Fillable Utility-construction - Revised Utility Application

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Utility-construction - Revised Utility Application

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The Utility-construction - Revised Utility Application form is 1 page long and contains:

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File type: PDF

U.S.A. forms for City of Fortworth

BROWSE CITY OF FORTWORTH (TX) FORMS

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City of Fort Worth
Planning & Development – Parkway Services
200 Texas Street | Fort Worth, TX 76102
(817) 392-2222
Apply for Permits and Schedule Inspections online at https://accela.fortworthtexas.gov/citizenaccess/
STREET USE PERMIT APPLICATION FOR UTILITY CONSTRUCTION
Section I: Applicant Information
Applicant/Contractor: CFW Reg. #:
24‐hr Emergency Contact and Phone Number:
Utility Contact and Phone Number (if different than above):
Site Contact and Phone Number for Inspections (If different than above):
Email Address:
Section II: Project Information:
Select All that
Apply:
□ New Cable □ Cable Repair □ Replace Cable □ New Subdivision □ Cable Overlay □ Duct Repair □ Duct & Cable Pull
□ Maintenance □ Manhole Survey □ Splice Pit □ Other:
Utility: Type:
Proposed Start Date: / / Estimated End Date: / /
Project Location(s)
Description of Work:
Project Designation or Work Order Number: MAPSCO:
Subcontractor Used on Project:
Authorized Signature: Date:
For Office Use Only:
Permit Number: Permit Clerk:
For Questions and issues only email Devcustomerservice@fortworthtexas.gov. Must put “Street Use Utility” in subject line
Revised 08/10/2018 RT
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Utility-construction - Revised Utility Application

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Completed 12 July 2020

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