Clarks Summit, PA · Lackawanna County

No notary required

Application for Pave Cut Permit

Property owners or contractors use this application to request a Clarks Summit permit for pavement cutting and roadway restoration work.

What this form is

The application requests applicant and contractor contact information, planned work dates, the work location and scope, and the dimensions of the pavement opening. It includes a sketch area and asks for signatures from both the applicant and contractor. The form also states that contractors must notify the borough-appointed inspector at least 48 hours before work begins and that insurance documentation must be on file at the Borough Office.

Who needs it

Applicants and contractors planning pavement-cut work in Clarks Summit use this application to provide project details and request a permit.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; the applicant and contractor each provide a signature and date.

How to submit this form

  1. 1

    Download The Application

    Download the Clarks Summit Application for Pave Cut Permit PDF.

  2. 2

    Complete The Application

    Fill in applicant and contractor details, work dates, location, scope, opening dimensions, and the sketch.

  3. 3

    Gather Insurance Documentation

    Ensure the required general liability and workers’ compensation insurance certificate is on file at the Borough Office.

  4. 4

    Sign And Date

    Have both the applicant and contractor sign and date the application.

  5. 5

    Submit To The Borough

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Application for Pave Cut Permit?
No. The applicant and contractor sign and date the application; it does not require a notary.
How do I submit the pave cut permit application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for applicant and contractor details, work dates, location and scope, pavement-opening dimensions, and a sketch.
What must the contractor do before work begins?
The form says the contractor must notify the borough-appointed inspector at least 48 hours before work begins.

Need something notarized?

This Application for Pave Cut Permit doesn’t need a notary — but if you have another Clarks Summit form that does, a commissioned online notary can help.