Street Opening Permit Application

Date of Application

Applicant Information

Name
Address
(in ft.)
(in ft.)
Is excavation site located on improved or unimproved surface?
Check all that apply:
(e.g., utility lines, sewer connections, sidewalks)
Start Date
Completion Date
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    Contractor to Preform Proposed Work Information:

    Name
    Address
    All applicants must provide a bond prior to start of work to ensure that work is properly preformed and to protect the Borough of Oakmont against liability. Your signature below indicates that you or your company agree to be subject to the following:

    As applicant, I hereby agree that I, or the entity of which I am representative, am subject to the laws of the Commonwealth of Pennsylvania and the terms and conditions set forth in Oakmont Borough Ordinance No. 741 (Enacted December 12, 1939) to make full restitution, indemnify and save harmless the Borough of Oakmont from any loss, injury or damage caused to utility lines, street or sewer connections, sidewalks, grass, trees, steps or any other property of any person, firm or corporation.
    Date Reveived
    Date Paid
    The above listed person or company is hereby granted permission to excavate, dig into, work upon, or open the worksite abutting the above listed property for the reasons marked and/or listed above in accordance with the Application submitted and Oakmont Borough Ordinance No. 741
    Date