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MFP25002493.pdf
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP25002493 IVR Number: 25002493 Permit Information Permit Name: Puget Sound Energy - Electric 3003092199- Emergency pole work completedAddress/Location:05/19/2025Application Date:7221400090Parcel Number: 337 RENTON AVE S Permit Type:06/02/2025Issue Date:Franchise Permit Work Class:06/02/2026Expiration Date:Minor Utility Job Number: 3003092199Franchise Type:Electric Description: Puget Sound Energy Electric Emergency pole work completed. Replaced pole @ grid 317738 166213. 1 pole set, 1 pole removed, temp transfers made. Restoration per City of Renton standards. Contacts Name Address PhoneTypeBilling Katie Zimmerman Puget Sound Energy 1660 Park Lane Burlington, WA 98233 B: (425) 620-6742ApplicantX Katie Zimmerman Puget Sound Energy 1660 Park Lane Burlington, WA 98233 B: (425) 620-6742Applicant 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 1135038938 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 REPLACED POLE @ GRID #317738-166213 1 POLE SET, 1 POLE REMOVED, TEMP TRANSFERS MADE 16' W OF RENTON AVE S C/L & 309' N OF BEACON WAY S C/L 24' DIA 5/5/2025 RENTON 337 RENTON AVE S RENTON, 98057 GRAGER 3003092199 MFP25002493 RESTORATION PER CITY OF RENTON STANDARDS Map data ©2025 Google 200 ft 337 Renton Ave S Emergency Pole Work Order# 3003092199 MFP25002493