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Franchise Permit Revision ApplicationDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Page 1 of 1 | Published: 2/1/2018 Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 Email: franchisepermits@rentonwa.gov Website: rentonwa.gov REVISION - FRANCHISE PERMIT APPLICATION Published: 2/1/2018 TO THE APPLICANT: Only Current Issued Permits Qualify for a Revision. For any work related to an expired or finaled permit, a new Franchise Permit Application shall be required. Submit an electronic copy of the plans with the Revision Franchise Permit Application to franchisepermits@rentonwa.gov. Permit # Franchise Agency: Franchise Job Number: Phone: Contact Name: Email: Job Site Address: Project Name: Approved Description of Work: Proposed Description of Work: Reason for change of work: “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 Date 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 $125/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date. Plan Review/Development Engineering Date Approved as submitted Pre-Construction Meeting required Site Construction Inspector Date Approved with comments or redlines Camera inspection of utilities required Development Engineering Manager Date