Mdot Underground Its Infrastructure
Download a blank fillable Mdot Underground Its Infrastructure in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Mdot Underground Its Infrastructure with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Clear Form
Michigan Department
MDOT UNDERGROUND ITS INFRASTRUCTURE
Of Transportation
5300 (06/12)
E-MAIL STAKING REQUESTS TO:
For Metro Regions:
MDOT-ITS-Staking-Metro@michigan.gov
For Southwest Region:
MDOT-ITS-Staking-Southwest@michigan.gov
For Grand Region:
MDOT-ITS-Staking-Grand@michigan.gov
For Bay Region,
MDOT-ITS-Staking-Bay@michigan.gov
For North Region:
MDOT-ITS-Staking-North@michigan.gov
For Superior Region:
MDOT-ITS-Staking-Superior@michigan.gov
For University Regions:
MDOT-ITS-Staking-University@michigan.gov
NAME
TITLE
COMPANY/ORGANIZATION
CURRENT DATE
TIME
PHONE
FAX
OTHER (mobile, pager)
GENERAL LOCATION FOR STAKING REQUEST (County, city & major cross streets)
DETAILED LOCATION DESCRIPTION & SKETCH (Attach construction drawings, if available)
SKETCH
AREA (Below)
North
DESCRIPTION OF WORK TO BE PERFORMED
LIST OF SUBCONTRACTORS ON THIS JOB
DATE WHEN EXCAVATION/UNDERGROUND
WORK IS SCHEDULED TO BEGIN
NAME OF MDOT ENGINEER ON THIS JOB
PHONE NUMBER
ADDITIONAL INFORMATION
Note: Staking requests must be received in writing five (5) days prior to digging.
FOR MDOT USE ONLY:
Work Order Number: ________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal