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Starting Date and time
Day
Month
Year
Time
HoursMinutes
Ending Date and time
Day
Month
Year
Time
HoursMinutes
Type of Permit
Site Access Only
Mobilization
Excavation
Construction
Other
Working During Weekends/Holidays
Yes
No

Pre-approval is required. Please select "No" if you do not have pre-approval or authorization to work on weekends and holidays.

Is Road Closure Required
Yes
No

If "Yes", a sketch, layout, or drawing is required. Please upload it below.

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