Application for Skip Bin Permit Any skip bins that are to be placed on Town of East Fremantle land (i.e verge areas and/or carriageways) must be approved before they are delivered. A skip bin approval, for a maximum of four weeks, will be issued at a cost as per the Town's Schedule of Fees and Charges. Should you require the bin for longer than four weeks, you will need to re-apply for an extension of the permit. Please note there is a cost as per the Town's Schedule of Fees and Charges. Once your application has been assessed, you will be contacted and notified of the outcome and request for payment. Name*This field is required. * Required Field. Company Name (If Applicable) Residential / Business Address - Address where skip bin is to be placed if approved*This field is required. * Required Field. Phone Number Mobile Phone Number*This field is required. * Required Field.* PLease enter a valid mobile phone number Email Address*This field is required. * Required Field.* Please enter a valid email address Size of Skip Bin (Cubic Metre)*This field is required. * Required Field. Date bin is to be delivered*This field is required. * Required Field. Date bin is to be collected*This field is required. * Required Field. If you have a photograph of the area where the skip bin is to be placed, please attach it here Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Location RoadVerge Signature * Required Field. Date Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image