HomeMy WebLinkAboutA_FranchisePermitApplictionN.242624_170503_v1DEPARTMENT OF COMMUNITYCITY OF
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
7 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: Qwest Corp d/b/a Centurylink MFP17002267
Franchise Job Number: N.242624
Contact Name: Michael Fuget
Phone: 253-854-4074
Email: Michael.Fuget@Centurylink.com
Job Site Address: 660 SW 39th ST Renton, WA 98057 Project Name:
Description of work: Accessing MH375 and MH912 to splice and place fiber in existing conduit.
No disturbance of surface.
Please check all that apply:
0 New Construction ❑ Repair/Relocate 0 Underground ❑ Overhead 0 Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet:
Contractor Name: North Sky Communications
Phone: 360-254-6920
State Contractors License #: NORTHSC857Q4 City of Renton Business License #: BL.028638
"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. "
Digitally signed by Michael Fuget
Signature Michael Fuget
Date: 2017.05.0316:49:31 -0700• Date 5/3/17
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.
.dolly Powers
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 Published: 3/30/2017