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HomeMy WebLinkAboutMFP19005457.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Major Franchise Permit: MFP19005457 IVR Number: 19005457 Permit Informaon Permit Name:Century Link Permits Address/Locaon :10/10/2019Application Date:1723059129Parcel Number:330 SUNSET BLVD N Permit Type:10/16/2019Issue Date:Franchise Permit Work Class:10/15/2020Expiration Date:Major Utility Job Number:N.343188Franchise Type:Telephone Description:Century Link to access MH186, MH185, MH184, MH183, and MH182. Contacts Name Address PhoneTypeBilling C/O QWEST CORP 1801 CALIFORNIA ST #4600 Denver, CO 80202 Applicant Kim Parker QWest Corporation 931 14th St, Suite 1000A Denver, CO 80202 B: (303) 992-0752Contact Heather Binkly Dycom Industries dba North Sky 11770 Us Hwy 1, SUITE 101 Palm Beach Gardens, FL 33408 B: (360) 254-6920 O: (360) 450-3287 Contractor Business License Number: 36846Construction Contractor: NORTHSC857Q4 CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner QWest/Century Link - Billing 7850 S TRAFTON St TACOMA, WA 98409 Specialized Billing X General Condions & Signature Permission is hereby given for the work described on this permit according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinance of the City of Renton. This permit and plans must be posted at the job site at all times. I hereby certify that no work is to be done except as described above and in approved plans, and that work is to conform to Renton Trench Restoration and Street Overlay Requirements. Call 425.430.7203 or go to: www.MyBuildingPermit.com one working day in advance to schedule an inspections and for ANY work in the Right of Way. Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation. In accordance with RCW 19.122.033(4) the permit holder is required to contact (Williams Northwest Pipeline at 425.868.1010) (Olympic Pipeline at 206.510.0575) (Puget Sound Energy at 425.375.3397) to request a consultation with the transmission pipeline company prior to performing any construction or excavation activities. This requirement to consult with the transmission pipeline company is in addition to the requirement to Call before You Dig as required in RCW 19.122. (Date)(Signature) Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Page 1 | Published: 3/30/2017 Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 Email: franchisepermits@rentonwa.gov Website: rentonwa.gov FRANCHISE PERMIT APPLICATION Published: 3/30/2017 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $360.50. Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour. Franchise Agency: Franchise Job Number: Phone: Contact Name: Email: Job Site Address: Project Name: Description of Work: Please check all that apply: ☐New Construction ☐Repair/Relocate ☐ Underground ☐Overhead ☐Sidewalk ☐Street ☐Open Trench ☐ Bore # of feet: Contractor Name: Phone: State Contractors License #: City of Renton Business License #: “I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ” Signature Date INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at $75/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date. Plan Review/Development Engineering Date Approved as submitted Pre-Construction Meeting required Site Construction Inspector Date Approved with comments or redlines Camera inspection of utilities required Development Engineering Manager Date Austin Sweeney Qwest Corp d/b/a CenturyLink Austin Sweeney 253-766-7549 austin.sweeney@centurylink.com 330 Sunset BLVD N N.343188 