GENERAL INFORMATION
Commence Date:
01/23/2019
Completion Date:
05/23/2019
Will any soil be exposed due to excavation, grading, etc.?:
No
TYPE OF WORK
New underground facilities - roadway pavement excavation necessary:
No
New aerial facilities - new poles:
No
New aerial facilities - existing poles:
No
New underground service - no roadway pavement excavation necessary:
Yes
Repair existing underground facilities:
No
Repair/replace existing poles:
No
Replace/place cable in existing underground facilities - no excavation:
No
Micro Cell:
No
TRAFFIC IMPACTS
Major Street:
No
Closing Required:
No
Closing of Parking Lane:
No
Closing of Traffic Lane:
No
Affect Sidewalk:
No
SIGNATURE
APPROVAL REQUIRED: I understand that submission of this application does not comprise approval of the permit or certificate being sought. I further understand that all information provided herein will be reviewed by the City before any approval of this application may be issued by the City. I understand that in addition to the information contained in this application, the City is authorized to review any public documents that may confirm the statements made herein, including proof of professional license status, construction documents/plans, records documenting proof of ownership, property history, or any other public record.:
AMJ
APPLICATION FEE NON-REFUNDABLE: I acknowledge that any application or review fee is nonrefundable, whether my application is granted or denied.:
AMJ
SIGNATURE: I declare my intent to sign this application electronically pursuant to the provisions of the Michigan Uniform Electronic Transactions Act (UETA). I hereby sign this application by typing my full legal name into the box below.:
ANGELA M JOHNSON
ATTACHMENTS
Plan:
Yes
Detailed Description:
Yes