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Home My WebLink About1978-01-24 Hennepin Co Utility Permit #7061NENNEPIN COUNTY HIGHWAY DEPARTMENT � �r 720 Washington Av•nw South Hopkins, Mmnnesoto 55317 t APPLICATION FOR INSTALLATION OF UTILITIES County Rood No. — _ _ 15 VILLAGE OF ORONO Permit No. Municipality iaYrrre " i�YP .i r• LOCATION AND/OR DESCRIPTIQN OF WORK Application is herebv made for pernn�o►titsion to ►1 XX1l"AjrJ; maintain a buried telephone c:' lv on �WWI "W'JAXCounty Highway Ne. 15 AU! at) lame tVenut) �- re NAME of applicant 'wrthaestera Sell Telephonei1+&n - Phone 932-6377 Address 553.' County 'otlt_le 'rt,Lh Il'1i. '111nesots CITY ST ATE ZIP CODE Pasty or or7oni�az�fatien performing work __C'rt)1Nt'Sit)rn �T*1!!2 Otr' .nqt! ..mirls, Address J7.af Guftt OA%i 1' S0'.;Ct: tr r�.l''i nt'm`$Otl! ei - — -x - ----- -- -- — ---�- --- -- — CIT. jTATE ZIP COOL ' none (Bus•ness) — -__ _ *harts l(,.nergemY) 1. AERIAL CONSTRUCTION Submit detared print showinq tops anS omtlon at Installation 2. UNDERGROUND CONSTRUCTION 44_ '1'• CONDUIT INSTALLATION! CASING (] Multi duct the Pipe class — - Steel pipe ❑ Transite Type bedding Other type Clay or concrete Service type Size (7 Steel, cast or plastic Size * Depth Other _ Depth 3. METHOD OF INSTALLING UNDER ROADBEDS III open trench, explain why necessary) Boxing ❑ lacking 4. AREA TO BE nl;,rURSED TRAVELEDSURFACE ❑ Concrete [] Bituminous Other _-- --_- STRUCTURES U Bridge J Box culvert ❑ Pipe (Concrete, meta!) tunrrr nce Bituminous r Grovel Other ❑ Curb & Gutter ❑ Sidewalk Other ❑ Open trench BOULEVARD ❑ Sed ❑ field Gross Other ❑ Trees [] shrubs (] Plantings 5. The surface will be restored and all work under this permit will be completed on or before ____ Conf 1 n-1 ng DATE (PERMIT IS VOID AFTER THIS DATE) If work cannot be completed within dates specified, a written request for permission of extension must be made to the Hennepin County Highway Department. Excell (or the negligent acts of the County, its agents and Its employees, the Utility or Permittee shall assume all liability lot and save the County, its agents and its employees, harmless from any and all rloims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the Permittee, including but not limited to the placing, constructing, reconstructing, maintomnirg and using of said utility under this application and Permit for construction. (I, We) the undersigned, herewith accept the terms and conditions of the regulations as laid down by the County of Hennepin and agree to fully comply therewith to the satisfaction of the County Highway Department. 'ort►t.t.ii oll Tnlen`ione 'c-^lny Organization Date --- rr � � - ..,. ...._ ... +^.+`f .moi... - 04C stty HENNEPIN COUNTY HIGHWAY DEPARTMENT 320 Washington Avenue South Hopkins, Mirnasota 55343 UTILITY PERMIT and SPECIAL PROVISIONS Peeetlt Ne. 701,11 2. TRAFFIC DIRECTION AS PER ATTACHED PLATE NO. 3. REMARKS ALREA'� 0C'A tTTZ NO WORK WILL BE PERMITTED ON SATURDAYS, SUNDAYS OR HOLIDAYS, UNLESS "SPECIAL PERMISSION" IS OBTAINED FROM THIS OFFICE. It Is expressly undarsteed that this permit is conditioned upon replacement or restoration of the reedway to its original or to a setisfac" cendition. ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH. THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO HENNEPIN COUNTY HIGHWAY MAINTENANCE DEPARTMENT - TELEPHOME: 935-3381, Extension 311. LIMITATIONS 111he County shell make any improvement or change on all or any part of its right of way upon, over, wWar or along a ccvnty -ood, and such change or he reilluiras the moving or changing of public utility facilities in such right of way, then, in that event, the applicant harain shall, after notice In writing by the County, alter, change, vacate or remove from the county road that part of its facilities necessary to conform to the improve- ment at its own test and without any cosi to the County. APPROVED: HENNEPIN COUNTY HIGHWAY DEPARTMENT By Date 1/21!/78 SPECIAL P ROVISIONS 1. RESTORATION •ASE SURFACE SHOULDER BOULEVARD - Dinh Type -- TV" --- — Type - Topsoil Depth Depth - Depth sod Wkft wwlh Ndth stied ftkW Joint — — To* Caro 2. TRAFFIC DIRECTION AS PER ATTACHED PLATE NO. 3. REMARKS ALREA'� 0C'A tTTZ NO WORK WILL BE PERMITTED ON SATURDAYS, SUNDAYS OR HOLIDAYS, UNLESS "SPECIAL PERMISSION" IS OBTAINED FROM THIS OFFICE. It Is expressly undarsteed that this permit is conditioned upon replacement or restoration of the reedway to its original or to a setisfac" cendition. ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH. THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO HENNEPIN COUNTY HIGHWAY MAINTENANCE DEPARTMENT - TELEPHOME: 935-3381, Extension 311. LIMITATIONS 111he County shell make any improvement or change on all or any part of its right of way upon, over, wWar or along a ccvnty -ood, and such change or he reilluiras the moving or changing of public utility facilities in such right of way, then, in that event, the applicant harain shall, after notice In writing by the County, alter, change, vacate or remove from the county road that part of its facilities necessary to conform to the improve- ment at its own test and without any cosi to the County. APPROVED: HENNEPIN COUNTY HIGHWAY DEPARTMENT By Date 1/21!/78 APPkQ v t J NORTMESTERN BELL TELEPHONE COMPANY IT BIPIED CABLE PEDESTAL PR[SENT MANHOLE REBUILT (SNOW DIMENSIONS) iRAME • COVER TO BE REMD'VFIl PROPOSED MANHOLE DIG -UP (SNOB e1MENSlONS) PRESENT MANHOLE TO BE FILLED IN FRAME a 00 V EP TO BE REMOVED _ IL PD; 9 SOI #60 MORTMMWERN BELL TELLPho.',L G At'AilT APPLICATION TO MACE TELEPHONE PLANT ON, ACAOiS CCU�'TYHENNEPIN _ .-_ ...r TU!_ ..C. ::. -.—N w prLL EST; JC R"J TTRTFRIONT1 boom !'rte -V a NflEii LT TEIbHONE f GATE CITY WARD EST. PRT. J.O. ROUT 1 -4E PRT . ExCI+ DATF ENOR` KEY CENTER -LINE O PRESENT POLE PROPOSED POLE PROPOSED ANCHOR PROPOSED DIGwUP (SHOW DIMEMSIMS) ��— PRESENT PLANT PI PE PIAN IT BIPIED CABLE PEDESTAL PR[SENT MANHOLE REBUILT (SNOW DIMENSIONS) iRAME • COVER TO BE REMD'VFIl PROPOSED MANHOLE DIG -UP (SNOB e1MENSlONS) PRESENT MANHOLE TO BE FILLED IN FRAME a 00 V EP TO BE REMOVED _ IL PD; 9 SOI #60 MORTMMWERN BELL TELLPho.',L G At'AilT APPLICATION TO MACE TELEPHONE PLANT ON, ACAOiS CCU�'TYHENNEPIN _ .-_ ...r TU!_ ..C. ::. -.—N w prLL EST; JC R"J TTRTFRIONT1 boom !'rte -V a NflEii LT TEIbHONE f GATE CITY WARD EST. PRT. J.O. ROUT 1 -4E PRT . ExCI+ DATF ENOR`