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MFP25002489.pdf
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP25002489 IVR Number: 25002489 Permit Information Permit Name: Puget Sound Energy - Electric 3003015857- emergency pole workAddress/Location:05/19/2025Application Date:2141500080Parcel Number: 372 NILE PL NE Permit Type:05/30/2025Issue Date:Franchise Permit Work Class:05/30/2026Expiration Date:Minor Utility Job Number: 3003015857Franchise Type:Electric Description: Puget Sound Energy Electric Emergency pole replacement. Permit request after work was completed. Replaced pole @ grid 318093 167687. Removed 1 pole, set 1 pole, no temp transfers made. Contacts Name Address PhoneTypeBilling Katie Zimmerman Puget Sound Energy 1660 Park Lane Burlington, WA 98233 B: (425) 620-6742ApplicantX Vicki Henson Potelco Inc 8001 212th St S Kent, WA 98032 B: (253) 863-0484Contractor Business License Number: 5109Electrical Contractor: POTELI*344O4 Construction Contractor: POTELI*227PL Puget Sound Energy Inc 10885 NE 4th Street, PSE08-N08 Bellevue, WA 98009 B: (888) 225-5773Emergency Contact CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner Katie Zimmerman Puget Sound Energy 1660 Park Lane Burlington, WA 98233 B: (425) 620-6742Specialized Billing General Conditions & 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. Ÿ This permit and plans must be posted at the job site at all times.Ÿ 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. Ÿ Call 425.430.7203 or go to: https://permitting.rentonwa.gov one working day in advance to schedule an inspections and for ANY work in the Right of Way. Ÿ Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ 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 425.235.7736) (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. Ÿ (Date)(Signature) Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES INC1135032247 EMERGENCY PRE-INSPECTION FORM JOB #:ADDRESS: DATE:CITY / ZIP: JURISDICTION:CUSTOMER: PM / INSP: WORK DESCRIPTION CONSTRUCTION METHOD OPEN TRENCH TRENCHLESS SKETCH: N WORK LOCATION SIZE OF CUT SURFACE TYPE 3/12/2025 RENTON 372 NILE PL NE RENTON, 98059 EDGAR 3003015857 SOIL REPLACED POLE @ GRID #318093-167687 1 POLE SET, 1 POLE REMOVED, NO TEMP TRANSFERS MADE 33' S OF NE 4TH ST CL & 333' E OF 148TH AVE SE CL 24' DIA NE 4TH ST NILE PL NE RESTORATION PER CITY OF RENTON STANDARDS MFP25002489 Map data ©2025 Google 100 ft 372 Nile Pl NE EMERGENCY WORK-ORDER#3003015857 MFP25002489