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11_Trench Permit Application&,7<2)1257+$037210$66$&+86(776 '(3$570(172)38%/,&:25.6 /RFXVW6WUHHW 1RUWKDPSWRQ0$ 413-587-1570 Fax 413-587-1576 ܆܆87,/,7<0$5.621/<± 12175(1&+6DPHIRUPIHH ܆(;&$9$7,2175(1&+3(50,7 ܆38%/,&3523(5<܆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arion Excavating Co., Inc.413-536-1267 413-575-2067 Northampton 23 Laurel Street 413-536-1267 413-575-2067749 New Ludlow Road South Hadley MA 01075 mason@marionexc.com mason@marionexc.com Valley Community Development 413-586-5855 156 Pleasant Street, Suite A 413-461-8876 lb@valleycdc.org World Insurance Associates, LLC 07/01/2024 781-642-9000 20241 20240505021 Start: 02/06/2024 at 8AM Pg.2/4 3URMHFW'HVFULSWLRQ/RFDWLRQRI:RUN3URYLGHWKHIROORZLQJ 'HVFULSWLRQRISXUSRVHDQGH[DFWORFDWLRQRISURSRVHGZRUNLQFOXGLQJGHVFULSWLRQRIZKDWLV WREHODLGRUUHSDLUHGLQWKHSURSRVHGWUHQFK(e.g. water pipe, sewer pipe, drain pipe, gas line, power line, communication lines, etc. 6NHWFKRUGUDZLQJVKRZLQJDOOSURSRVHGZRUN $QWLFLSDWHG6WDUWRI:RUN'DWH 'HVFULSWLRQ &KHFNLIDSSOLFDEOH (PHUJHQF\ :RUNRQ3ULYDWH3URSHUW\ :RUNLQ3XEOLF5LJKWRI:D\ :RUNZLWKLQ6WDWH/D\RXWDWWDFK6WDWH3HUPLW :RUNZLWKLQ¶RID3XEOLF6KDGH7UHHVHHDWWDFKHG3XEOLF6KDGH7UHH5HJXODWLRQV 7UHHUHPRYDOUHTXLUHGVHHDWWDFKHG3XEOLF6KDGH7UHH5HJXODWLRQV 7UHHSURWHFWLRQWULPPLQJRUURRWSUXQLQJUHTXLUHGVHHDWWDFKHG3XEOLF6KDGH7UHH5HJXODWLRQV :RUNZLWKLQ¶RIDZHWODQGRU)WRIDVWUHDPRUULYHUDWWDFK3HUPLW :RUNZLWKLQIORRGSODLQDWWDFKSHUPLW 3XEOLF:DWHU6HZHU'UDLQ(QWU\3HUPLWDWWDFKSHUPLWLIDYDLODEOH 'ULYHZD\3HUPLWDWWDFKSHUPLWLIDYDLODEOH 3ROHDQG:LUH3HWLWLRQDWWDFKDSSURYDO %\VLJQLQJWKLVIRUPWKHDSSOLFDQWRZQHUDQGH[FDYDWRUDOODFNQRZOHGJHDQGFHUWLI\WKDWWKH\DUH Anticipated start date: April 1, 2024. Drain & utility drawings attached. Excavation for building footings and supporting utilities. Water, sewer, gas, electric. 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