Full Text
Name Address Phone No email Address ROW Depth Height Size ROW Width Length Other Name Address Phone No email License No Application Fee $100.00 Inspection Fee $600.00 Bond $3,500.00 Total Fee $700.00 Insurance 500,000 $ Date Applicant Signature Date Contractor Estimated Cost ROW Area Only Permit Type Installation Method City of Burley RightofWay Encroachment Application Permit for Utilities and Site Improvements in the Road ROW, Alley Way, or Easement (Please Type or Print All Information) Property Owner Bond is held for one year after construction is complete, Bond will be returned if work is satisfactory after one year. Insurance is Contractor's or Homeowner's Liability Insurance (Fees double for work without application and permit) Fee is 4% of work in ROW with $600 Minimum Construction Start Date Est Attach Plans, XSections and or description of work including backfill 1 year review date Application Number Review Completed Location Plan Review Fees Engineer's Cost Estimate Engineer's Signture New Installation Upgrade Relocation Other Gas Water Cable Telephone Electric Sewer Fiber Optic Other Irrigation Storm Water Fence Curb & Gutter Driveway Sidewalk Signage Curb Cut Paving Jack Bore Pavement Cut Trench Plow Other Road Way Alley way Other Easement Concrete Flatwork Completed Pending Not Applicable Site Visit Required