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2. Permit Review Timeframe Notice

   The Department of Public Works reviews permit applications in the order they are received and within three (3) business days as long as all insurance/bond documents, site plans, etc. are on file. 

4. Applicant Name*
5. Email Address*
7. Firm or Company Name*
9. Business Contact Phone*
10. Cell Phone (if different than Business Contact Phone)
12. Billing Address*
14. City*
15. State*
16. Zip Code*
20. Address of Work Site or Job Site
22. House #*
23. Prefix Direction
    -- Select One --NSEW
25. Street Name*
26. Street Type*
    -- Select One --AveBlvdCirCtDrHtsLnPassPathPkwyPlPtRdRowRunStTerTrlWay
28. Is your proposed work on a principal arterial, minor arterial, or collector roadway?*

    If you're not sure, check the Roadway Classifications map to determine.

    Upload temporary traffic control plan or upload a layout from WisDOT Work Zone Field Manual.

    1. Yes
    2. No
29. Upload your Traffic Control Plan*

    Upload temporary traffic control plan or upload a layout from WisDOT Work Zone Field Manual.

31. What are the nearest cross-street boundaries of your obstruction?

    What streets are adjacent to the work site? 

33. From*
34. To*
36. Beginning and End Date of Obstruction*
    Beginning and End Date of Obstruction Start Date

    Beginning and End Date of Obstruction Start Time

    —

    Beginning and End Date of Obstruction End Date

    Beginning and End Date of Obstruction End Time
38. For partial street closure, which side of the street will be obstructed?*

    Mark all that apply.

    1. North
    2. South
    3. East
    4. West
39. Portion of the Right-of-Way to Be Obstructed*

    Mark all that apply.

    1. Travel Lane
    2. Parking Lane
    3. Terrace
    4. Sidewalk
    5. Parking Meter (fees apply)
    6. Alley
40. Number of Travel Lanes Being Obstructed*
    -- Select One --0123
41. Number of Parking Lanes Being Obstructed*
    -- Select One --012
43. Parking Meters
    Rent a Meter Hood

    If you plan to obstruct a parking lane(s) with metered spots (view map), then you will need to rent a meter hood where a daily fee will be charged per meter obstructed.

45. Purpose of Obstruction request:*

    Please describe exactly what work will be taking place at this location.

47. Purpose of Obstruction*

    Mark all that apply.

    1. Cable
    2. Water
    3. Dumpster Storage
    4. Gas
    5. Electric

    1. Material Delivery
    2. Sewer
    3. Telephone / Communication
    4. Material / Equipment Storage
    5. Other
49. Other Purpose of Obstruction
51. Supporting Document Upload
    If you have a PDF of a traffic control plan, site plan documents, etc., you may upload them here.
55. Terms & Conditions
    Excavation & Obstruction Permit Terms & Conditions (PDF)

    Please review the Terms and Conditions document before proceeding.

57. Electronic Signature & Terms and Conditions Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you have read and agree to the Terms and Conditions document.

    1. I agree.
59. Applicant's Electronic Signature*
61. END OF APPLICATION. Click "Submit" so that the Department of Public Works can review your permit request. If your permits are approved, you will receive an email notification within 3 business days with a link to download your approved permit documents.
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field