CITY OF MARQUETTE ENGINEERING DEPARTMENT 300 BARAGA MARQUETTE, MI 49855 PHONE: (906) 228-0440 FAX : (906) 228-0445 WEB SITE: www.mqtcty.org

APPLICATION FOR USE OF CITY OF MARQUETTE PUBLIC RIGHT OF WAY ____________________________________________________________ APPLICATION DATE:

PLEASE CHECK PERMIT(S) APPLIED FOR
Off Street Parking (Requires Separate Application)	Curb Cut (Requires Separate Application)	Sidewalk Obstruction	House Moving	Walk/March
Block Party £	Water Tap £ Size_____	Sewer Tap £ Size_____	Storm Sewer Tap £ Size_____	Street Opening £
Parade £	Street Closure £	Community Event £	U/G Cable £	Gas Service £
Foot Race £	Telephone/Telegraph £	Sidewalk Construction £	Monitor Well £	Overhead Cable £
Gas Main £	Other £

PROJECT DESCRIPTION
__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Date of Activity: ____________________________________________________________
PROPERTY INFORMATION
Site Address:
Parcel Number:
PROPERTY OWNER INFORMATION
Property Owner Name:	Daytime Phone:	Cell Phone:	Fax Number:
Mailing Address:
APPLICANT INFORMATION
Name:	Daytime Phone:	Cell Phone:	Fax Number:
Mailing Address:
CONSTRUCTION CONTRACTOR
Name:	Daytime Phone:	Cell Phone:	Fax Number:
Company:
Mailing Address:
Contact Person (If Different)

Attach Site Specific Sketch-