Agencies must have a permit from DCAMM to make any changes to their work spaces. Contractors are not allowed into DCAMM buildings without a signed copy of this permit. Contractors and agencies must follow all contractor work permit stipulations. Original and copies (as well as related drawings, floor plans, and charts) must be received by DCAMM two weeks prior to beginning the project.
Agency Head Name and Authorization:
Contact (your) Name:
Contact Phone:
Contact E-mail Address (required):
Building/Location of Work:
Area Under Construction (sq.ft):
Description Of Work:
Anticipated Work Date:
Arrival Time:
Estimated Departure Time:
Type of Change:
  
Does work require shutdown or interruption of any building systems.  If so, please specify which of the following systems:
Fire AlarmSprinklersHVAC System:
Air Handlers, Exhaust Fans, Hot Water Steam, Chilled Water
Plumbing:  City Water, Hot Water, Drains
 
Electrical Distribution PanelsSecurity Systems:
Camera or Door Control
ElevatorsEscalators
  
If relocation, please give the
Building and Room Number:
Contractor #1 Name:
Trade:
Foreman:
Telephone #:
Contractor #2 Name:
Trade:
Foreman:
Telephone #:
Contractor #3 Name:
Trade:
Foreman:
Telephone #:
Contractor #4 Name:
Trade:
Foreman:
Telephone #:
Contractor #5 Name:
Trade:
Foreman:
Telephone #:
Comments:
 
 
 
 
For DCAMM Use Only 
Work Permit Number:
Expiration Date:
 
Vehicle Information 
Year, Make and Model of Vehicle:
License Plate Number: