1Page 1 2Page 2 3Page 3 4Summary Progress Before you apply You must agree a start date for the work you want to carry out. To agree a start date and get a permit for the work, email streetworks@liverpool.gov.uk If your request is in an emergency and within the next 48 hours, you will still need to gain permission from streetworks@liverpool.gov.uk You must also upload a Traffic Management Plan with this application. Do you have a permit number for the street works? Yes No Permit reference number Is this an emergency application for switch off within 48hrs? Yes No Have you got an email from streetworks@liverpool.gov.uk giving you emergency permission without a permit number? Yes No You cannot proceed with this request without a permit reference number. Please do not continue with this application, as it cannot be submitted. You cannot proceed with this request without email permission from the Streetworks team. Please do not continue with this application, as it cannot be submitted. About your company Company name Business address To enter an address outside the Liverpool boundary, use the 'enter address manually' option below. Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually About you the applicant First name Last name Role at company Email address Contact number No information is required, please proceed to the next page. Details of the traffic signal switch-off request Where will the switch off take place? At a junction At a crossing Other If 'Other', please specify Reason for signal switch-off request What utilities will be impacted? Water Gas Electric Comms Other If 'Other', please specify Requested switch-off date This must be no less than 5 working days before works commence on site, unless agreed otherwise with us as an emergency. Is the switch-off request due to an emergency? Switch-off needed in less than 48 hours must be agreed by us first Yes No Does switch-off occur before 8am? Yes No Requested switch-off time (hh:mm) Requested switch back on date Does switch back on occur after 5pm? Yes No Requested switch back on time (hh:mm) Does requested switch-off or switch back on date occur on a weekend or Bank holiday? Yes No Location of the work being carried out Address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Upload traffic management plan (optional) This field is only optional for emergency applications where a plan is not yet completed. Planned works must include a plan. To upload multiple files, hold 'Ctrl' (Windows) or 'Cmd' (Mac) when choosing files to upload. No information is required, please proceed to the next page. Declaration Agreement and declaration by contractor By submitting this form: I agree to comply with the relevant highways act and licence conditions. I will pay the applicable fees associated with this licence application The proposed temporary traffic signals provide all road users and turning movement covered by the permanent traffic signal installation I agree that where expressed by the authority that the permanent traffic signal installation is connected to and controlled by the authority’s Urban Traffic Control (UTC) System, the temporary signals shall be connected and controlled by LCC UTC system throughout the duration of the works You must agree to all of the above statements in order to submit this application. No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...