Excavation-Fill/ Work In R-W Permit Application Form Page 2
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2**Office Use Only**
EXCAVATION/FILL PERMIT CHECKLIST
DEPARTMENT REVIEW
1. Will the work take place in the public right-of-way?
Yes ____
No ____
2. Is an engineer review required?
Yes ____
No ____
3. Has an engineer approved the plan received?
Yes ____
No ____
4. Is a City inspection required for the excavation/backfilling?
Yes ____
No ____
Comments __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Grading Permit Fees $ __________________________
Plan Review Fees $ ________________
Right-of-Way Permit Fee
$40.00
REVIEWED AND APPROVED BY:
________________________________________________
_____________________________
Public Works Director
Date
________________________________________________
_____________________________
Community Development Coordinator
Date
Grading Permit Fee*
Up to 100 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00
101 to 1,000 cubic yards . . . . . . . . . . . . . . . $50.00 for the first 100 cubic yards, plus $15.00
for each additional 100 cubic yards or fraction thereof
1,001 to 10,000 cubic yards . . . . . . . . . . . . $185.00 for the first 1,000 cubic yards, plus $13.00 for
each additional 1,000 cubic yards or fraction thereof
10,001 to 100,000 cubic yards . . . . . . . . . . $302.00 for the first 10,000 cubic yards, plus $50.00 for
each additional 10,000 cubic yards or fraction thereof
100,001 cubic yards or more . . . . . . . . . . . $752.00 for the first 100,000 cubic yards, plus $30.00
for each additional 10,000 cubic yards or fraction
thereof
* The fee for a grading permit authorizing additional work to that under a valid permit shall be the difference
between the fee paid for the original permit and the fee shown for the entire project.
Excavation-Fill Permit.doc
7/11/11
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