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2. PUBLIC WORKS EXCAVATION PERMIT FORM
4. Disclaimer
   NOTE: No permit shall be issued without current Montana Contractors License, Insurance and Bonding on file with the Public Works Department and payment has been received. The City of Whitefish Public Works Department reserves the right to deny any permit and to temporarily halt any construction to protect the safety of the public or to ensure compliance with City requirements as determined appropriate by the Public Works Department APPLICATIONS CAN TAKE UP TO A MINIMUM OF 48 HOUR'S FOR APPROVAL. WORK IS NOT AUTHORIZED TO BEGIN BEFORE APPROVAL
6. Project Location*
8. Contractor Name*
9. Phone Number*
11. MT Contractors License #*
12. City Business License #*
13. Reply Email*
15. Current Bonding*
    List Surety and Bond #
16. Current Insurance*
    List Insurer and Certificate #
18. Purpose of Permit*

    1. Water Tap/Line (fees may apply)
    2. Sanitary Sewer Tap/Line
    3. Storm Sewer Tap/Line
    4. Electrical Utility

    1. Phone Utility
    2. Gas Utility
    3. General Excavation

    1. Sidewalk
    2. Curb/Gutter
    3. Driveway
20. Will there be excavation within 50' of a public tree?*

    1. yes
    2. no

    (A public tree is any tree located within the public right of way)

21. Sidewalk or Road Closure

    1. yes
    2. no

    (If the road will be closed or sidewalk and traffic or pedestrian control plan is required with this permit.)

23. Description of Work*

    Type of work being done

25. Start Date*
    Start Date
26. End Date*
    End Date
27. Destination of Excavated Materials*
    Destination of Excavated Materials
30. Plumber Name (if water/sewer)*
    Plumber Name
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

* indicates a required field