Fill - Free fillable CITY OF KILLEEN PUBLIC WORKS - ENGINEERING DIVISION (City of Killeen, Texas) PDF form

CITY OF KILLEEN

PUBLIC WORKS - ENGINEERING DIVISION

RIGHT-OF-WAY (ROW) CONSTRUCTION PERMIT APPLICATION

CITY OF KILLEEN – PUBLIC WORKS – ENGINEERING SEPTEMBER 2018

IGHT-OF-WAY (ROW) CONSTRUCTION PERMIT APPLICATION VERSION 2.3



TO BE COMPLETED BY APPLICANT

ApplicantName: Owner Contractor



Applicant’sAddress:



Contractor:



Applicant’sPhoneNumber:



ProjectAddress:



TypeofROWConstruction:(CheckAllThatApply)

StreetCut CurbCut Sidewalk

NetworkNode UtilityPole

Trans.Facility

#ofnodes_____ #ofpoles_____ #nodesserv’d___

Others

TO BE COMPLETED BY PUBLIC WORKS DEPARTMENT OK, N/A, or Note Correction?

1. ProjectDescription?



2. PlotPlanSubmitted?



3. AdjoiningROWandEasementsIdentified?

4. AdjoiningPropertiesIdentified?

5. ExistingStreetCutLocationsonPlotPlan?

6. ExistingSidewalkandDrivewayLocationsonPlotPlan? 

7. AllPertinentDimensionsonPlotPlan?

8. RequiredDocumentation(i.e.serviceagree.,cert.ofauthority,etc.) 

9. DocumentreviewbyPWAttorney?

10. ROWConstructionPermitRequired?

1.ThereversesideofthissheetmaybeusedtoprovidekeydetailsnotshownonthePlotPlan.

2.ContractoristocontactthePublicWorksDepartmentat(254)616‐3172,atleast48hours,beforeconstructionwithintheright‐

of‐way.APublicWorksDepartmentInspectormustfield

verifythelocationofconstructionwithintheright‐of‐waybeforetheROW

isdisruptedandmustapproveallnewconstructionwithintheROW.

3.Inspections/reinspectionsmustbesubmittedviaClick2GovORBuildingInspectionHotline(254‐501‐7766).Allapplicable

responsetimeframesapplydependingoninspectionnotificationmediumutilized.

4.Administrativecompleteness:Nodes/Poles30days,TransportFacility10days,allothersapprox.10businessdays.



(SignatureofApplicant)



(Date)

ApprovedforConstruction:(PUBLICWORKSUSEONLY)



CityEngineer Date

ROWInspection:Approved/Disapproved



PublicWorksInspector Date



Save

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

CITY OF KILLEEN PUBLIC WORKS - ENGINEERING DIVISION (City of Killeen, Texas)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank CITY OF KILLEEN PUBLIC WORKS - ENGINEERING DIVISION (City of Killeen, Texas) Form

Related forms

Fillable CITY OF KILLEEN PUBLIC WORKS - ENGINEERING DIVISION (City of Killeen, Texas)

Fill Online, Printable, Fillable, Blank CITY OF KILLEEN PUBLIC WORKS - ENGINEERING DIVISION (City of Killeen, Texas) Form

Related forms

First 20 documents completely FREE!