CenturyLink to access MH186, MH185, MH184, MH183, and MH182. North Sky Communications 425.615.7121 NORTHSC857Q4 BL.028638 10/10/19 MFP19005457 Scott Warlick 10/10/2019 Holly Powers 10/16/2019 This permit is for Major construction work in the ROW and will be billed at an additional $60/HR for inspections. After hours and weekend work will be billed at $125/HR CITY OF RENTON TRAFFIC CONTROL PLAN PROJECT NAME: PERMIT# CONSTRUCTION COMPANY: PHONE#: CONTACT NAME: PHONE#: ADDRESS: CELL#: E-MAIL ADDRESS: FAX#: PROJECT LOCATION: N/E/S/W OF: WORK TIME: APPROVED BY: WORK DATE: APPROVAL DATE: OFFICE COPY T- CONTRACTOR DEV. SERVICE, INSPECTION P. MILLER DEV. SERVICE, PLAN REVIEW B. BANNWARTH POLICE CHARLES KARLEWICZ FIRE FIRE MARSHALL FS #13 Permit Holder agrees to all the following: • Comply with all traffic regulations of the City of Renton and the State of Washington. • Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for all street and lane closures, and the plan shall be performed in compliance with the Manual on Uniform Traffic Control Devices. • Notify emergency services (253-852-2121) twenty-four (24) hours before any street or lane closures. • Any lane or street closures not in conformance with the approved traffic control plan and/or without notification of emergency services may result in receiving a citation for violation of R.C.W. 47.36.200 through 47.36.220, 9A.36.050 Reckless Endangerment, and other applicable State and City codes. • Indemnify and hold harmless the City of Renton from any and all claims, actions, and judgments, including all costs of defense and attorney’s fees incurred in defending against same, arising from and related to implementation of the approved traffic control plans including claims arising from towing of private vehicles and the acts of the Permit Holder’s agents and employees. • The City of Renton shall be entitled, in its reasonable discretion, to settle claims prior to suit or judgment, and in such event shall indemnify and hold harmless the City for any such claims paid, including the City’s reasonable attorney’s fees and litigation costs incurred resulting from such claim. • In the event any claim or suit is brought against City within the scope of this Agreement, Permit Holder will pay for legal counsel chosen by the City to defend against same. • Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or pedestrian safety or travel. • By my signature herein, I acknowledge all the above requirements. PRINT NAME: DATE: SIGNATURE: N.343188 North Sky Communications 425.615.7121 Austin Sweeney 253.766.7549 23315 66th Ave S Kent, WA 98032 austin.sweeney@centurylink.com 330 Sunset Blvd N Reset FormPrint Form Austin Sweeney Austin Sweeney 10/10/19 8:00AM - 3:00PM Monday - Friday Scott Warlick 10/10/2019 MFP19005457 SKETCH I -- NORTH -- I NOTES: • Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD) and shown by sketch or reference to WSDOT. • The plan must be submitted to the City’s PW/Transportation Division for review and/or approval at least three working days prior to work. • Approved Temporary Traffic Control Plan must be at the work site during work hours. • Contractor or entity must call Renton School District (425-204-4455) or any public/private agency to be affected by a temporary lane or road closure. • Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or walkway is impeded. • Total road closure lasting more than 24 hours is subject to the approval by the City Council. • Any vehicle, equipment, barricade, or portable tow-away