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HomeMy WebLinkAboutA_Application_220560DEPARTMENTOFCOMMUNITYCITYOFANDECONOMICDEVELOPMENT-------——-“Rei1toflPlanningDivisionI1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200Email:franchisepermits@rentonwa.govWebsite:rentonwa.govFRANCHISEPERMITAPPLICATIONPublished:3/30/2017TOTHEAPPLICANT:SubmitanelectroniccopyoftheplanswiththeFranchisePermitApplicationandtheTrafficControlApplicationtofranchisepermits@rentonwa.gov.Permitcostis$360.50.Inspectionfeefortrenchingmorethan60linealfeetorinstallationof6ormorepoleswillbebilledat$60.00perhour.31z2pSCtflPhone:Email:3IofrrjPLc.I1JProjectName:tv1oferjfla(a15&CVr3.rôccThk1éZ?(t%t:e•IbçOil],flC4A..)?IPleasecheckallthatapply:ElNewConstructionElRepair/RelocateElUndergroundElOverheadElSidewalkElStreetElOpenTrenchElBore#offeet:ContractorName:Phone:StateContractorsLicense#:5E3Cftoti)CityofRentonBusinessLicense#:“1certifythatIamtheownerorapplicant’sauthorizedagentanddoherebyagreetoabidetothetermsandconditionssetforthunderthispermitandshallcomplywiththeCityofRenton’sTrenchRestorationandStreetOverlayRequirements.”Signature___________________________________________________Dateçz3b1INSPECTIONSSHALLBEREQUESTED24HOURSPRIORTOCOMMENCEMENTOFALLWORKBYCALLINGTHEINSPECTIONLINEAT425-430-7203ORBYGOINGTOMYBUILDINGPERMIT.COMJobsarerequiredtobecalledinforjobstart,re-inspectionandprojectfinal.Re-inspectionfeesarebilledat$75/hour.AllPre-Constructionmeetingsshallbescheduledatamaximumof14dayspriortothejobstartdate.C.kFranchiseAgency:FranchiseJobNumber:ContactName:JobSiteAddress:DescriptionofWork:Th4ttPlanReview/DevelopmentEngineeringDatejApprovedassubmittedPre-ConstructionMeetingrequiredSiteConstructionInspectorDateJApprovedwithcommentsorredlinesCamerainspectionofutilitiesrequiredDevelopmentEngineeringManagerDatePage1Published:3/30/2017