HomeMy WebLinkAboutA_Permit_252241_170815_v1D City of
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DEPARTMENT OF COMMUNITY AND ECONOMIC DVELOPMENT
DEVELOPMENT SERVICES DIVISION
MASTER USE/FRANCHISE UTILITY PERMIT APPLICATION
Phone: (425) 430-7266 Fax: (425) 430-7231 franchise@rentonwa.gov
TO THE APPLICANT: Submit 3 copies of plans with application. 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.
For City Use Only
CITY PERMIT NO: MFP WORK ORDER NO.:
Date of Application: 8-4-17 Franchise Agency: Comcast Cable Communications Management, LLC.
Mailing Address for Permit: 410 VALLEY AVE NW, PUYALLUP, WA. Zip: 98059
Contact Name: Ken Pontelandolfo Phone: (253) 288-7540
Job Number: JT#252241
Job Site Address: 451 SW 10th St Unit 101
e-mail: ken_pontelandolfo@cable.comcast.com
Project Name: Retail Properties of America
Description of work: Proof and pull 652' of 36CT fiber in existing Comcast system.
Please check all that apply:
0 New Construction ❑ Repair/Relocate Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open trench ❑ Bore ❑ # of feet: ❑ Gas ❑ Electric ❑ Other: Fiber Optic Cable
Estimated Job completion date: TBD
Contractor name: Cannon Construction (Mark Lee)
Phone: 360-250-7072
City of Renton Business License Number: 13L.020838 State Contractors License Number: CANNONC1055CS
"I certify that I am the applicant's owner or 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 && Date 8-4-2017
CITY INSPECTOR SHALL BE NOTIFIED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK
BY CALLING THE INSPECTION LINE AT 425-430-7203
Jobs are required to be called in for job start, re -inspection and project final.
Plan Review/Development Services Date
Utility Inspector
Date
❑ Approved as Submitted
❑ On -Site Pre -Con Required
❑ Approved with Comments or Redlines
Traffic Control Plan Attached
❑ Camera Inspection of Utilities Required
Issue Date:
Public Works Permit Supervisor Date Permit expires 6 months from issue date
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