Cut/Bore Application

Before you dig, call 325-227-5388 or 325-657-4426 or 325-657-4201. If no one answers, please leave a message.

Afterward, complete this form.

1

Time (indicate AM or PM):

 *

Time (indicate AM or PM):

2

Date:

 *

Date:

3

Phone (including area code):

 *

Phone (including area code):ext.

4

Applicant info

 *

Applicant info

Type of utility:

Company name:

Applicant name (last, first):

Location (street address):

5

Work location (Describe a specific location. E.g. 5 feet south of center line, 95 feet east of intersection of Sunset and Knickerbocker.)

Work location (Describe a specific location. E.g. 5 feet south of center line, 95 feet east of intersection of Sunset and Knickerbocker.)

Work location (Describe a specific location. E.g. 5 feet south of center line, 95 feet east of intersection of Sunset and Knickerbocker.)

Use this to upload a file (GIS map, Google Earth image, etc.) Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

6

Trench dimensions

 *

Trench dimensions

Length in feet:

Width in feet:

Depth in feet:

7

Location information

Location information

	Check all that apply
Street	Location information
Alley	Location information
Unpaved	Location information
Paved	Location information
Bored	Location information
Open cut	Location information
Concrete	Location information
Behind curb	Location information

8

Reason work performed

Reason work performed

	Check all that apply
Repair	Reason work performed
Leak	Reason work performed
Emergency	Reason work performed
Maintenance	Reason work performed
New installation	Reason work performed
Other	Reason work performed

9

Time performed

Time performed

	Check all that apply
Regular hours	Time performed
After hours	Time performed
Weekend	Time performed
Holiday	Time performed

10

Work repaired

Work repaired

	Check all that apply
Permittee	Work repaired
Contractor	Work repaired
City	Work repaired

11

It is agreed (a) that notification shall be provided to The City of San Angelo Engineering Services Division at 325-656-8309 during regular hours of operation or at 325-481-2749 after-hours before work begins in order for the City to have a representative present, (b) that work shall be performed in accordance with City of San Angelo Standard Specifications and Details for Construction, and (c) that the work under the permit shall be completed and the area returned to existing or better conditions as it was prior to said work commencing. My responsibility for repairs are set forth in the pertinent city ordinance Title IX, Chapter 2 and Under Article 1.100 Code of Ordinances and Article 4.900 Streets as passed, approved and adopted.

In Accepting the Permit, we or I, being the "Party" herein Named agree to abide by the Ordinances of the City of San Angelo, in the performances of said "Work" and to intelligently and faithfully abide by and follow the foregoing instruction, Plans or Specifications, or otherwise. We or I, agree to forfeit this Permit without judicial ascertainment.

Agree

12

 Additional information

Additional information

Permittee's name:

Date:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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