HomeMy WebLinkAboutA_Franchise_Permit_20170502_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT
Renton
Planning Division 11055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
Email: fra nchiseperm its@rentonwa.gov Website: rentonwv g_ov
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 franchiseuermits@rentonwa.eoy. 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: Comcast Cable Communications Management, LLC.
Franchise Job Number: 233365 Phone: 253.254.9088
Contact Name: Ken Pontelandolfo
Email: kennothyontMandoHoC�caWe.con=iit.=m
Job Site Address: 200 SW 41 st St., Renton, WA 98057 Project Name: East Valley Family Dentistry
Description of Work: Comcast to tie in at dog house ped on north side of SW 41st St. Bore approx. 101' west of ped;
placing (2) 2" PVC at 36" depth; setting (1) new 17" x 30" vault In landscape. Begin boring north of vault on private property.
Please check all that apply:
❑ New Construction ❑ Repair/Relocate N Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench S Bore # of feet: 101
Contractor Name: SEFNCO Communications
Phone: 253.254.8558
State Contractors License* SEFNCI*994P9 City of Renton Business License #: BL•029666
"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 [A {,' ( p),[n Date 5/1/2017
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 snarl ve sweauiea at a maximum of 14 nays prior to rile job start nate.
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
E] Camera inspection of utilities required
Page 1 Published: 3/30/2017