402 N Bois d’Arc. * P.O. Box 826 * Forney, TX 75126
Ph 972-564-7340 * Fax 469-689-0719 * Email publicworks@cityofforney.org
City Right-of-Way/Easement Use and/or Excavation Permit
(For Franchised Utility Companies and their Subcontractors)
Date: _______________ Pavement Cut? ____ Yes** ____ No Franchised Utility Name: _____________________________
Person Applying for Permit: _________________________ Email: ___________________________________
Project Location: ___________________________________________________________________________
Project Description: _________________________________________________________________________
Reason for Work: ___________________________________________________________________________
Anticipated Start Date: _________________ Estimated Finished Date: _________________
Plans Provided to City? ___ No ___ Yes Plans Required if there is a pavement cut **
Franchised Utility Representative: _________________________ Emergency Phone No: _________________
Subcontractor’s Co. Name (if any): ________________________ Business Phone No: ___________________
Email: ______________________________________________ Fax No: ___________________
Subcontractor’s Representative (if any): ___________________ Emergency Phone No: ___________________
Franchised Utility/Subcontractors Competent Person (per OSHA definition) that will, if applicable (where a
trench is greater than 5.0 depths) make trench safety inspections:
Competent Person’s Name: ___________________________________ Phone: ________________________________________
Permit Issued by: ___________________________________________ Date Issued ____________________________________
City Public Works Construction Inspector: _____________________________________
Office Phone: 972-564-7340 or 972-564-7344
Is permit part of a project that is currently under construction or planned for the future? ___ No ___ Yes
If yes, give details: ____________________________________________________________________________________________
Notes: ____________________________________________________________________________________
__________________________________________________________________________________________
City requirements and standard details for excavation in City ROW or Easements may be found at
www.cityofforney.org.
• ** Pavement Cuts or Repairs. No pavement is to be cut or repaired without prior notification and
inspection by a City Public Works Construction Inspector. Any disturbed work area must be returned to
its previous condition or better. Contractor MUST contact Construction Inspector after completion.
• Time for Completion. All construction or installation work authorized by this permit must be completed
in the time specified in this construction permit. If the work cannot be completed in the specified time
periods, the Permittee may request in writing an extension from the director before the permit has expired.
Work may continue pending a decision by the Director on the extension request.
