Dublin, CA · Alameda County
Personal Wireless Service Facility Permit
This permit application is for applicants seeking City of Dublin approval to install or modify a personal wireless service facility.
What this form is
The application requests permission for work involving a personal wireless service facility in Dublin and asks for applicant and contractor details, work location, pole information, and a description of the proposed work. It also lists required plans and supporting documents, including engineering and emissions information, and explains public-noticing and close-out requirements. The application must be signed and submitted to Public Works.
Who needs it
Applicants proposing a personal wireless service facility in Dublin need this application to request a permit from the City’s Public Works Department.
How to submit it
Email the application to [email protected] and include three copies of plans unless using E-plan Check, plus a copy of the insurance certificate.
About notarization
This document is signed without a notary; the applicant signs and dates the application, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download The Application
Download the Personal Wireless Service Facility Permit application.
- 2
Complete And Sign
Fill in applicant, contractor, site, and proposed-work details, then sign and date the application.
- 3
Gather Supporting Materials
Include three copies of plans unless using E-plan Check, a copy of the insurance certificate, and other applicable materials listed in the requirements.
- 4
Email The Application
Email the completed application and required materials to [email protected].
Frequently asked questions
- Do I need a notary for the Personal Wireless Service Facility Permit?
- No. The application is signed and dated by the applicant without a notary; no notarized or sworn attachment is specified.
- How do I submit the Personal Wireless Service Facility Permit?
- Email the application to [email protected]. Include three copies of plans unless using E-plan Check, and a copy of the insurance certificate.
- What information does the application ask for?
- It asks for applicant and contractor details, work location and description, pole information, and supporting materials such as plans, engineering information, and emissions documentation.
- What documents accompany the application?
- The form lists three copies of plans unless using E-plan Check and a copy of the insurance certificate. Additional requirements depend on the proposed facility and pole.
Need something notarized?
This Personal Wireless Service Facility Permit doesn’t need a notary — but if you have another Dublin form that does, a commissioned online notary can help.