Pavement Cut Permit Application

Pavement Cut Permit Application

Permits are issued in accordance with Glendale City Code, Chapter 30, Article IV - Pavement Preservation Ordinance. Details regarding this ordinance, the current Fee Schedule, and a link to the City of Glendale Rehabilitated Streets map can be found here: https://www.glendaleaz.com/cms/One.aspx?portalId=15209085&pageId=15786582

Submission Date*

Project Name*

Project Location*

Applicant Name*

Applicant Email*

Applicant Phone Number*

Contractor Name

Scope of Work*

Please enter a brief scope of the work being performed (identify any anticipated impact to existing infrastructure such as loop detectors, concrete ramps, etc.).

Justification for Pavement Cut*

Please provide detailed justification for the pavement cut request. Pavement cut restrictions are enforced for pavement less than 2 years in age. Please review Section 30-83(b) of the Pavement Preservation Ordinance in for more details.

Please indicate the age of the pavement to be cut. Fee will be calculated per Pavement Cut Fee Schedule.

<12 months (0-1 years)

>12 months to <24 months (1+ to 2yrs)

>24months to <36 months (2+ to 3yrs)

>36 months to <60 months (3+ to 5yrs)

Size of Cut Area (SY)*

Attach Plans Here

Plans must conform to the Engineering Design and Construction Standards, Chapter 11.6. The Standards can be found on the City's website here: https://www.glendaleaz.com/cms/One.aspx?portalId=15209085&pageId=15331937

File Upload*

Drag and drop files here or

NO CONSTRUCTION MAY PROCEED UNTIL PERMIT IS ISSUED - THIS IS AN APPLICATION ONLY.

By submitting this application, you are agreeing to the General Conditions as shown here: https://www.glendaleaz.com/common/pages/DisplayFile.aspx?itemId=15786630

You will receive the permit, and all other communication, via the email address you've provided above.

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