HomeMy WebLinkAboutFranchise App Bridge WA-B13 Overbuild - Signed.DEPARTMENT OF COMMUNITY cIT of
AND ECONOMIC DEVELOPMENT Renton
Planning Division 11055 South Grady Way, 6c4 Floor I Renton, WA 98057 1425-430-7200
Email: franchisepermits(Wentonwa..goy Website: rentonwa.gov
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
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Franchise Agency: Zayo Group
Franchise Job Number:
Contact Name:
Job Site Address:
Description of Work:
Phone: 206-832-4853
Matthew Travis Email: matthew.travis@zayo.com
19201 108th Ave SE Renton, WA 98055 Project name: Bridge: WA -B13 Overbuild
Overlash 106', Tie into existing conduit 99', Riser 26: Pull (1) 144ct fiber through existing Zayo
conduit. Overlash (1) 144ct fiber to existing Zayo strand. Tie (1) 144ct fiber into existing Zayo splice case.
Please check all that apply:
❑ New Construction ❑ Repair/Relocate ❑ Underground ® Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet: 106
Contractor Name: Zayo Group Phone: 206-832-4853
State Contractors License #: ZAYOGGL898PJ
City of Renton Business License #:
"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 permitd shall comply with the City of Renton's Trench Restoration and Street Overlay Requirements. "
Signature -L - - Date 10/3/18
INSPECTIONS SHALL BE REQUESTED 14 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.
,til Pre -construction meetings snail ne scneau►ea at a maximum or 14 days prior to tne1ob start date.
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
❑ Camera inspection of utilities required
Page 1 of 1 Published: 2/1/2018