Public Utility Permit Work Notification

Owners of Utility Facilities in the Rights-of-Way performing work requiring a Public Utility Permit, per TMC 3-6, shall provide the City notice not less than two (2) business days in advance of performing work.

Notification is also required at the completion of the work.

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Public Utility Permit Number *

Inspection Needed *

Inspections are required for repair of driveway approaches, sidewalks, roadways, and other City facilities. Inspections are also required to close out permits.

Brief Description of Inspection Needed

Example: Close out, restoration.

Inspection Contact Name

If different from contact on permit, please provide the name and phone number of the person scheduling the inspection.

Inspection Contact Number

Start date

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Start and end date(s) that the current work will be or was conducted.

End date

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General Location(s) of Work to be completed *

Cross Streets, Addresses, Geo Locations

Contact Name

Contact Phone Number

Contact Email

Contractor (if different from Contact)

Contractor's Phone Number

Form last update: March 2018

Public Utility Permit Work Notification

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