NCU Work Location
Welcome to the City of Mesa's NCU Work Location Online Submission. Please fill in the information requested below and click Submit. You will receive an email confirmation that your new work location has been accepted. NOTE! Completion of this form does not constitute application for a permit.
 
Your Contact Information
fields marked with an asterix * are required
*First Name:
*Last Name:
*Email Address:
(Note: This is the email address to which your confirmation will be sent.)
*Phone Number:
Work Location Information
fields marked with an asterix * are required
*Permit Number:
*Job Number: (Required for Standard Projects)
*Work Location:
(Maximum of 30 characters)
*Location Is:
select
*Call Out Type:
select
(for Blanket Permits only)
*Start Date:
RadDatePicker
RadDatePicker
Open the calendar popup.
*End Date:
RadDatePicker
RadDatePicker
Open the calendar popup.
*Contractor:
*Contact:
*Phone Number:
Trench:
select
Bore:
select
Lane:
select