Fillable PAVING CUT APPLICATION FORM (City of El Paso)

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PAVING CUT APPLICATION FORM (City of El Paso)

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The PAVING CUT APPLICATION FORM (City of El Paso) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of El Paso

BROWSE CITY OF EL PASO (TX) FORMS

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PAVING CUT APPLICATION FORM
CITY STATE ZIP CODE
( ) MOBILE: ( )
CITY STATE ZIP CODE
( ) MOBILE: ( )
MOBILE: ( )
END DATE:
:Paving Cut Application-2016-vSCS2.2
***NOTICE***
CONTRACTOR CONTACT INFORMATION
PROPOSED EXCAVATION DRAWING
APPROVED TRAFFIC CONTROL
PERMIT BOND
CERTIFICATE OF INSURANCE
STREET & MAINTENANCE
DEPARTMENT
FIRM:
1. INSPECTION REQUEST SHALL BE MADE ON OR BEFORE THE CITY WORK DAY PRIOR TO THE DESIRE INSPECTION DAY BY CALLING
THE STREET AND MAINTENANCE DEPARTMENT AT (915) 212-0151. 2. INSPECTION WILL BE MADE SUBJECT TO THE AVAILABILITY
OF THE CITY INSPECTORS. 3. A COPY OF THE APPROVED PAVING CUT PERMIT, TRAFFIC CONTROL PERMIT, AND PROPOSED
EXCAVATION DRAWING SHALL BE KEPT AT THE PERMIT ADDRESS SITE AND SHOULD BE MADE AVAILABLE TO THE CITY INSPECTOR
UPON REQUEST.
NAME:
ADDRESS:
BUSINESS PHONE:
E-MAIL ADDRESS:
INSPECTION TYPE:
FOREMAN ON SITE:
WORK LOCATION:
WORK DESCRIPTION:
BARRICADE COMPANY:
START DATE:
DIG TESS No:
UTILITY CONTACT INFORMATION
JOB INFORMATION
UTILITY COMPANY:
CONTACT NAME:
ADDRESS:
BUSINESS PHONE:
E-MAIL ADDRESS:
CONCRETE REPAIRS:
SIDEWALK
CURB & GUTTER
DRIVEWAY
CONCRETE PAVEMENT
ASPHALT REPAIRS:
BACK FILL
2-SACK
ASPHALT
PAGE ____ OF ____
SIGNATURE:
DATE:
PAVING CUT PLAN
TYPE OF REPAIRS:
REASONS OF WORK:
PAVING CUT REPAIRS
STREET & MAINTENANCE
DEPARTMENT
ADDRESS:
AREA MEASUREMENTS:
:Paving Cut Application-2016-vSCS2.2
PAGE ____ OF ____
SIGNATURE:
DATE:
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PAVING CUT APPLICATION FORM (City of El Paso)

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Completed 14 February 2021

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