Lynwood, CA · Los Angeles County
Public Works Permit Application
Contractors and property owners use this application to request a Lynwood Public Works permit for work at a specified job address.
What this form is
This application requests a permit for described work and collects the job address and dates, contractor and property owner details, and liability insurance information. Applicants must pay the filing fee before submitting the application for consideration and include the listed plans, licenses, insurance certificate, and fee receipt. The form also states permit conditions and requires the applicant’s signature and date.
Who needs it
Contractors or property owners seeking a Lynwood Public Works permit for work at a job address should complete and submit this application.
How to submit it
Pay the filing fee at Lynwood City Hall Utility Billing, 11330 Bullis Road, by mail or in person, and include the receipt. Submit the completed application and required documents in person at the Public Works Yard, 11750 Alameda St, or email [email protected].
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Public Works Permit Application PDF.
- 2
Complete The Application
Enter the job, contractor, property owner, and insurance information, then sign and date the form.
- 3
Gather Required Documents
Prepare the listed plans, licenses, insurance certificate, and a copy of the fee receipt.
- 4
Pay The Filing Fee
Pay the $54.43 non-refundable fee by mail or in person at Lynwood City Hall Utility Billing.
- 5
Submit To The City
Submit the application and required documents in person at the Public Works Yard or email [email protected].
Frequently asked questions
- Do I need a notary for the Public Works Permit Application?
- No. The application requires the applicant’s signature and date, but it has no notary block and lists no notarized or sworn attachment.
- How do I submit the Public Works Permit Application?
- Pay the filing fee at Lynwood City Hall Utility Billing, then submit the completed application and required documents in person at the Public Works Yard or by email to [email protected].
- What documents must accompany the application?
- The form lists job standard plans, a City of Lynwood business license, a contractor’s state license, a certificate of liability insurance naming the city as additional insured, and a copy of the permit filing fee receipt.
- How much is the permit application filing fee?
- The form lists a non-refundable filing fee of $54.43 per permit, which must be paid before submitting the application for permit consideration.