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The document is the Form PERM 32, a Highway Work Permit Application for Utility Work issued by the New York State Department of Transportation. It outlines the instructions for completing the application, including required information such as permittee details, project description, insurance coverage, and work plans. The document also specifies responsibilities of the permittee, conditions of use, insurance requirements, and procedures for site care and restoration. Additionally, it includes guidelines for traffic maintenance and reporting accidents during the project. The form must be submitted in triplicate along with supporting documents.

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Click 'Get Form' to open the Highway Work Permit Application in the editor.
Begin by entering the Permittee's name, address, phone number, and email. If there are joint applicants, include their information as well.
Provide the name and contact number of an emergency contact person for quick reference.
Estimate the cost of work being performed in the state highway right-of-way and fill in the anticipated duration of work with starting and ending dates.
Indicate whether any overhead or underground work is involved and attach plans and specifications if required.
Complete the insurance coverage section by selecting the appropriate type of insurance you will provide.
Review all entries for accuracy before signing and dating the application at the bottom.

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