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2. When the work under your right-of-way permit is completed, please submit this request for a final inspection. An inspection will then be scheduled and your permit will be closed.
4. Date Completed
5. Permit Number
7. Project Desciption/Location*
9. I certify that the work requested under the above permit has been completed. The City can now inspect the work site to ensure that proper restoration of the affected right-of-way has been completed.
11. Contact Person*
12. Contact Phone*
14. Contact Email*
16. Company Name
17. Company Address
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field