Utility Questionnaire Form B






  1. Is utility relocation necessary to clear proposed construction?



  2. Will you be submitting a plan and estimate of relocation for reimbursement consideration?

    Format: "MM/DD/YYYY"



  3. NOTE: Prior to a consulting engineer preparing relocation plan and estimate please forward a copy of proposed engineering agreement for review and approval by KDOT.

  4. Will your firm contract the relocation work?


  5. NOTE: If by continuing contract, provide copy of contract to this office at KDOT Bureau of Design - Coordinating Section, 13th Floor Harrison Center, 700 SW Harrison Street,Topeka, KS 66603-3754.





  6. days

  7. Company's Local Representative information:





*- required fields


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