HomeMy WebLinkAboutTrench Permit _BLDT-23-2122 - BLDT-23-2122 25700Description, Location and Purpose of Proposed Trench
Install a new septic system in rear of property
Dig Safe # (1-888-DIG-SAFE)
20234166753
Name
Paul Martin
Street Address
350 Route 28
City, State, & Zip
West Yarmouth, MA 02673
Phone Number
508-775-2825
Massachusetts Hoisting License #
HE082937
License Expiration Date
05/31/2025
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I am an employer with full and/or part time employees.
Insurance Company Name
Dowling & O'Neil Insurance
Policy # or Self-Ins License #
7PJUB8409399923
Expiration Date
05/12/2024
Type of Insurance Coverage
Liability Policy
Trench Permit
BLDT-23-2122
Applicant
Cape Cod Septic Services 5087752825 aclarkcapecodseptic@gmail.com
Location
7 LAURIES LN
SOUTH YARMOUTH, MA 02664
Trench Information
Excavator Information
Workers' Compensation Insurance Affidavit
Policy and Job Site Information