Street Opening Permit Application

License and Inspection

Applicant Information

Applicant Is:

Property Owner

Contractor

Applicant Name *

Applicant Phone Number *

Applicant Fax Number *

Address *

Applicant Email Address *

City *

State *

Zip *

Work Information

Work Address *

City *

State *

Zip *

Proposed Work and Materials Used *

Fees

For curb installation, the permittee must deposit funds based on a 2' wide opening for the length of the curb.

If no restoration is required by the Township, the deposit will be refunded upon request.

Is the Length of the Opening Greater than 100 Linear Feet?

Total Length of Opening in Linear Ft. *

Opening Area (in SQ Yards) *

Material Type *

Units

Base Fee

Per 100 LF Fee

Opening Area Fee

Fee Multiplier

Zero

Remove Base

Additional Fee

Fee Total

Deposit (If Necessary)

Total Charge

Prior to commencement of work, contractor must notify Emergency Services at:
Police Dispatch: 610-544-1100
County Dispatch: 610-565-6500

I have read and understand the restoration standards described on the reverse side of this form and agree to comply with the requirements for construction and restoration of the public right-of-way as shown. Notwithstanding the issuance of this permit, I agree to comply with all of the provisions of the Code of Springfield Township.

Type Your Name Below to Sign the Form

Applicant Signature

Application Date

Payment of fees for this application will be requested via email once your submission has been reviewed.  Please verify that emails from donotreply@springfielddel.co are not sent to your spam/junk mail folder.  The email will contain a link to this form allowing you to make a secure payment by credit card.  The amount shown below is an estimated amount and may be adjusted once your submission is reviewed.

Payment Amount Due