COMMUNICATIONS OVERLASH 1500' OF 144 COUNT FIBER STARTING 300' NORTH OF 1ST STREET SOUTH
CCU�� �+ Mark Torres ON EAST YELM AVE AND CONTINUING EAST ON 1ST STREET SOUTH TO THE CORNER OF
S "Where service begins" ` Comcast ope MOSMAN AVE SE.
9
4
222771 1EO111 NEW NODE YE07 REBALANCE YELM AVE SE YELM Detail View
N Prepared By: Laceewentwor[n12s3132B-0138 Date: OVERLASH 3100' OF 144 COUNT FIBER FROM CORNER OF VIEW DRIVE CT SE ON
t Rev Date
SEEN CO CRYSTAL SPRINGS ST NW TO 500' SOUTH OF 95 CT SE INFRONT OF COMMUNITY
W `C0 E ENGINEERED FOR: Node Split CENTER.
COMMUNICATIONS OVERLASH 1500' OF 144 COUNT FIBER STARTING 300' NORTH OF 1ST STREET SOUTH
co m cast Comcast ope Mark Torres ON EAST YELM AVE AND CONTINUING EAST ON 1ST STREET SOUTH TO THE CORNER OF
S "Where service begins" MOSMAN AVE SE.
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222771
YEOID NEW NODE YE07 REBALANCE
YELM AVE SE
YELM
TRAFFIC CONTROL PLAN
N
Prepared By:
La -..1 -. th12- 1329
7138
Rev
Date
OVERLASH 3100' OF 144 COUNT FIBER FROM CORNER OF VIEW DRIVE CT SE ON
SEFNCO
CRYSTAL SPRINGS ST NW TO 500' SOUTH OF 95 CT SE INFRONT OF COMMUNITY
Date:
W E
CENTER.
ENGINEERED FOR:
Node Split
COMMUNICATIONS
OVERLASH 1500' OF 144 COUNT FIBER STARTING 300' NORTH OF 1ST STREET SOUTH
Mark Torres
ON EAST YELM AVE AND CONTINUING EAST ON 1ST STREET SOUTH TO THE CORNER OF
�-
S
"Where service begins"
cco m ea st
MOSMAN AVE SE.
Comcast Dpe
P HE City of Yelm
0 Community Development Department
to
Building Division
Phone: (360) 458 -8407
YELM
Fax: (360) 458 -3144
Applicant:
Name: SEFNCO COMMUNICATIONS, INC.
Address: 4610 TACOMA AVE
SUMNER WA 98390
Property Information:
Site Address: 1ST ST S
Assessor Parcel No.: Subdivision:
Contractor Information:
Name: SEFNCO COMMUNICATIONS, INC.
Address:
4610 TACOMA AVE
SUMNER WA 98390
Contractor License No.:
Project Information:
Project: UTILITY
Permit No.: 20170199
Issue Date: 5/24/2017
(Work must be completed within 180 days)
Phone: 360- 829 -0460
Owner:
Phone:
Expires: 0 /00 /0000
Lot:
Description of Work: OVERLASH 3100 FT OF 144 CNT FIBER FROM CORNER VIEW DRIVE CT SE ON CRYSTAL
SPRINGS ST NW TO 500 FT S OF 95TH CT SE IN FRONT OF COMMUNITY CENTER.
OVERLASH 1500 FT OF 144 CNT FIBER STARTING 300 FT N OF 1 ST ST S ON E YELM AVE
AND CONTINUEING E ON 1ST ST S TO THE CORNER OF MOSMAN
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Heat Type (Electric, Gas, Other):
Contractor
SEFNCO COMMUNICATIONS, INC.
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and re s ion of record. If applying as a contractor, I further certify that I am currently
I istered in J State of ashington.
nature Date 5 a�
Firm SIP VX C—o
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: _
Cite of Mm
(36) 458 -3244
RECA: 00270105 5/24/2017 4:22 PM
OPER: CO TERM: 001
REFS: 60801
PAID BY:
TRAM: 33.0000 BUILDING PERMIT'S
20170199 125.0(CR
SEENCO COMMUNICATIOW , INC.
1ST ST S
ROW 125.0(CR
TENDERED: 125.00 (HECK
APPLIED: 125.00-
CHANGE: 0.00