Application for Excavation of Street, Alley, Highway or Public Ground Residential Address below hereby requests application for a permit to excavate in the following area described in the town Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Owner Street Purpose of Excavation The bonded excavator doing the work will be Consent ConsentThe undersigned agrees to use the excavation only for the purpose stated. The undersigned agrees that the area to be excavated will be returned to the same condition as found, except in the case of streets where the area excavated will be square cut, filled with rock or gravel, tamped in 2 foot lifts and topped with 5"-8" matching road surface material. Contractor/Owner will have a time period of 30 days (or arrangement with the City of Wahpeton) from the date of excavation to have the above mentioned work completed. If at such time the work has not been done, or is unsatisfactory workmanship causing settling due to seasonal change, the City of Wahpeton will have the work contracted out and completed. Contractor/Owner will be assessed the charges that are incurred with an additional 1.5% Service Fee added. Applicant further agrees to conform to all Ordinances of the City of Wahpeton where applicable. No digging Saturday, Sunday or Holidays. Date MM slash DD slash YYYY SignatureA $100 fee is due for this application. Please mail or drop off at City Hall.