HomeMy WebLinkAboutA_Franchise_Permit_Revision_Application_N.207384_170505_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT Renton (D
Planning Division 1 1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
REVISION -FRANCHISE PERMIT APPLICATION
Published: 3/30/2017
TO THE APPLICANT: Only Current Issued Permits Qualify for a Revision. For any work related to an expired or
finaled permit, a new Franchise Permit Application shall be required. Submit an electronic copy of the plans
with the Revision Franchise Permit Application to ranch isepermits@rentonwa.gov.
Permit # 17000545 MFP17000545 - Revised
Franchise Agency: Qwest Corp d/b/a Centurylink
Franchise Job Number: N.207384
Contact Name: Michael Fuget
Phone: 253-854-4074
Email: Michael.Fuget@Centurylink.com
Job Site Address: 620 S 7th St, Renton WA 98057 Project Name:
Approved Description of work: Access MH2O7, MH293 and HHUN166 to splice and place fiber.
No disturbance of surface.
Proposed Description of Work: Access MHT -61 E, HH UN -2, HH UN -1, HH 504, HH 514, HH520 +"K5H 28,
HH 540-1 and boring approx. +/- 364'. HH UN -165 will be accessed on private property -
Disturbance of surface in hard surface.
Reason for change of work: New fiber placement path
"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
under this permit and shall comply with the City of Renton's Trench Restoration and Street Overlay Requirements. "
Digltally signed by Michael Fuget
SignatureMlC ae Fuget DN: cn=MichaelF,get,o=CenWrylink,o,,email=Michael. Fuget@Centuryllnk.,om US 201Date 5/5/17
N. 7 05 05 13:16:17 -07'00'
INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINE AT 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 meetings shall be scheduled at a maximum of 14 days prior to the job start date.
Hoh! Powers
Plan Review/Development Engineering Date Approved as submitted
❑ Pre -Construction Meeting required
Site Construction Inspector Date ❑ Approved with comments or redlines
❑ Camera inspection of utilities required
Development Engineering Manager Date
Page 1 Published: 3/30/2017