While this form is not interactive due to the requirement for an original signature, it may, however, be filled out online, then printed and mailed or delivered to the City. You must be at the top of the screen to print the entire form .
Inspection is required.
Any work undertaken without benefit of inspection will be subject to removal and reinstallation at permittee's expense. Permittee shall notify the Engineering Department's inspection unit at least 24 hours prior to excavation and again 24 hours prior to installation of final A.C. hot patch, if required. This permit is valid only for the purpose specified herein. Any damage caused to City or private property in any way related to or by any activity connected with this permit shall be repaired to the satisfaction of the City Engineer at the cost of permittee and without cost to the City. Effective January 1, 1990.