HomeMy WebLinkAboutA_Permit_246823_170818_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.: 87029
Date of Application: 8-18-2017 Franchise Agency: Comcast Cable Communications Management, LLC.
Mailing Address for Permit: 410 VALLEY AVE NW, PUYALLUP, WA. Zip: 98059
Contact Name: Ken Pontelandolfo
Job Number: 246823
Job Site Address: 435 Main Ave S. Renton, WA 98057
Description of Work:
Phone: (253) 288-7540
e-mail: ken_pontelandolfo@cable.comcast.com
Project Name:
WIAA
Tie into existing Comcast sytem and pull (1) 96CT fiber through existing conduit along Main Ave S.
Use existing riser on S 5th St. then overlash on existing Comcast system along S 5th St and Wells Ave S to private property.
Please check all that apply:
❑ New Construction ❑ Repair/Relocate 0 Underground 9 Overhead ❑ Sidewalk ❑ Street
❑ Open trench ❑ Bore ❑ # of feet: ❑ Gas ❑ Electric ❑ Other:
Estimated Job completion date: TBD
Contractor name: Cannon Construction Inc. (Mark Lee)
Phone: 360-250-7072
City of Renton Business License Number: CANNOCIO55BQ State Contractors License Number: BL.020838
"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 8-18-2017
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
C•� 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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