City of Maple Grove

Excavation Permit Utility Installation UID # 270
App. Status: Canceled
Valid: 09/26/2016 - 09/26/2016City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)

APPLICANT

Applicant:

Name:

William Thomas Degel

Company:

Comcast.

Company Phone:

Local Phone:

(651

) 414

- 7045

(651

) 755

- 1891

Email Address:

william_degel@cable.comcast.com

Mailing Address:

3050 Echo Lake Ave Suite 200

Mahtomedi	Mn	55115

PROJECT

Nature of Work:	Service Installation
Surface to be disturbed:	Boulevard
Work to start on or after:	09/26/2016
To be completed on or before:	09/26/2016

INSTALLATION / CONSTRUCTION

Size and kind of pipe:	1" induct
Depth from surface:	Other, I will describe below
If other is selected, please provide additional information:	min 24"
Length of utility construction:	40
Method of installation:	Other
If other is selected, please provide additional information:	Pneuma Gopher
Machine excavation:	No
Development:	Existing

LOCATION

Location/Address:

18671 GLADSTONE BLVD

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Will traffic detouring be necessary?

Invoice #208 (09/27/2016)

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

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Internal Notes

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