City of Maple Grove

Excavation Permit Utility Installation UID # 88
App. Status: Canceled
Valid: 06/23/2016 - 08/01/2016City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)

APPLICANT

Applicant:

Name:

Cindy Albright

Company:

Telcom Construction

Company Phone:

Local Phone:

(320

) 286

- 8369

(320

) 286

- 8369

Email Address:

cindy.albright@telcomconstruction.com

Mailing Address:

PO Box 189

Clearwater	MN	55320

PROJECT

Nature of Work:	Main Installation
Surface to be disturbed:	Boulevard
Work to start on or after:	06/23/2016
To be completed on or before:	08/01/2016
Applicant Project No.:	16128409

Invoice #79 (06/16/2016)

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

Text:
File(s):

Internal Notes

Text:
File(s):