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HomeMy WebLinkAboutMFP23005222.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP23005222 IVR Number: 23005222 Permit Information Permit Name: Puget Sound Energy - Electric Address/Location:10/12/2023Application Date:2923059049Parcel Number: 2625 BENSON RD S Permit Type:10/24/2023Issue Date:Franchise Permit Work Class:10/23/2024Expiration Date:Minor Utility Job Number: 594156760Franchise Type:Electric Description: Puget Sound Energy Electric EMERGENCY AFTER THE FACT. CREW MADE REPAIRS TO UG SERVICES. NO HS CUTS Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 C: (253) 905-5031ApplicantX 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 Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 C: (253) 905-5031Specialized 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 October 17, 2017 EMERGENCY PRE-INSPECTION FORM Job #: Date: Jurisdiction: PM / Insp: Address: City / Zip: Customer: CUSTOMER PHONE NUMBER PHONE NUMBER Work Description Construction Method Open Trench Trenchless SKETCH Work Location Size of Cut Surface Type ’N S of CL & ’E W of CL . ’N S of CL & ’E W of CL . ’N S of CL & ’E W of CL . O#922231 STOPER 594156760 9-11-2023 2625 BENSON RD S RENTON, 98055 RENTON 20 BENSON RD S20S 27TH ST 5 X 5 GRASS / SOIL MADE REPAIRS TO UG SERVICE MFP23005222 RESTORATION PER CITY OF RENTON STANDARDS MFP23005220