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Intersection
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Intersection
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- Territories -
AS
GU
MP
PR
UM
VI
- Armed Forces -
AA
AP
AE
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
- Territories -
AS
GU
MP
PR
UM
VI
- Armed Forces -
AA
AP
AE
Type Full Name :
Sign With Hand
Clear
Done
Application Fee
City
Bus Stop Within 500 Ft
ZIP
Attachments (Street Openings must include drawings)
Driveway (Residential)
Proposed Date of Completed Restoration
Proposed Completion
Fee
Number of Feet
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Please attach any necessary documents below.
Contact Person Name
Purpose for Opening
House Number
The fee for this application is $125.00. If over 100 square feet, additional fees may be assessed along with a bond. Should escrow be required, payment will be requested in the form of a check.
Contractor License Number
Applicant Information
Excavation / Opening Information
Certification
Number of Feet
Email
*
State
*
Phone Number
*
Date CC Expired
Description of Work
*
Sidewalk/Curb
{[PNAME]}
State
Proposed Start Date
Email
In the Direction/Intersection
City
*
Full Name
Road Name
*
By signing below, you certify that you have:
Called Supersnooper at (800) 272-1000 for Street Openings.
Call (973) 378-7741 for Inspections of Forms by the Department of Public Works before pouring curbs and walks.
Street
Sign Here
*
Utility/Business Name
*
ZIP
*
Driveway (Commercial)
Cross Street B
Description
Address
Cross Street
Phone Number
Address
*
In the Direction/Intersection
School Within 1000 Ft
Cross Street A
Contractor Information (Please Provide if Applicable)
Size of Opening (SQ ft)
*
Railroad Within 100 Ft
Company Name
{[CNAME]}
Your application has been submitted successfully.
Email:
Date Submitted:
Reference Number: