HomeMy WebLinkAboutA_Permit_248161_170815_v1DEPARTMENT OF COMMUNITY AND ECONOMIC DVELOPMENT
DEVELOPMENT SERVICES DIVISION
MASTER USE/FRANCHISE UTILITY PERMIT APPLICATION
Phone: (425) 430-7266 Fax: (425) 430-7231 franchise@rentonwa.gov
TO THE APPLICANT: Submit 3 copies of plans with application. 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.
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CITY PERMIT NO: MFP WORK ORDER NO.:
Date of Application: 8-4-17 Franchise Agency: Comcast Cable Communications Management, LLC.
Mailing Address for Permit: 410 VALLEY AVE NW, PUYALLUP, WA. Zip: 98059
Contact Name: Ken Pontelandolfo Phone: (253) 288-7540
Job Number: JT#248161
Job Site Address: 875 SW 7th St, Renton, WA 98057
e-mail: ken_pontelandolfo@cable.comcast.com
Project Name: Long Island Pipe
Description of work: Proof and pull 776' of 36CT fiber in existing Comcast system.
Please check all that apply:
New Construction ❑ Repair/Relocate 0 Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open trench ❑ Bore ❑ # of feet: ❑ Gas ❑ Electric ❑ Other: Fiber Optic Cable
Estimated Job completion date: TBD
Contractor name: Cannon Construction (Mark Lee)
Phone: 360-250-7072
City of Renton Business License Number: BL.020838 State Contractors License Number: CANNONC1055CS
"I certify that I am the applicant's owner or 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 &fes 4__1 Date 8-4-2017
CITY INSPECTOR SHALL BE NOTIFIED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK
BY CALLING THE INSPECTION LINE AT 425-430-7203
Jobs are required to be called in for job start, re -inspection and project final.
Plan Review/Development Services Date
Utility Inspector
Date
❑ Approved as Submitted
❑ On -Site Pre -Con Required
❑ Approved with Comments or Redlines
0 Traffic Control Plan Attached
❑ Camera Inspection of Utilities Required
Issue Date:
Public Works Permit Supervisor Date Permit expires 6 months from issue date
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