City of Maple Grove

Excavation Permit Utility Installation UID # 1321
App. Status: Canceled
Valid: 10/13/2017 - 01/26/2018City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)

APPLICANT

Applicant:

Name:

jane Brown

Company:

Telcom Construction

Company Phone:

Local Phone:

(320

) 365

- 0086

(320

) 365

- 0086

Email Address:

jane.brown@telcomconstruction.com

Mailing Address:

PO BOX 189

Clearwater	mn	55320

PROJECT

Nature of Work:	Service Installation
Surface to be disturbed:	Boulevard
Work to start on or after:	10/13/2017
To be completed on or before:	01/26/2018
Applicant Project No.:	17217935

INSTALLATION / CONSTRUCTION

Provide a detailed work description:	Plow 135 feet of 1s fiber, including a bore under driveway at 10667 105th Ave N from ped to house.
Size and kind of pipe:	1s fiber
Depth from surface:	36"- 48"
Length of utility construction:	135
Method of installation:	Other
If other is selected, please provide additional information:	Plow and Bore
Machine excavation:	Yes
Development:	Existing

Invoice #1134 (10/11/2017)

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

This Application was canceled, so you may not pay for this Invoice.

Action: Print

Approvals

Approval	Signature	Options
Applicant		App. Status must be Pending Review OR Original Document Required OR Original Document Received OR Reviewed by Traffic Engineer
#1 Right of Way Technician Approval		App. Status must be Pending Review OR Original Document Required OR Original Document Received OR Reviewed by Traffic Engineer

Public Notes

Text:
File(s):

Internal Notes

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