Loading...
HomeMy WebLinkAboutRenton permit applicationDEPARTMENT OF COMMUNITY CITY of 19 AND ECONOMIC DEVELOPMENT -� enton Planning Division 1 1055 South Grady. Way, 6th Floor I Renton, WA 98057 1425-430-7200 Email: franchisepermits@rentonwa,gov Website: rentonwa.gov FRANCHISE PERMIT APPLICATION euviisnea: JI3U/LU1i TO THE APPLICANT: Submit an electronic copy of the pians with the Franchise Permit Application and the Traffic Control Application to franchisepermits@rentonwa.go. 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: _ 4 �yq C 4 3 ( I I•e - Franchise Job Number: A(,31149 Phone: -2—D Contact Name: 0 c` II I A)h 114-er� _ Email: 8t1 lilt 041);&-� �NhL-e_ e8e_,�n f 64121 Joh Site Address:© rrl �1 Project Name: Description of Work: it 4e LZ C `.t C. iSiiR -F;Yri► Please check all that apply: 0 New Construction ❑ Repair/Relocate 9 Underground ❑ Overhead ❑ Sidewalk Street Open Trench 1)d Bore # of feet: 16 a Contractor Name: State Contractors License #: Phone: City of Renton Business License #: "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 underthis permit and shall comply with the City of Renton's Trench Restoration and Street Overlay Requirements." Signature, _ Date 10-3-/2 INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE INSPECTION LINEAT 42S-430-7203 OR BY GOING TO MYBUILDINGPERMIT.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 -Construction meetings shall be scheduled at a maximum of 14 days prior to the lob start date. Plan Review/Development Engineering Date ❑ Approved as submitted Pre -Construction Meeting required Site Construction Inspector Date ❑ Approved with comments or redlines E] Camera inspection of utilities required Development Engineering manager Date Page 1 . Published: 3/30/2017 104 0 a, (10 Cj� -� 3SS /G CP-)