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20170270 ROW Permit Pkg 07252017
City of Yelm Permit No. G2'n1 PUBLIC WORKS 901 Rhoton Rd NW Application to Perform Work on Yelm, WA 98597 Public Right of Way and /or Connect Phone: 360458 -8406 to Utilities FAX: 360- 458 -8417 APPLICATION 11 I The undersigned hereby makes application to: d W b`w 115W ) Al R-/A/ 40 11.4 ��� I �C�i �l�' 0�/ c ►v Ca � OF � as s 0111--V Wipa /5;'-10 ' /0' -M G ' V 0 fA ©AII/A , 44 exklp4ir ChNi✓ 8' 7L GrtC� -7- v,, nt1 A/vv^%r -e DX • y� *- 777°/l6 P. Location of work: 1454gt) qRtJP y(/ s� YaA4 Ubb --141 ^1'--30/ 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: 7-1/ Ue, /Z474* .619 &k Address: yV F /P Phone: �' 0 U (a( 5 Proposed starting date of installation: ol il I Duration: a Q s Date: Cop/ I 1:7 Signature: -A!� PERMIT REQUIREMENTS I For Official Use Only Fee $ 65, o° Issued Fee Received $ Application Approval Signature: Receipt Number 000,71 QO 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 Approval: Date: Revised 03/09/2011 City of Yelm Permit No. W(rTo A-70 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: WOJ IfoiWoplow 93') ti A C, r / W GA 4' 7 Aar /v� s RAileil io Tre ;L/4 >i✓ S' `a ^1 i ,1&t1, ✓% C -ce OX • y - k7W #6P. Location of work: qR A jq/ yE YaA4 U06 4F X30 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: Jz/ U C PA* hlf a Address: r rV 1 Phone: 0U (p&!'t7 Proposed starting date of installation: 01PT I Duration: ; W Pj4 S Date: d� I 1:7 Signature: PERMIT REQUIREMENTS I For Official Use Only Fee $ * o ` Issued Fee Received $ 25 , Application Approval Signature: Receipt Number oo0,71 Qo 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 Approval: Date: Revised 03/09/2011 Karen Bennett From: Saelee, Fahm [fahm.saelee @princetelecom.com] Sent: Wednesday, July 05, 2017 6:14 PM To: Karen Bennett Subject: Re: City of Yelm Right of Way Permit Fee Hi Karen, I will get a check request for the amount of 125.00 and mail it your way. It will roughly take two weeks. Thank you Fahm Saelee Underground Department 2205 West Valley Hwy E Sumner, WA 98390 0:253- 891 -2899 C:253- 263 -2476 On Wed, Jul 5, 2017 at 4:39 PM, Karen Bennett <KarenBgci.yelm.wa.us> wrote: Good Afternoon. I just received your ROW application for 15720 92nd Way SE, Yelm, WA The fee for processing this permit is $125. The fee must be received to process the application. Thanks and have a great week!! Karen T. Bennett Community & Economic Dev Dept 1 o5 Yelm Ave W Yelm, WA 98597 karenb @yelmwa.gov gg'e'e O core.aq 7/512017 My Company View Mail - City of Yelm Right of Way Permit Fee My', C Saelee, Fahm <fah .saeleet prince tellecorncom> City of Yelm Right of Way Permit Fee . .......... . ............ Karen Bennett <Karen B@ ciyelmma. us> Wed, Jul 5, 2017 at 4,39 PM To: "fahm.saelee@princetelecorn.com" <ahm.saeIee@pdnceteIecorn.corn> Good Afternoon. Ijust received your ROW applicationfor 15712o 92nd Way SE, 1'ehn, TVA Aefee.for processing this permit is $125. Thefte must be received to process the *pplication. Thanks and have a great weeV MINIMUM= https,'ilmail,900910,COM'Mai�,UiOl?u+ =2&ik=7488736W&jsver=IEZPUTRTfxl,on.