HomeMy WebLinkAboutA_FRANCHISE_PERMIT_170424_V1PLEASE RETURN APPROVED ROW AND TCP TO ASHLEY KIEHN.
4610 TACOMA AVE SUMNER, WA 98390
EMAIL AKIEHN(d;SEFNCO.COM / PHONE: 253.299.8588
DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT RentonG
Planning Division 11055 South Grady Way, 6th Floor I Renton, WA 98057 425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
7- 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: COMCAST
Franchise Job Number: 221694
Contact Name: KEN PONTELANDOLFO
Job Site Address: 2527 NE 12TH ST RENTON, WA 98056
Phone: 253.254.9088
Email: kenneth_pontelandolfo@cable.comcast.com
Project Name: RENTON CHURCH OF CHRIST
Description of Work: COMCAST TO TIE IN AT PED ON SOUTH SIDE OF NE 12THST. BORE - 140' WEST OF PED; PLACING (2) 2" PVC AT 36"
MIN DEPTH. SET (1) NEW PED. BORE SOUTH OF NEWLY PLACED PED ONTO PRIVATE PROPERTY; PLACING (1) 2" PVC AT 24" MIN DEPTH.
Please check all that apply:
❑ New Construction ❑ Repair/Relocate ® Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet: 140
Contractor Name: SEFNCO COMMUNICATIONS Phone: 253.254.8558
State Contractors License #: SEFNCI*994P9
City of Renton Business License #: BL.029666
"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 -r( 41A Date 4/24/17
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 MYBUILD/NGPERMIT.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-Lonstrucr►On meetings snarl De scneau►ea at a maximum of 14 aays prior to the JOD start nate.
Plan Review/Development Engineering Date F�
Approved as submitted
Pre -Construction Meeting required
Site Construction Inspector Date F1
Approved with comments or redlines
Camera inspection of utilities required
Development Engineering Manager Date
Page 1 Published: 3/30/2017