sign used within the work area must display a company logo or any legally acceptable sign showing the company name, address, and telephone number at a conspicuous place on the vehicle or equipment. In the case of Temporary No Parking Zones, all the following apply in addition to previous: • Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for vacate parking or curb lane usage. • Contractor must post notice of dates and time of Temporary No Parking Zone with at least two signs per block 72 hours in advance of effective date and time. • The cover sheet of this Traffic Control Plan form must be attached to each Temporary No Parking Sign on the project site. • Temporary traffic control devices must be removed immediately when work is done or no construction activities are going on. If deemed abandoned, City crews will remove and store them at the City’s maintenance shop (3555 NE 2nd Street). TRAFFIC CONTROL PLAN JOB # N.343188.C.45 PERMIT # Designed for: CENTURYLINK Project # N.343188.C.45 Drafted By: Jorgia Durr Approved By: Darlene Durr Traffic Control Supervisor TCS # 011915 Approved 10/3/19 Phone 253-737-5198 darlene.durr@hotmail.com _______________________ Date:10/3/19 Project:N.343188.C.45 APPROVED BY:DARLENE DURR TCS # 011915 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)DRAFTED BY:JORGIA DURR Comments: General Requirements 1. All signs and spacing to conform to the MUTCD and City of RENTON requirements. 2. Channelizing devices are 28" traffic cones with retro reflective material. 3. All signs are 48' X 48' B/O unless otherwise specified. 4. Alert affected local residents and businesses. 5. Crew is required to leave a minimum 11' for lane width. 6. Work hours will be ____am to ____pm. Darlene Durr Legend WORK TRUCK CONES MANHOLE Arrowboard (Chevron) SPOTTER Plan Scale 1 : 2636 (1'' = 220')NOT TO SCALE UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM: DARLENE DURR, TCS #011915, darlene.durr@hotmail.com Comments: CHANNELIZATION SPACING MPH TAPER TANGENT 35 / 45 30' 60' 25 / 30 20' 40' ONE LANE TWO WAY TAPER 50' TO 100' MAX ONE LANE TWO WAY TAPER 50' MIN/100' MAX ONE WAYONE WAY N 4TH ST GARDEN AVE NNO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39WORK AREA 10' X 100' ONE WAY GARDEN AVE NN 4TH STN 4TH ST PARK AVE NPARK AVE NMH182 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 LEFT LANE CLOSED AHEAD W20-5 W4-2 W4-2 LEFT LANE CLOSED AHEAD W20-5 ROAD WORK AHEAD W20-1 N 4TH ST @ PARK AVE N MH182 ACCESS LEFT LANE CLOSURE Comments: THIS IS TO ACCESS MH182 LOCATED AT THE SOUTHWEST CORNER OF N 4TH ST @ PARK AVE N THIS IS A LEFT LANE CLOSURE SPOTTER WILL ASSIST PEDESTIRANS AT WORK AREA PARKING RESTRICTED AT WORK AREA NSPEED LIMIT 30 WORK AREA 10' X 160' www.invarion.com MFP19005457 TRAFFIC CONTROL PLAN JOB # N.343188.C.45 PERMIT # Designed for: CENTURYLINK Project # N.343188.C.45 Drafted By: Jorgia Durr Approved By: Darlene Durr Traffic Control Supervisor TCS # 011915 Approved 10/3/19 Phone 253-737-5198 darlene.durr@hotmail.com _______________________ Date:10/3/19 Project:N.343188.C.45 APPROVED BY:DARLENE DURR TCS # 011915 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)DRAFTED BY:JORGIA DURR Comments: General Requirements 1. All signs and spacing to conform to the MUTCD and City of RENTON requirements. 2. Channelizing devices are 28" traffic cones with retro reflective material. 3. All signs are 48' X 48' B/O unless otherwise specified. 4. Alert affected local residents and businesses. 5. Crew is required to leave a minimum 11' for lane width. 