Patterson, CA · Stanislaus County

No notary required

Encroachment/Trench Cut Permit

This application requests a Patterson permit for work in the public right-of-way, including street excavation, trench cuts, utility connections, and other listed activities.

What this form is

The form lets property owners, contractors, and utility companies apply for an encroachment or trench cut permit for work at a listed job location. It requests applicant, owner, contractor, subcontractor, work, street segment, and project details, and includes insurance requirements and agreement terms. The form also addresses stormwater plans, inspections, traffic control, and trench cut repairs; work cannot begin until approval conditions are satisfied.

Who needs it

Property owners, contractors, utility companies, or other applicants planning work covered by the permit types listed on the form should complete it.

How to submit it

The form lists the Public Works Department at 1 Plaza, P.O. Box 667, Patterson, CA 95363. It also provides [email protected] and a Public Works phone number for questions.

About notarization

This document is signed without a notary; the applicant and, for trench cut permits, the utility company representative sign and date it.

How to submit this form

  1. 1

    Download The Permit

    Download the Encroachment/Trench Cut Permit PDF.

  2. 2

    Complete The Application

    Enter the applicant, job location, contractor, work, and project details requested on the form.

  3. 3

    Gather Required Attachments

    Prepare the certificate of liability insurance and required endorsements. Include applicable trench plans and stormwater or erosion-control plans.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the Public Works Department at the address listed on the form.

Frequently asked questions

Who uses the Encroachment/Trench Cut Permit?
Property owners, contractors, utility companies, and other applicants use this form to request a permit for work covered by its listed permit types.
What information does the permit application request?
It asks for applicant and property details, the job location, contractor and subcontractor information, work and street-segment details, and project information.
Do I need a notary for the Encroachment/Trench Cut Permit?
No. This document is signed without a notary. The applicant signs and dates it; trench cut permits also require a utility company representative's signature and date.
How do I submit the Encroachment/Trench Cut Permit?
The form lists the Public Works Department address as 1 Plaza, P.O. Box 667, Patterson, CA 95363, and provides a Public Works email for contact.

Need something notarized?

This Encroachment/Trench Cut Permit doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.