HomeMy WebLinkAboutTrench Permit _BLDT-23-2107 - BLDT-23-2107 20711Description, Location and Purpose of Proposed Trench
Install a new septic system in the rear and front of the house -- (508-430-0812)
Dig Safe # (1-888-DIG-SAFE)
20234202840
Name
Michael Bosetti
Street Address
199 Church Street
City, State, & Zip
East Harwich, MA 02645
Phone Number
508-430-0812
Massachusetts Hoisting License #
HE-160623
License Expiration Date
09/01/2024
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I am an employer with full and/or part time employees.
Insurance Company Name
Hart Insurance Co.
Policy # or Self-Ins License #
MFT3306R
Expiration Date
03/08/2024
Type of Insurance Coverage
Liability Policy
Trench Permit
BLDT-23-2107
Applicant
Bosetti Septic Systems 508-430-0812 bosetti@comcast.net
Location
39 CIRCUIT RD NORTH
WEST YARMOUTH, MA 2673
Trench Information
Excavator Information
Workers' Compensation Insurance Affidavit
Policy and Job Site Information