HomeMy WebLinkAboutSigned Franchise Permit ApplicationDEPARTMENT OF COMMUNITY CITY OF 19
AND ECONOMIC DEVELOPMENT Renton
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
Published: 2/1/2018
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the
Site Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $367.50.
Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00
Franchise Agency: Puget Sound Energy
Franchise Job Number: 889005217 Phone: 206-276-1480
Contact Name: Georgia Savoy
Job Site Address:
Email: georgia.savoy@pse.com
2800 LAKE WASHINGTON BVD N Project Name: REG STATION INSPECT
Description of Work: AN ANNUAL INSPECT OF OUR GAS REGULATOR STATION THAT IS IN THE GRASS.
LANE CLOSURE: TRAFFIC PLAN
)lease check all that apply:
❑ New Construction ❑ Repair/Relocate ❑ Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet:
Contractor Name: PUGET SOUND ENERGY Phone: 206-276-1480
State Contractors License #: PUGETSE032J1
"I certify that I am the owner or applicant's authorized
under this permit anc shall comply wit�i the r
Signature
n
City of Renton Business License #: BL000663
do hereby agree to abide to the terms and conditions set forth
estoration and Street Overlay Requirements. "
Date 05, 2L-�, 2 4l F -
INSPECTIONS SHATCBE'RE TED_24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINEAT 425-430-7203 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 meet►nas shall be scheduled at a maximum or 14 days prior to the lop start date.
Plan Review/Development Engineering Date
Site Construction Inspector
Development Engineering Manager
Date
Date
❑ Approved as submitted
❑ Pre -Construction Meeting required
❑ Approved with comments or redlines
❑ Camera inspection of utilities required
Page 1 of 1 Published: 2/1/2018