&vjew=pt&rn sg=l5dl522274olf285&search=ir,,box&siml=ir>dl522174... V .i _� S �� � � 6/10/2017 15720 92nd Way SE 15720 92nd Way SE - Google Maps Imagery @2017 Google, Map data ©2017 Google 50 ft aklerK-f fan ay 3-w/ https: //www.google.com /maps /place/15720 +92nd +Way +SE, +Yel m , +WA+ 98597 / @46. 9533144, - 122. 6069456,155a,56.8y,4.56t /data =!3m 1!1 e3!4m 5!3m4! 1 sOx549... 1/1 . 0 \ j§§ s � � / § .� § � !\ ) � \ 25` I cc \� ( j � � �§ \ ) §§ ! \ � } () §. , ( ( \ § ( ■ §� / �§ ! § \ ))) \ j , � \ ) E uj o $ o ® ]Q ° @� �\ �c uj ) ®° | 2 O � w ,. IL �`~ \\` z zlL ci ° . LU Lu ui -i _j 0 § . ° a / a i Q o ± � k | Lu 2� �• o ■ma@ |,!| - , )�maaj B | )§$ 2 k ) �)§ ■ _ \) ' ` ! |)!§z •� ■ ) 2 § \ }\ j \ \ �_ w�! ° _ . `° 0 2 , | . 2§ t`o' 2 & ` kk §} /\ ) \\\ § :: »m e , ,. ■(k | §k ;■�� §E§E, \ j§§ � � § .� § � !\ ) � \ 25` \� ( j � � �§ \ §§ � } () §. , ( ( ■ §� / �§ ! § \ ))) £ i/ TRAM: 33.0000 BUILUNG 00113 20170270 COMCAST OF WASHINGT(N 15720 92ND WAY SE F!OW 125.0(CR IMBED: 125,00 (HECK. a,PLIED : 125.00- CHANGF: -� 0,00 Applicant: Name: COMCAST OF WASHINGTON Address: 410 VALLEY AVE NW PUYALLUP WA 98373 Permit No.: 201 70270 ment Department Issue Date: 7/25/2017 (Work must be completed within 180 days) 17 Property Information: Site Address: 1579f1 Q,2mn WAY CF Assessor Parcel No.: Contractor Information: Name: COMCAST OF WASHINGTON Address: (Irian t4oxclli 410 VALLEY AVE NW PUYALLUP WA 98373 Contractor License No.: Subdivision: Phone: Owner: Phone: Expires: 0 /00 /0000 Lot: Project Information: Project: UTILITY Description of Work: OPEN TRENCH BORE 83 FT IN ROW AND PLACE 2 INCH PVC. BEGIN TRECHING 26 FT FROM CATV PED NW CORNER OF 15722'S PROPERTY TO BORE 25 FT UNDER 157221S DRIVEWAY. TRENCH 10 FT TO BORE 14 FT UNDER 15721'S DRIVEWAY AND CONTINUE TRENCHING 8 FT TO PLACE A 9 INCH FLUSH MOUNT CARSON BOX. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item RIGHT OF WAY Contractor COMCAST OF WASHINGTON TOTAL FEES: Applicant's Affidavit: I certify that t have read and examined the information contained within the application and know the same to be true a d correct. I also certify that the proposed structure is in conformity with all applicable City of 'elm regul "ions including those governing zoning and land subdivision, and in addition, all covenants, easements and s of record. If applying as a contractor, I further certify that I am currently registered i th t to of ashington Signature n Date �J Firm Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: T�l ° / � K° � /�/N (36i) 458-3244 REC4: 002/6279 7 3'47 PM UPEP' CO TERM '---- ' ' . � U0| ' REFt: 110498 PAID 8Y: TRAM: 33.0000 BUILDING P/RNl73 20170270 125.0CR [UMCA57 OF NASHTNGT(N Flow 15720 92NO NAY SF /ENDEREO: 125.00 /HECK APPLIED: 125.00- CHANGE: