Exhibit 2 - Application & Fee Schedule

Cut Size
<200 SY
>200 SY
Fee
$1,800 + $20/SY
$1,800 + $18/SY
Cut Size
<200 SY
>200 SY
Fee
$1,600 + $20/SY
$1,600 + $18/SY
Cut Size
<200 SY
>200 SY
Fee
$1,300 + $15/SY
$1,300 + $14/SY
Cut Size
<200 SY
>200 SY
Fee
$1,000 + $10/SY
$1,000 + $8/SY
Pavement Age 24 months - 36 months (2-3 years)
Pavement Age 36 months - 60 months (3-5 years)
Example: 6 square yards of pavement cut within 2 years:  $1,600 + (6 x $20) = $1,720.
Applicant Address/Applicant e-mail:
Applicant Phone Number:
Contractor Information:
Scope of work: Requesting Pavement Cut to install …(Identify any anticipated impacts to existing infrastrucutre, eg. loop detectors, concrete ramps etc.)
Justification for Pavement Cut: (A verifiable emergency must be specified to cut a Street newer than two years old)
The City of Glendale Code requires all Pavement Cut activities to have an approved permit and be restored in accordance with City standards and specifications (City of Glendale Standards and 
Maricopa Association of Governments (MAG) Standards). Chapter 30 Article IV of the City of Glendale Code requires a pavement restoration fee for cutting pavement that is newer than five years old. 
A four-tier pavement cut rate structure is based on pavement age and size of cut. Pavement cuts include potholes, pavement damage, trenching, etc.
In addition to the pavement restoration fees, pavement cuts within the first year will be subject to a mill and overlay requirement for a minimum width of all lanes impacted by the pavement cuts. The 
minimum length for mill and overlay on each side of the cut will be 50 feet for arterial streets and 25 feet for collectors and residential streets. However, for one pothole per permit, the requirement 
to mill and overlay the street shall not apply, and the pavement restoration fee for that pothole may be waived at the City's discretion.                                                                                                                        
Pavement age for city Streets is found by contacting the City Pavement Manager at 623-930-2940 or via e-mail at transportationinfo@glendaleaz.com. Pavement age is required to complete the 
blocks on the following page.
Pavement Age <12 months (0-1 years)
For cuts within the first year, the fee is in addition to the mill and overlay
Pavement Age 12 months - 24 months (1-2 years)
Pavement Cut Fee Schedule (fees are subject to change on occasion due to current base oil market prices):
PAVEMENT CUT PERMIT APPLICATION
Project Name:
Project Address:
Applicant:

For City Use:
Pavement Age:
Classification:
Arterial
Collector
Residential
Pavement Cut Fee:
Notes:
Approved with Conditions or Denied:
Authorized by:
Date:
Pavement removal (5+ years old)
Square yards:
Pavement Cut Fee does not apply ($0):
** For cuts within the first year, the fee is in addition to the mill and overlay.
Pavement removal (3-5 years old)
Square yards:
Pavement Cut Fee:
Pavement removal  (1-2 years old)
Square yards:
Pavement Cut Fee:
Pavement removal (2-3 years old)
Square yards:
Pavement Cut Fee:
Include a 24” x 36” formatted civil plan sheet showing location, type of work to be performed, and mill and overlay limits. Permits will not be 
processed without the required civil plan sheets.
I hereby certify that these quantities are accurate.
Seal, date and signature of registered civil engineer. FOR ROW permits ONLY. Does not 
apply to Utility Permits.
Print name & date:
Pavement removal  (0-1 years old)
Square yards:
Pavement Cut Fee: