HomeMy WebLinkAboutA_Franchise_Permit_CenturyLink_170405_v1DEPARTMENT OF COMMUNITY CITY Oi:
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: 3/30/2017
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the
Traffic Control Application to franchisepermits@rentonwa.gov. 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:
Franchise Job Number:
Contact Name:
Job Site Address:
Description of Work:
CenturyLink
E.713173 Phone: 770 631-6957
Mario Armstead Email: marmstead@osmose.com
510 NW 2nd Street Project Name: Utility Pole Replacement
Replacing one existing utility pale with new identical pole.
,lease check all that apply:
❑ New Construction X Repair/Relocate ❑ Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet:
Contractor Name: North Sky Communications Phone: 206 960-2456
State Contractors License #: BL036846 City of Renton Business License #: NORTHSC857Q4
"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. "
Signature Date 04/04/17
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INSPECTIONS SHALL BE REQUESTED 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 meetings shall be scheduled at a maximum of 14 days prior to the job start date.
Plan Review/Development Engineering Date
Site Construction Inspector
Development Engineering Manager
Date
Date
F] Approved as submitted
0 Pre -Construction Meeting required
F1 Approved with comments or redlines
❑ Camera inspection of utilities required
Page 1 I Published: 3/30/2017