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Online Work Activity Notice (WAN) Application Instructions

Please complete all of the required information before submitting your application.

Submit this Online Permit Application three (3) business days prior to scheduling work in the public right of way. Site Foreman/Superintendent must notify Public Works staff at (310)285-2518 on first day of work (prior to beginning work activities).

1. SITE INFORMATION
BLANKET PERMIT NO *
WORK START DATE WORK END DATE*
RESTORATION DATE
JOB SITE ADDRESS
ESTIMATED NO of Days:
DESCRIPTION OF WORK*
TYPE OF USE* Alley   
Parking lane/lot Parkway
Sidewalk
Travel Lane   
APPROVED TRAFFIC CONTROL PLAN: TTCP NO Rev No.
POSTED PARKING DESCRITPION (list meter numbers if applicable)
Number of Parking Signs required (metered spaces must be paid in advance)
2 (a). EXCAVATION INFORMATION
EXCAVATION (Excavation)    (Non - Excavation)
EXCAVATION LOCATION
DIMENSIONS OF EXCAVATION* LENGTH   WIDTH   DEPTH  
UNDERGROUND UTILITY ALERT (USA) Ticket No:
2 (b). APPLICANT    
COMPANY NAME
FIRST NAME LAST NAME
EMAIL* The email address entered in this field will be your Electronic Plan Review login.
ADDRESS CITY, STATE , ZIP
PHONE* OFFICE PHONE
3. TERMS & CONDITIONS     
I have read and understood all of the terms and conditions as specified in the Annual Blanket Permit Requirements.
All impacted residents have been notified of the planned work.
By issuance of this permit and the exercise by permittee of the rights granted by the permit, permittee agrees to indemnify, defend, and hold harmless the City of Beverly Hills, its City Council, Boards or Commissions, officers, agents, or employees from any claim, liability, or damage arising out of or resulting from the permittee's exercise of the rights granted by the permit.
By checking the box, the applicant agrees to abide by all requirements of the Beverly Hills Municipal Code and conditions set forth on the permit. Failure to comply may result in permit revocation and/or civil penalties.
By checking this box, you are electronically signing Date: