Excavation Permit

2. Date:*

4. Company*

6. Excavation Address:

8. OR

   OR

10. Beginning Cross Street or Address

12. TO

14. Ending Cross Street or Address

16. Excavation Type: *
    -- Select One --Right of Way $47.00Concrete or Brick $127.00Asphalt $157.00

18. NOTICE:
    Permits will be available for payment at month end. Call Building Department at 402.727.2638 with permit questions or Accounting at 402-727-2628 for billing questions.

    Permits will be available for payment at month end. Call Building Department at 402.727.2638 with permit questions or Accounting at 402-727-2628 for billing questions.

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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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