Work_In_ROW_202301
Page 1 of 1 Work_In_ROW_202301.docx
Work in the Right-of-Way Application City of Prattville, Engineering Department 102 West Main Street Prattville, AL 36067 334.595.0550 / engineering@prattvilleal.gov
Applicant: ___________________________________________________ Phone: __________________________________
Address: ____________________________________________________ Email: __________________________________
Contractor: __________________________________________________ Phone: __________________________________
Contractor’s Prattville Business License #: _________________________
Job Site Contact: ______________________________________________ Phone: __________________________________
Describe the Location of Proposed Work:
Type of Work: Gas Fiber/Cable Power Sanitary Sewer Storm Sewer Water Driveway
Will a street cut be required? Yes No
Installation Method: Directional Bore: Diameter _________ Length _________ Depth _________
Direct Bury: Diameter _________ Length _________ Depth _________
Other: _______________________________________________________________
Approximate linear feet of disturbed area: _________________ Will traffic be affected? Yes No
Anticipated Start Date: ____________________________ Anticipated Completion Date: ___________________________
Mark as included or understood:
_____ Sketch or drawing depicting scope of work to be performed and location
_____ Required bonds (bond may be required for road or sidewalk cuts)
_____ The City of Prattville reserves and maintains full and complete control over subject matter related to this permit application
_____ Any violation of the permit provisions or other applicable code or regulation may result in a stop work order or revocation of permit
_____ The Engineering Department will perform inspections during work
_____ A final inspection must be scheduled with the Engineering Department
_____ The Engineering Department must be notified at least 24 hours prior to starting work by emailing construction@prattvilleal.gov
_____ If proposed project will close a street or otherwise interrupt the flow a traffic, notification must be given at least 72 hours in advance
_____ The general area of work will be restored to same or better condition, including grass/sod, landscaping, pavement, etc
_____ A permit is rendered invalid if work is not initiated within six months of issuance or if the project lies dormant for 30 days
_____ I understand that this is an application and no work may begin until a permit is issued.
I have read the above statements and warrant in good faith that I understand and will comply, and that the information submitted is
true and correct.
Applicant Signature: ________________________________________________________ Date: ______ / ______ / _________
Map or plan must be included