HomeMy WebLinkAboutCity of Renton ROW App 10097913 - SignedDEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENTf
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Planning Division 1 1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
Email: franchisepermits:@rentonwa.eov Website: rentonwa.eov
FRANCHISE PERMIT APPLICATION
Published: 2/1/2018
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the
Site Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $367.50.
Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00
Franchise Agency: Zayo Group
Franchise Job Number: Phone: 206-832-4853
Contact Name: Doug Carson Email: wwapermits@zayo.com
Job Site Address: 2439 SE Maple Valley Hwy Renton, 98057 Project Name: 10097913 Cedar River
Description of Work: Perform Centurylink duct verification. Should take no longer that 1 hour per manhole.
'lease check all that apply:
❑ New Construction ❑ Repair/Relocate ® Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore It of feet: 9913' Proofing MH
Contractor Name: Zayo Group
Phone: 206-832-4853
State Contractors License #: ZAYOGGL898PJ City of Renton Business License #:
"I certify that I �ri lid i��erplica4t's at iorized agent and do hereby agree to abide to the terms and conditions set forth
under this per t a h I ith p, City f Renton's Trench Restoration and Street Overlay Requirements. "
Signature
Date 8/2/18
INSPECTIONS SHALL BE REQUgSTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LI EAT 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 Fire -construction meetings snarl De scneaulea at a maximum of 14 days prior to the jov start date.
Plan Review/Development Engineering Date
Site Construction Inspector
Development Engineering Manager
Cate
Date
❑ Approved as submitted
❑ Pre -Construction Meeting required
❑ Approved with comments or redlines
❑ Camera inspection of utilities required
Page 1 of 11 Published: 2/1/2018