Required fields are marked with asterisks (*)

Utility Cut Restoration

Use the following form to send restoration completion notices to the City of Prince Albert.

You are responsible for the maintenance and restoration of your Utility Cuts until you submit a restoration completion notice and the City accepts your restoration.

All sections marked with a red asterick (*) are required fields.

UCR #

Date utility cut actually began

Date of restoration completion

Please provide your utility cut details

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Agreement

I have read and understand all the above information and agree to your guidelines and I'm aware that failure to comply may result in increased costs or failure to receive future approvals.

The City of Prince Albert is committed to protecting your privacy. Personal information collected on this form is in accordance with The Local Authority Freedom of Information and Protection of Privacy Act (LAFOIP) and will only be used for the purpose for which it was collected. Personal information will not be shared or used for any other purpose without your express consent pursuant to LAFOIP and the City of Prince Albert’s policies. Please contact The City Clerk’s office, 1084 Central Ave., Prince Albert, SK, via email cityclerk@citypa.com or call 306-953-4305 for questions about the access, use, and disclosure of your personal information.

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Utility Cut Restoration