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a <br />pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY <br />LOCATION 2202 PINE ST EVERETT, WA EVERETT AREA <br />POLE No. 159666 NE1/4S 20 T 29 R 5 DATE 9/7/22 ORDER 100096207 <br />REASON FOR WORK REPLACE POLE FOR NEW AMI ENGINEER A.HAQ OPERATION 30 <br />EQUIPMENT. DRAFTER U.G. NO. <br />SITE* 81 - 22ND ST / PINE SCALE <br />APPROVED <br />& DATE PRINTED <br />DATE WORK COMPLETED <br />FOREMAN <br />FEES REQ'D ❑ YES ❑ No <br />RIMARY OVERHEAD <br />❑ RESIDENTIAL <br />❑ OMMERCIAL <br />LEO NO. <br />'@3 '=8 <br />SEC NDARY OVERHEAD <br />NESC VIOLATIONS <br />BASIC FEE <br />S <br />® NO ❑ YES (SEE NOTES) <br />@� = <br />PERMITS (DATE GRANTED) <br />❑ TREE TRIM <br />❑ STATE <br />METER/ ONV. POLE <br />PRIMARY UNDERGROUN <br />❑ RESIDENT L <br />❑COUNTY <br />❑ COMMERCI <br />® CITY <br />BASIC FEE <br />3 <br />❑ <br />EASEMENTS <br />LEU NO. <br />_� <br />❑ REQUIRED ® NOT REQUIRED <br />SECONDARY ND GROUND <br />A C FEE <br />S <br />DATE RELEASED <br />@$ _$ <br />UNDERGROUND AT <br />FOREIGN CONTACTS <br />❑ JPN# <br />AS C FEE <br />S <br />FT.@ _$ <br />❑ JOINT TRENCH ZIPLY & CATV <br />❑ JOINT BORE ZIPLY & CATV <br />STREET LIG TING <br />L FT.@3 <br />❑ <br />POLE STENCILING <br />WORK IN IGHT OF WAY <br />FROM TO <br />❑ PRIMARY <br />TAKE OFF POLE <br />❑ SECONDA Y <br />FT.0 ' g PRE-CONST. REDUIRMENTS <br />MISCEL ANEOUS FEES ❑ TREE TRIM ❑ PUD LOCATOR <br />❑ BACKHOE ❑ FLAGGING <br />VAULT S ❑ ONE CALL DATE <br />PERMIT S Na <br />S STREET LIGHTING <br />$ ❑ YES ® NO <br />$ M&R AS -BUILT <br />8 <br />GIS <br />TOTAL DUE 9 <br />ATE PAID GIS QC M&R <br />ECEPT NO. GIS Ph JOINT USE <br />SERVICE ORDER NO. LOCATION MAP PAGE 396-F2 <br />LEGEND: <br />0 EXISTING POLE <br />0 EXISTING POLE -TO BE REMOVED <br />• NEW POLE <br />x NEW POLE TO REPLACE EXISTING POLE <br />DATE <br />SUBSTATION EVERETT <br />CIRCUIT NO. 12-112 PHASE 1 2 3 <br />ENGR'S TEL. # <br />425-319-4209 <br />ENGR'S CELL # <br />N <br />TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT <br />WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. <br />BASE STATION <br />ORIENTATION <br />ROAD <br />SIDE <br />Z <br />O <br />0 <br />Q <br />i! <br />� <br />W <br />� <br />� <br />Q <br />o <br />m <br />Z <br />O <br />U <br />FIELD <br />SIDE <br />CONSTRUCTION NOTES <br />PL 1: 159666: <br />- SET NEW 65' H2 DI POLE 8.5' DEEP, IN -PLACE OF EXISTING (PFEH2O65) <br />- BACKFILL W/GRAVEL-5/8" MINUS, COMPACT @6" LIFTS <br />- INSTL GROUND ROD OUTSIDE GRAVEL CONE (NO101) <br />- FRAMING DETAILS: <br />- INSTL SECONDARY SERVICE SPOOL (10101) <br />- XFR EXISTING SERVICES TO NEW POLE <br />- XFR EXISTING STREET LIGHT MAST AND LUMINAIRE TO NEW POLE <br />SL-132717-C <br />- INSTL OMN1 ANTENNA (4240.09-875-06ET) ON STANDOFF PIPE MAST <br />- ANTENNA CENTERLINE SHALL BE 60' AGL <br />- MEASURED CENTERLINE HEIGHT: ____ FT <br />- INSTL AM[ M400D AND DISCONNECT SW PER J0405 <br />- BASESTATION SHALL BE MOUNTED ON (EAST) SIDE OF POLE <br />-M400D SITE# ____ <br />- SPLICE 12/3 CABLE INTO SECONDARY AND ROUTE TO DISCONNECT SW <br />- DISCONNECT SHOULD BE WIRED FOR 120V <br />PLAN VIEW <br />1" = 100' <br />22NDST <br />1 <br />-2202 _ <br />3 <br />1 � 1 <br />Z <br />r <br />L City of Everett Permit Review <br />EVERETT Status: Reviewed for Permit <br />12/07/2023 9:24:09 PM <br />SHEET 1 OF 1 <br />