Fillable Tel 401.782.0687 Fax 401.782.0694 APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION (Town of Narragansett)

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Tel 401.782.0687 Fax 401.782.0694 APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION (Town of Narragansett)

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TOWN OF NARRAGANSETT
Department of Public Works
260 Westmoreland Street, Narragansett, RI 02882
401.782.0687 Fax 401.782.0694
Tel 401.782.0687 Fax 401.782.0694
APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
Date:
Contractor:
Owner/Agent Name & Title (Printed)
Address:
Signature
Narragansett R-O-W License #
Telephone#: Emergency#:
LOCATION OF PROJECT/WORK TO BE PERFORMED
Street Location:
Plat: Lot: Or Between Pole# & Pole#
Construction Location:
Purpose of Application:
Estimated Start Date: Estimated Finish Date:
FOR TOWN USE ONLY
Eng Dept Date Deposit Required Y / N
Initials
Deposit Amount
Age of Road Road Materials
Permit Fee
$25.00
Length of Work CRMC/DEM
Other
Horizontal Cut Vertical Cut
Inspection Schedule Y / N
Special Instructions:
Email address to send permit to:
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Tel 401.782.0687 Fax 401.782.0694 APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION (Town of Narragansett)

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Completed 4 August 2020

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