"*" indicates required fields Project Location* Blasting* Yes No Owner* Owner Phone Number*Owner Address* Street Address City State ZIP Code Contractor* Contractor Phone Number*Contractor Address* Street Address City State ZIP Code Type of Utility*Select OneWater ServiceSanitary SewerStorm SewerGas ServiceElectric ServiceType of Work*Select OneInstallationRepairReplacementService DisconnectionRemovalType of Materials*Select One3/4" 'K' CopperSDR 35 PVCSchedule 40 PVCConcreteOtherApproximate Size of Street Cut* Scheduled Start Date* Scheduled Completion Date* Traffic control shall comply with the requirements of Penn DOT Publication 203 and the Borough Police. Road/Street Restoration and Paving shall be in accordance with the requirements of the Borough: 1. Base Course - four (4) inches of Bituminous Concrete Base Course 2. Wearing Course - one and one half (1-1/2) inches ID-2 Wearing Course Utility Plan (mark approximate location - see example below): Upload Utility Plan* Drop files here or Select files Max. file size: 20 MB. Applicant's Name* Applicant's Phone Number* Applicant's Email* Applicant's Address* Street Address City State ZIP Code Applicant's Signature* Date* CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
