City of Joondalup Forms – A Global City: Bold | Creative

23:53:35

Exit

Infrastructure Verge Permit

Company Name(Required)

ABN(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Given Name(Required)

Surname(Required)

Phone(Required)

Email(Required)

Location(Required)

Estimated Construction Value(Required)

$60,000.00 – $250,000.00

>$250,000.00 – $1,000,000.00

>$1,000,000.00

Start Date(Required)

End Date(Required)

Start Time

End Time

*Earliest selectable date should be 10 business days (14 days) from the application date. For example, if the application is completed on 15/04/2024, the earliest selectable date should be 30/04/2024.

Untitled(Required)

Agreement (Checkbox)

By submitting this application for a verge permit, I, the undersigned, acknowledge and understand that I am responsible for any damage to existing infrastructure. In the event of such damage, the bond I have posted as part of this application will be forfeited to cover the cost of repairs. I accept all terms and conditions outlined on the Verge Permit. I understand the implications of this agreement and willingly accept these responsibilities.

An invoice will be sent to you later for payment online.