Indicates required field Permit Type - Select -Utilities ApplyGeneral Apply Contact Person (First Name Last Name) Phone Number Work Zone Location Address Email Address Estimated Start Date Estimated Completion Date Right of Way Closure Type (No closure before 8:30am) Shoulder Work, no closure. If lane is closed flaggers will be used to maintain 2-way traffic Single lane closure, maintaining two way traffic w/yield condition; beginning after 8:30AM until 4PM Single lane closure, maintaining two way traffic w/flagging; beginning after 8:30AM until 4PM Lane closure and shift traffic over to other lane; beginning after 8:30AM until 4PM Full Closure - Detour around the block; beginning after 8:30AM until 4PM Other… Enter other… (No closure before 8:30 am) Description of Work Zone Signature Sign above