Form Center

2. Date:*
4. Company*
6. Excavation Address:
8. 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 $167.00Asphalt $177.00
18. NOTICE:

    Permits will be available for payment at month end. Call Building Department at 402.727.2636 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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