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Right of Way Permit application

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Please correct the field(s) marked in red below:

CITY OF CALDWELL RIGHT-OF-WAY PERMIT APPLICATION 

PLEASE ALLOW A MINIMUM OF 48 HOURS FOR PROCESSING.

PERMIT MUST BE SUBMITTED WITH AN APPROVED MUTCD TRAFFIC CONTROL PLAN.

ROAD CLOSURES REQUIRE SEVEN DAYS NOTICE & INFORMATION SIGNS NEED TO BE IN PLACE FOR SEVEN DAYS BEFORE THE REQUESTED CLOSURE DATE.

ALL FIELDS MUST BE FILLED OUT TO PROCESS THE PERMIT.

1
Date of Application:
 *
2
Public Works License #:
 *
3
Company Name:
 *
4
Project Foreman:
 *
5
Company Address:
 *
6
Main Phone #:
 *
7
Cell Phone #:
 *
8
Emergency Phone #:
 *
9
Fax #:
 *
10
Email:
 *

PROJECT INFORMATION:

All right-of-way permits are limited to 5 working days unless otherwise approved.

11
Start Date:
 *
12
Completion Date:
 *
13
Location of Work:
 *
14
Nearest Cross Streets:
 *
15

TYPE OF WORK TO BE PERFORMED: 

Description of Work:

 *
16
Road Closure: (Y/N)
Road Closure: (Y/N)
17
For a road closure please call the below listed entities and check off after notification
For a road closure please call the below listed entities and check off after notification
18
Please attach a traffic control plan:
 *
19
DECLARATION:

I certify by my signature that I understand and will comply with the requirements of Caldwell City Code provisions, Idaho Code provisions, including but not limited to public works licensing and excavation, the Idaho Standards for Public Works Construction (ISPWC) and the conditions attached to this permit. I also warrant and guarantee that I have the authority to obligate the company seeking this permit and the project owner to the extent required to fully comply with the terms of this permit. I acknowledge that, while the City and other public agencies may assist me with review of this project, compliance with applicable laws, rules, regulations, and standards is ultimately my responsibility.

 *
DECLARATION: I certify by my signature that I understand and will comply with the requirements of Caldwell City Code provisions, Idaho Code provisions, including but not limited to public works licensing and excavation, the Idaho Standards for Public Works Construction (ISPWC) and the conditions attached to this permit. I also warrant and guarantee that I have the authority to obligate the company seeking this permit and the project owner to the extent required to fully comply with the terms of this permit. I acknowledge that, while the City and other public agencies may assist me with review of this project, compliance with applicable laws, rules, regulations, and standards is ultimately my responsibility.
  1. To receive a copy of your submission, please fill out your email address below and submit.