Excavation Permit Utility Installation UID # 1104
App. Status: Returned for Changes
Valid: 06/23/2017 - 06/27/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
jennifer Thielen
Company:
RTVision
Company Phone:Local Phone:
(320454 - 4456
(320484 - 4444
Email Address:
jent@rtvision.com
Mailing Address:
234
Little Falls MN 56456

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Gravel
Work to start on or after: 06/23/2017
To be completed on or before: 06/27/2017

INSTALLATION / CONSTRUCTION

Depth from surface: 36"- 48"
Method of installation:
Hand Dig
Open Trench
Joint Trench (Other)

Invoice #957 (06/22/2017)

Charge Cost Quantity Total
Grand Total
Total $0.00
Due$0.00
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