HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinteraWCITYOFDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT—=——““Renton.0PlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200Email:franchisepermits@rentonwa.govWebsite:rentonwa.govQwestCorpd/b/aCenturylinkMFP17002651FranchiseJobNumber:1t236745—N.237645Phone:Email:333Sw7thSTRenton,WA98057ProjectName:DescriptionofWork:AccessingMH113andCTLPEDtospliceandplacefiberinexistingconduittocustomer.CTLPEDislocatedonprivateproperty.Nodisturbanceofsurface.Pleasecheckallthatapply:•NewConstructionERepair/Relocate•UndergroundElOverhead•SidewalkElStreetElOpenTrenchElBore#offeet:ContractorName:NorthSkyCommunicationsPhone:3602546920StateContractorsLicense#NORTHSC857Q4CityofRentonBusinessLicense#BL.028638“1certifythatIamtheownerorapplicant’sauthorizedagentanddoherebyagreetoabidetothetermsandconditionssetforthunderthispermitandshallcomplywiththeCityofRenton’sTrenchRestorationandStreetOverlayRequirements.”rki+DigitallysignedbyMichaelFugetSignatureivilciiaeiugeLDate:2017.04.2114:03:35-0700INSPECTIONSSHALLBEREQUESTED24HOURSPRIORTOCOMMENCEMENTOFALLWORKBYCALLINGTHEINSPECTIONLINEAT425-430-7203ORBYGOINGTOMYBUILDINGPERMIT.COMJobsarerequitedtobecalledinforjobstart,re-inspectionandprojectfinaLRe-inspectionfeesarebilledat$75/hour.AllPre-Constructionmeetingsshallbescheduledatamaximumof14dayspriortothejobstartdate.FranchiseAgency:Published:3/30/2017TOTHEAPPUCANT:SubmitanelectroniccopyoftheplanswiththeFranchisePermitApplicationandtheTrafficControlApplicationtofranchisepermits@rentonwa.gov.Permitcostis$360.50.Inspectionfeefortrenchingmorethan60linealfeetorinstallationof6ormorepoleswillbebilledat$60.00perhour.ContactName:JobSiteAddress:MichaelFuget253-854-4074Michael.Fuget@Centurylink.comDate4/21/20173IoCCy2’owersPlanReeWDevelomentEngineeringDateApprovedassubmitted‘--&nu..-Lt-2o17Pre-ConstructionMeetingrequiredSiteConstructionInspectorDatejApprovedwithcommentsorredlinesCamerainspectionofutilitiesrequiredDevelopmentEngineeringManagerDatePage1Published:3/30/2017