Pole Attachment Request

GIS MAP LINK

Organization Name

# Pole Attachments Needed

Town of Attachment

County

Attachment Type

Provide details for "Other" Attachment Type.

Attachment Application Type

New Install Application $250 per application Service Drop ApplicationOverlash Application

Proposed Construction Start Date

Application Created By

First Name

Last Name

Title

Applicant Contact Information

Phone

Applicant Billing Address

Street Address

Address Line 2

City

State

Zip Code

Stamping Engineer Contact Information

Stamping Engineer Name

Stamping Engineer Firm

Phone

Design Package Requirements

Must be signed and sealed by professional Engineer and include:

Route Map
Plan and Profile Drawings
Pole Loading Analysis
Field Survey
Attachment Construction Details
Make Ready Work Recommendations (if applicable)

Invoice will be sent following application submittal.

File size is limited to 30mb per file. No limit on the number of files that can be uploaded. If you have larger files, contact attachments@flathead.coop

Design Packet Upload

Contact Information