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HomeMy WebLinkAboutRightOfWayApplication H:\kevink\Right-of-Way Permit Application_1-17-24.docx CITY OF OSHKOSH, WISCONSIN RIGHT-OF-WAY PERMIT APPLICATION Permit Type:  General Excavation  Site-Specific Excavation  Obstruction I. APPLICANT INFORMATION Company Contact Telephone Email Date of Application Address II. GENERAL CONTRACTOR INFORMATION (if different from above)  Same as above Contractor to Perform Work Contact Telephone III. PROPOSED WORK A. SCHEDULE Estimated Start Date Estimated Completion Date B. ADDRESS/LIMITS OF PROPOSED WORK C. SCOPE OF WORK D. METHOD OF CONSTRUCTION (check all boxes that apply)  Open Cut  Bore Holes Directional (Horizontal) Drilling  No Excavation E. PURPOSE  Install  Repair  Replace  Remove  Dumpster  Traffic control F. LOCATION  Sidewalk  Travel Lane  Parking Lane  Terrace  Easement/Greenway  Other G. TYPE OF FACILITY  Gas  Electric  Cable  Telecommunications  Service  Main  N/A  Other H. STREET  Concrete  Asphalt  PASER 10-7  PASER 10-7  PASER 6-4  PASER 6-4  PASER 3-1  PASER 3-1 IV. CONNECTION TO CITY SANITARY SEWER AND/OR STORM WATER SYSTEM  NEW Sanitary Connection - OR -  Existing Sanitary Connection No. of Connections __________  NEW Storm Connection - OR -  Existing Storm Connection No. of Connections __________  All connections or repairs for existing or new water services shall be coordinated with the City Water Utility 920-232-5330  All permanent structures to be placed in the public right-of-way, vacated right-of-way or City easement will require a signed Encroachment Agreement prior to permit approval. Submit applications to ROWPermits@oshkoshwi.gov or 3rd floor, City Hall, Room 301 – Public Works and Engineering front counter