Complete SECTION A – APPLICANT, and SECTION B – PROJECT INFORMATION. Incomplete applications may delay processing of the permit. Please sign in Section E on the reverse side of this form where indicated. This application shall not become an approved permit until signed by the applicant or an authorized agent of the company, and authorized by a representative of the City of Newberg. If a certificate of insurance is not on file with the City, it must be provided before a permit can be issued. Please provide three (3) sets of construction plans and/or an area map for the proposed work with this completed permit application. 

Please submit Permit to the City of Newberg Engineering Department 414 E. First Street Newberg OR 97132. If you have any questions, please call 503-537-1273 or email at engineering @newbergoregon.gov