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Application for a permit to dig

Items marked * must be completed

ApplicantCustomerLocationRequirementDeclaration

Please Note:
Applications for within Stoke-on-Trent area must be submitted to Stoke-on-Trent City Council directly, if in doubt please check before proceeding with your application.

Important

The applicant must be a registered organisation.

If your organisation is not registered with the county council please follow the link to complete a registration form.

Applicant details

1. Person completing form:*

2. Organisation name:*

3.Organisation address:

Find address: Postcode:

Address line 1:*

Address line 2:

Town/city:*

County:*

Postcode:*

Copy address to my payment details (doing this will populate the payment page with this address, you will have the opportunity to amend it).

4. Organisation contact details

Phone number:*

Email address:* A copy of your permit will be forwarded to this address

Name of NRSWA holder:*

Your job reference:

5. Emergency contact details (24 hour)

Contact name:*