You must have JavaScript enabled to use this form. Form Title Works Permit Application Form Notice Before beginning this form, please ensure that you have prepared your supporting documentation as this is required before you can submit your application. If you are unsure what supporting documentation you need, please call our works permits officer on 08 8930 0597 to have an initial discussion about the works you are proposing to do. Application must be received 5 business days prior to requested start date. Road closures require a minimum notice as per the conditions of approval. Works permit is not valid without payment AND signature of authorised officer. No works are to proceed prior to receiving approved Works Permit. Applicant Details (Primary Contractor) Please provide the details of the applicant of this Works Permit. Name Company Postal address Primary contact number Secondary contact number Email Work Details Please provide details below of the works you are proposing to do. Works Address Period of works from Period of works to Number of working days Description of works Number of parking bays required (Only applicable within zoned CBD parking bays) Purpose of works Development Power Communications Water Stormwater Driveway Sewerage Type of works Excavation Bin / container Driveway / footpath Gantry Load / unload goods Hoarding Road closure Connection Type of vehicle Crane (size) Bin / container Cherry picker / EWP 6 wheel truck Bob cat Chipper Excavator Concrete pump / truck Scissor lift Required attachments Please ensure you have the below supporting documents attached. Depending on the nature of your Works Permit Application, you may also be required to supply additional supporting documents. If this is the case, our Works Permit Officer will be in contact with your to discuss your application. Public liability insurance ($20 million or more) One file only.4 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Traffic / pedestrian management plan and diagrams One file only.4 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, xls, xlsx. White Card number(s) Acknowledgements acknowledge Please ensure you have read and understand the City of Darwin Privacy Statement and Conditions of approval for Works Permits before submitting. Conditions of works permit I acknowledge that have read and agreed to undertake and abide by the Conditions of Approval attached to this document and any special conditions placed on the permit. Privacy statement I acknowledge that I have read and understand the City of Darwin Privacy Statement. Leave this field blank
You must have JavaScript enabled to use this form. Form Title Works Permit Application Form Notice Before beginning this form, please ensure that you have prepared your supporting documentation as this is required before you can submit your application. If you are unsure what supporting documentation you need, please call our works permits officer on 08 8930 0597 to have an initial discussion about the works you are proposing to do. Application must be received 5 business days prior to requested start date. Road closures require a minimum notice as per the conditions of approval. Works permit is not valid without payment AND signature of authorised officer. No works are to proceed prior to receiving approved Works Permit. Applicant Details (Primary Contractor) Please provide the details of the applicant of this Works Permit. Name Company Postal address Primary contact number Secondary contact number Email Work Details Please provide details below of the works you are proposing to do. Works Address Period of works from Period of works to Number of working days Description of works Number of parking bays required (Only applicable within zoned CBD parking bays) Purpose of works Development Power Communications Water Stormwater Driveway Sewerage Type of works Excavation Bin / container Driveway / footpath Gantry Load / unload goods Hoarding Road closure Connection Type of vehicle Crane (size) Bin / container Cherry picker / EWP 6 wheel truck Bob cat Chipper Excavator Concrete pump / truck Scissor lift Required attachments Please ensure you have the below supporting documents attached. Depending on the nature of your Works Permit Application, you may also be required to supply additional supporting documents. If this is the case, our Works Permit Officer will be in contact with your to discuss your application. Public liability insurance ($20 million or more) One file only.4 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Traffic / pedestrian management plan and diagrams One file only.4 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, xls, xlsx. White Card number(s) Acknowledgements acknowledge Please ensure you have read and understand the City of Darwin Privacy Statement and Conditions of approval for Works Permits before submitting. Conditions of works permit I acknowledge that have read and agreed to undertake and abide by the Conditions of Approval attached to this document and any special conditions placed on the permit. Privacy statement I acknowledge that I have read and understand the City of Darwin Privacy Statement. Leave this field blank