HomeMy WebLinkAboutTrench Permit _BLDT-23-2133 - BLDT-23-2133 29818Description, Location and Purpose of Proposed Trench
Install a new septic system, foundation and utilities
Dig Safe # (1-888-DIG-SAFE)
20235004997
Name
Eric D Stevens
Street Address
20 Oriole Lane
City, State, & Zip
Marstons Mills, MA 02648
Phone Number
508-776-0100
Massachusetts Hoisting License #
HE-205275
License Expiration Date
11/08/2025
Are you an employer? Select from the options below.
I am an employer with full and/or part time employees.
Insurance Company Name
Clippership Insurance
Policy # or Self-Ins License #
CL2322754909
Expiration Date
04/01/2024
Type of Insurance Coverage
Liability Policy
Trench Permit
BLDT-23-2133
Applicant
Eric Stevens 508-776-9054 eds315cl@yahoo.com
Location
33 JACQUELINE CIR
WEST YARMOUTH, MA 02673
Trench Information
Excavator Information
Workers' Compensation Insurance Affidavit
Policy and Job Site Information