White Haven, PA · Luzerne County

No notary required

Street Opening Application

White Haven Borough property owners and contractors use this application to request a permit for street excavation or opening work.

What this form is

Use this application to request a White Haven Borough permit for proposed street excavation or opening work. It asks for applicant, owner, property, contractor, insurance, work-scope, dimensions, and scheduling details, and requires a sketch plan drawn to scale. The form lists a $75 permit fee, an inspection fee based on the Borough Engineer’s cost, and a maintenance or performance bond amount that depends on opening size.

Who needs it

Property owners or applicants planning street excavation or opening work in White Haven Borough should complete this application, including contractor information when applicable.

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; if workers’ compensation proof is not attached, the form requires a notarized state form.

How to submit this form

  1. 1

    Download The Application

    Download the Street Opening Application PDF.

  2. 2

    Complete The Application

    Provide applicant and property details, contractor information if applicable, work description, opening dimensions, and estimated work dates.

  3. 3

    Gather Attachments

    Attach a sketch plan drawn to scale and, when applicable, workers’ compensation and general liability insurance proof.

  4. 4

    Submit To The City

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

Frequently asked questions

What is the Street Opening Application for?
It requests a White Haven Borough permit for proposed street excavation or opening work and collects details about the applicant, location, contractor, and project.
What attachments does the application require?
A sketch plan drawn to scale must be attached. If a contractor is doing the work and proof of workers’ compensation is not attached, the form requires a notarized state form.
Do I need a notary for the Street Opening Application?
No. The application is signed and dated without a notary. However, if workers’ compensation proof is not attached, the form requires a notarized state form.
How do I submit the Street Opening Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Street Opening Application doesn’t need a notary — but if you have another White Haven form that does, a commissioned online notary can help.