6. Work hours will be ____am to ____pm. Darlene Durr Legend HANDHOLE WORK TRUCK CONES Work Area Arrowboard (Chevron) SPOTTER Plan Scale 1 : 2636 (1'' = 220')NOT TO SCALE UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM: DARLENE DURR, TCS #011915, darlene.durr@hotmail.com Comments: CHANNELIZATION SPACING MPH TAPER TANGENT 35 / 45 30' 60' 25 / 30 20' 40' ONE LANE TWO WAY TAPER 50' TO 100' MAX ONE LANE TWO WAY TAPER 50' MIN/100' MAX N 4TH ST ONE WAYONE WAY ONE WAY FACTORY AVE NMEADOW AVE NHH183 GARDEN AVE NNO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 DEAD END WORK AREA 10' X 250' ONE WAY ONE WAYONE WAYROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 LEFT LANE CLOSED AHEAD W20-5W4-2 ROAD WORK AHEAD W20-1 LEFT LANE CLOSED AHEAD W20-5W4-2 ROAD WORK AHEAD W20-1 N 4TH ST GARDEN AVE NN 4TH ST @ GARDEN AVE N HH183 ACCESS LEFT LANE CLOSURE Comments: THIS IS TO ACCESS HH183 LOCATED ON THE SOUTHEAST CORNER OF N 4TH ST @ GARDEN AVE N THIS IS A LEFT LANE CLOSURE SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA PARKING RESTRICTED AT WORK AREA NSPEED LIMIT 30 www.invarion.com MFP19005457 ONE WAYONE WAY ONE WAY FACTORY AVE NMEADOW AVE NHH184 W4-2 LEFT LANE CLOSED AHEAD W20-5 ROAD WORK AHEAD W20-1 FA C T O R Y P I N N 4TH ST GARDEN AVE NROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 W4-2 ROAD WORK AHEAD W20-1 N 4TH ST @ MEADOW AVE N HH184 ACCESS LEFT LANE CLOSURE Comments: THIS IS TO ACCESS HH184 LOCATED ON THE SOUTHEAST CORNER OF N 4TH ST @ MEADOW AVE N THIS IS A LEFT LANE CLOSURE SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA PARKING RESTRICTED AT WORK AREA NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 DEAD END WORK AREA 10' X 250' N 4TH ST TRAFFIC CONTROL PLAN JOB # N.343188.C.45 PERMIT # Date:10/3/19 Project:N.343188.C.45 APPROVED BY:DARLENE DURR TCS # 011915 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)DRAFTED BY:JORGIA DURR Comments: General Requirements 1. All signs and spacing to conform to the MUTCD and City of RENTON requirements. 2. Channelizing devices are 28" traffic cones with retro reflective material. 3. All signs are 48' X 48' B/O unless otherwise specified. 4. Alert affected local residents and businesses. 5. Crew is required to leave a minimum 11' for lane width. 6. Work hours will be ____am to ____pm. Plan Scale 1 : 2636 (1'' = 220')NOT TO SCALE UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM: DARLENE DURR, TCS #011915, darlene.durr@hotmail.com Comments: CHANNELIZATION SPACING MPH TAPER TANGENT 35 / 45 30' 60' 25 / 30 20' 40' ONE LANE TWO WAY TAPER 50' TO 100' MAX ONE LANE TWO WAY TAPER 50' MIN/100' MAX NSPEED LIMIT 30 Legend HANDHOLE WORK TRUCK CONES Work Area Arrowboard (Chevron) SPOTTER Designed for: CENTURYLINK Project # N.343188.C.45 Drafted By: Jorgia Durr Approved By: Darlene Durr Traffic Control Supervisor TCS # 011915 Approved 10/3/19 Phone 253-737-5198 darlene.durr@hotmail.com _______________________Darlene Durr www.invarion.com MFP19005457 ONE WAY ONE WAY N DEAD END SPEED LIMIT 30 ONE WAY O N E W A Y O N E W A Y N 4TH ST N MARION ST F A C T O R Y P I N N 4TH ST FACTORY AVE NTRAFFIC CONTROL PLAN JOB # N.343188.C.45 PERMIT # Designed for: CENTURYLINK Project # N.343188.C.45 Drafted By: Jorgia Durr Approved By: Darlene Durr Traffic Control Supervisor TCS # 011915 Approved 10/3/19 Phone 253-737-5198 darlene.durr@hotmail.com _______________________ Date:10/3/19 Project:N.343188.C.45 APPROVED BY:DARLENE DURR TCS # 011915 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)DRAFTED BY:JORGIA DURR Comments: General Requirements 1. All signs and spacing to conform to the MUTCD and City of RENTON requirements. 