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Millcreek Engineering 3330 South 1300 East Millcreek, Utah 84106 [PHONE REDACTED] Excavation Permit Application Please complete this form and upload to the Engineering Division for review and approval. Contractor / Utility Company: Contact: Phone: Email: Location of Excavation within Right-of-Way: House Address Street Name Street Coordinate Description of work: *Cut Type: Asphalt Concrete Dirt Shoulder Grass *Cut Dimensions: (If in excess of 100 linear ft., a license agreement may be required.) ft. x ft. width length Proposed Dates: (48 hrs. notice required) START: CLOSE: (72 hrs. maximum allowed on one permit) Office Use Only Pending: Bond Insurance Payment $ Permit # Received: