§ 150.033 EXCAVATION PERMIT.

 

EXCAVATION PERMIT NAME ________                                                                                                                FIRM NAME                                                                                                                                               ADDRESS                                                                              CITY/VILLAGE                                                     STATE                         PHONE                               LOCATION OF PROPOSED EXCAVATION                                                                                                                                                                                                                                                                                                                                                                                                                               NATURE OF EXCAVATION                                                                                                                                                                                                                                                                                                                                                                                                                                                      BONDING COMPANY: NAME                                                                                                                                                         ADDRESS                                                                                                                                                   CITY/VILLAGE                                                     STATE                         PHONE                               AMOUNT OF BOND $                                                                                                                                PREVIOUS EXPERIENCE            (LIST CITIES AND/OR VILLAGES) CITY/VILLAGE                  CITY/VILLAGE OFFICIAL 1.                                                                                                             2.                                                                                                             3.                                                                                                             4.                                                                                                             I have read the municipal law with regard to excavations and my firm or company intends to fully comply with the street regulations code provisions.                                                                                                                                                      (Applicant’s Signature)

 

(Prior Code, Ch. 33, App. A)