2. Channelizing devices are 28" traffic cones with retro reflective material. 3. All signs are 48' X 48' B/O unless otherwise specified. 4. Alert affected local residents and businesses. 5. Crew is required to leave a minimum 11' for lane width. 6. Work hours will be ____am to ____pm. Darlene Durr Legend HANDHOLE CONES WORK TRUCK Work Area Arrowboard (Chevron) SPOTTER Plan Scale 1 : 2636 (1'' = 220')NOT TO SCALE UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM: DARLENE DURR, TCS #011915, darlene.durr@hotmail.com Comments: CHANNELIZATION SPACING MPH TAPER TANGENT 35 / 45 30' 60' 25 / 30 20' 40' ONE LANE TWO WAY TAPER 50' TO 100' MAX ONE LANE TWO WAY TAPER 50' MIN/100' MAX HH185 W4-2 LEFT LANE CLOSED AHEAD W20-5 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 LEFT LANE CLOSED AHEAD W20-5 LEFT LANE CLOSED AHEAD W20-5 W4-2 W4-2 ROAD WORK AHEAD W20-1 N 4TH ST @ FACTORY AVE N HH185 ACCESS LEFT LANE CLOSURE Comments: THIS IS TO ACCESS HH185 LOCATED AT THE SOUTHWEST CORNER OF N 4TH ST @ FACTORY AVE N THIS IS A LEFT LANE CLOSURE SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA PARKING RESTRICTED AT WORK AREA NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 WORK AREA 10' X 100' WORK AREA 10' X 160' www.invarion.com MFP19005457 ONE WAY ONE WAY ONE WAY N DEAD END SPEED LIMIT 30 ONE WAY O N E W A Y O N E W A Y N 4TH ST N MARION ST F A C T O R Y P I N WORK AREA 10' X 50'FACTORY AVE NN 4TH ST TRAFFIC CONTROL PLAN JOB # N.343188.C.45 PERMIT # Designed for: CENTURYLINK Project # N.343188.C.45 Drafted By: Jorgia Durr Approved By: Darlene Durr Traffic Control Supervisor TCS # 011915 Approved 10/3/19 Phone 253-737-5198 darlene.durr@hotmail.com _______________________ Date:10/3/19 Project:N.343188.C.45 APPROVED BY:DARLENE DURR TCS # 011915 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)DRAFTED BY:JORGIA DURR Comments: General Requirements 1. All signs and spacing to conform to the MUTCD and City of RENTON requirements. 2. Channelizing devices are 28" traffic cones with retro reflective material. 3. All signs are 48' X 48' B/O unless otherwise specified. 4. Alert affected local residents and businesses. 5. Crew is required to leave a minimum 11' for lane width. 6. Work hours will be ____am to ____pm. Darlene Durr Legend MANHOLE CONES WORK TRUCK Work Area SPOTTER Plan Scale 1 : 2636 (1'' = 220')NOT TO SCALE UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM: DARLENE DURR, TCS #011915, darlene.durr@hotmail.com Comments: CHANNELIZATION SPACING MPH TAPER TANGENT 35 / 45 30' 60' 25 / 30 20' 40' ONE LANE TWO WAY TAPER 50' TO 100' MAX ONE LANE TWO WAY TAPER 50' MIN/100' MAX MH186 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 N 4TH ST @ FACTORY AVE N HH186 ACCESS SHOULDER WORK Comments: THIS IS TO ACCESS MH186 LOCATED AT THE NORTHWEST CORNER OF N 4TH ST @ FACTORY AVE N THIS IS A SHOULDER CLOSURE SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA PARKING RESTRICTED AT WORK AREA NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 NO PARKINGFROM TO TOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555 R7-T39 SHOULDER WORK W21-5 SHOULDER WORK W21-5 www.invarion.com MFP19005457 NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTJOB:SH OF BEFORE YOU DIG811CALL TWO WORKING DAYSRNGE:SECT:TOWN:GEO CODE: WC CLLI:TOTAL EXISTING CONDUIT USED:TOTAL NEW BORE:TOTAL NEW DIRT TRENCHESTIMATED