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HomeMy WebLinkAboutMFP25002530.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP25002530 IVR Number: 25002530 Permit Information Permit Name: Puget Sound Energy - Electric 101187205- Emergency Pole ReplacementAddress/Location:05/20/2025Application Date:1432800560Parcel Number: 16101 126TH AVE SE Permit Type:06/05/2025Issue Date:Franchise Permit Work Class:06/05/2026Expiration Date:Minor Utility Job Number: 101187205Franchise Type:Electric Description: Puget Sound Energy Electric Emergency Pole Replacement permitting after the work was completed. Replaced pole at grid 317013 166852. Set 1 pole, topped 1 pole, temp transfers made. No hard surface restoration. 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 INC1140061312 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 4/8/2025 RENTON 16101 126TH AVE SE RENTON, 98058 MIRICK 101187205 SOIL REPLACED POLE @ GRID #317013-166852 1 POLE SET, 1 POLE TOPPED, TEMP TRANSFERS MADE 34' W OF 126TH AVE SE CL & 85' SW OF SE 161TH ST CL 24' DIA MFP25002530 RESTORATION PER CITY OF RENTON STANDARDS Map data ©2025 Google 200 ft 16101 126th Ave SE Emergency Pole Replacement- WO#101187205 MFP25002530