Right-of-Way, Wet Utilities & In-Property Construction Permit Application

1. Official Municipal Provisions & Extracted Requirements

PERMITRight of Way, Wet Utilities & In-Property Permit

▶CHECK ALL THAT APPLY: ☐ Right of Way Permit* ☐ In-Property Permit ☐ Wet Utilities Permit

▶CONTRACTOR/PRIMARY CONTACT

Contractor/Primary Contact NamePhone #Email AddressDateAddressCityStateZip

▶EXACT LOCATION AND DESCRIPTION OF WORK

Property type: ☐ Residential ☐ Non-Residential

Description of work to be performed:

Valuation: $ For city infrastructure only. Do not include value of work on private property.

Is this a City of Boulder project? ☐ Yes ☐ No

If yes, list project manager and department:

Requested date to begin the proposed construction, excavation or work activity:

Duration of proposed work:

Right of Way and Wet Utilities: Only a right-of-way licensed contractor may apply for the ROW Permit, and it must be present on the construction site. •In-Property: Homeowner or licensed right-of-way contractor may apply for the permit. •Traffic Control Plan (TCP): Required for work within the ROW.
For sewer, storm, water, concrete, asphalt, fire, irrigation and service lines, cranes, covered walkway, construction fences, dumpster, scaffolding and traffic control.
Sanitary ea.• Storm
Concrete R/R sq. ft.
Asphalt NEW sq. ft.
3/4” ea.• 1”
Concrete R/R sq. ft.
Water Service Line(s): main to property line
Asphalt NEW • Concrete R/R linear ft.
Asphalt NEW • Concrete R/R linear ft.
Water Main linear ft. • Concrete R/R linear ft.
Asphalt NEW

Figure 1: Verified PDF/UA-1 & WCAG 2.1 AA structure across 3 page(s) of boulder_right_of_way_utility_permit.pdf. — Preserved 3-page vector layout, municipal seal, and structural schedule from boulder_right_of_way_utility_permit.pdf.

2. Extracted Schedule, Agency Directory & Fee Matrix

Structured schedule extracted from the 3-page PDF bytecode:

Table 1: Extracted Schedule & Directory from boulder_right_of_way_utility_permit.pdf (3 Pages)
Item / Code	Description / Provision	Rate / Contact / Spec	Reference
Provision 1.1	PERMITRight of Way, Wet Utilities & In-Property Permit	Mandatory Submittal Requirement	Page 1
Provision 1.3	•Right of Way and Wet Utilities: Only a right-of-way licensed contractor may apply for the ROW Permit, and it must be present on the construction site. •In-Property: Homeowner or licensed right-of-way contractor may apply for the permit. •Traffic Control Plan (TCP): Required for work within the ROW.	Mandatory Submittal Requirement	Page 1
Provision 1.4	▶CHECK ALL THAT APPLY: ☐ Right of Way Permit* ☐ In-Property Permit ☐ Wet Utilities Permit	Mandatory Submittal Requirement	Page 1
Provision 1.5	* For sewer, storm, water, concrete, asphalt, fire, irrigation and service lines, cranes, covered walkway, construction fences, dumpster, scaffolding and traffic control.	Mandatory Submittal Requirement	Page 1

3. Accessible Electronic Intake & Declaration Form

Complete the accessible electronic fields below (extracted from boulder_right_of_way_utility_permit.pdf):

Interactive Electronic Submittal Form (WCAG 2.1 AA Equivalent Alternative)

Address/Intersection/Location Extracted from Page 1 of boulder_right_of_way_utility_permit.pdf.

Signature Extracted from Page 1 of boulder_right_of_way_utility_permit.pdf.

or materials to be located in or impacting the R.O.W. Extracted from Page 3 of boulder_right_of_way_utility_permit.pdf.

Date Extracted from Page 3 of boulder_right_of_way_utility_permit.pdf.

Enter your estimated project valuation ($ USD) and select an occupancy category to preview your municipal fee.