TOTALSTOTAL NEW AERIAL:SIDEWALK (PCC) R&R:ASPHALT (AC) R&R:S.F.S.F.L.F.L.F.L.F.L.F.TOTAL NEW ASPHALT TRENCH:L.F.TOTAL NEW S/W TRENCH:L.F.10800000000”DRAFTED BY: MOUNTAIN LTD/DB - 7/25/19SCOPE OF WORK:CAPITAL PLACEMENT. PLACE 1,080' OF 24F THROUGH EXT CONDUIT FROM MH 186 THROUGH HH 185 THROUGH HH 184THROUGH HH 183 TO MH 182.CUSTOMER NAME: NALCON: NAPHONE NO: NASERVICE ORDER #: NADSR ID #: NANVICINITY MAP25N5E29N.343188W26226RNTNWA01330 SUNSET BLVD NRENTON, WA14FIBER ENGINEER:STEPHEN STUARTPHONE NO: (360) -603-2701EMAIL: Stephen.Stuart@Centurylink.COMMT LTD ENGINEER: RICK FERDINANDOPHONE NO: (206) -276-3165EMAIL: Rick.Ferdinando@Centurylink.comMFP19005457 TTEE CATV CATV CATV GG TS TS WW S S SD SD IRRIG IRRIG C/L C/L R/W R/W R/W P/L P/L B/C B/C B/C EOP EOP TTTUSAMEEPWREETVTVVTSVWSSDVETTTXXX'XXX'XXX'XXX'XITEM #STATIONHT-CL-YRPROPOSED HOAPOLE NUMBER(S) - CTL/PWR/OTHERITEM#STAHT-CL-YRXX'-X"POLE#MAKE READYEXISTING ATTACHMENTSNOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTJOB: SH OF RNGE:SECT:TOWN:GEO CODE: WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYSFIBER ENGINEER:STEPHEN STUARTPHONE NO: (360) -603-2701EMAIL: Stephen.Stuart@Centurylink.COMMT LTD ENGINEER: RICK FERDINANDOPHONE NO: (206) -276-3165EMAIL: Rick.Ferdinando@Centurylink.comDRAFTED BY: MOUNTAIN LTD/DB - 7/25/1925N5E29N.343188W26226RNTNWA01330 SUNSET BLVD NRENTON, WA24MFP19005457 C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L TT P/L P/L P/L EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTRNGE:SECT:TOWN:JOB: SH OF GEO CODE: WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYSNOTE:FOR UNDERGROUND ACTIVITY: TEST AND VENTILATEMANHOLE/UTILITY VAULT PRIOR TO ENTRY, PLACEWARNING DEVICES AND WORK AREA PROTECTION ASREQUIRED, AND USE EYE AND HEAD SAFETYPROTECTION PER FEDERAL, STATE, AND LOCALREGULATIONS.OTE:THE RIGHT-OF-WAY SHOWN HAS NOT BEENSURVEYED OR TIED. RIGHT-OF-WAY LOCATION ISASSUMED WITH REFERENCE TO ONLINE DATASOURCE MATERIALS. CONTRACTOR TO VERIFY ALLRIGHTS OF WAY AND/OR EASEMENTS PRIOR TOCONSTRUCTION.FIBER ENGINEER:STEPHEN STUARTPHONE NO: (360) -603-2701EMAIL: Stephen.Stuart@Centurylink.COMMT LTD ENGINEER: RICK FERDINANDOPHONE NO: (206) -276-3165EMAIL: Rick.Ferdinando@Centurylink.comDRAFTED BY: MOUNTAIN LTD/DB - 7/25/1925N5E29N.343188W26226RNTNWA01330 SUNSET BLVD NRENTON, WA34MFP19005457 R/W R/W R/W C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L EOP EOP C/L C/L C/L C/L C/L C/L R/W R/W R/W R/W R/W R/W EOP EOP EOP R/W R/W R/W EOP EOP EOP EOP TTT P/L P/L P/L P/L P/L P/L P/L P/L P/L P/L P/L EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP EOP R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W R/W NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTRNGE:SECT:TOWN:JOB: SH OF GEO CODE: WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYSNOTE:FOR UNDERGROUND ACTIVITY: TEST AND VENTILATEMANHOLE/UTILITY VAULT PRIOR TO ENTRY, PLACEWARNING DEVICES AND WORK AREA PROTECTION ASREQUIRED, AND USE EYE AND HEAD SAFETYPROTECTION PER FEDERAL, STATE, AND LOCALREGULATIONS.OTE:THE RIGHT-OF-WAY SHOWN HAS NOT BEENSURVEYED OR TIED. RIGHT-OF-WAY LOCATION ISASSUMED WITH REFERENCE TO ONLINE DATASOURCE MATERIALS. CONTRACTOR TO VERIFY ALLRIGHTS OF WAY AND/OR EASEMENTS PRIOR TOCONSTRUCTION.FIBER ENGINEER:STEPHEN STUARTPHONE NO: (360) -603-2701EMAIL: Stephen.Stuart@Centurylink.COMMT LTD ENGINEER: RICK FERDINANDOPHONE NO: (206) -276-3165EMAIL: Rick.Ferdinando@Centurylink.comDRAFTED BY: MOUNTAIN LTD/DB - 7/25/1925N5E29N.343188W26226RNTNWA01330 SUNSET BLVD NRENTON, WA44MFP19005457