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Home My Public Portal AboutTRENCH PERMIT 2198 MAIN STREET BREWSTER MA 02631 Phone: 508-896-3701 ext 1125 Email: Building@brewster-ma.gov BUILDING DEPARTMENT TRENCH PERMIT Name of Property Owner____________________________________________________________________________ Email Address___________________________________ Phone Number_________________________ Name of Excavator_____________________________________________________________________________________ Email Address___________________________________ Phone Number_________________________ Mass Hoisting License Number______________________ Grade_________ Expiration Date_______________ Dig Safe #________________________ Name of Competent Person(s) (as defined by 520 CMR 7.02): Description, Location and Purpose of Trench:____________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ _____________________________ Signature (Owner or Authorized Agent) By applying for, accepting and signing this permit, the applicant attests that he/she and the person engaging in the trenching operation have read and understood Massachusetts General Law Chapter 82A and 520 CMR Section 14 regarding trench safety. OFFICE ONLY DPW HEALTH BUILDING WATER MAP___________ LOT___________ FEE_______________ BUILDING OFFICAL REVIEW: _______________________________ DATE______________________ 2198 MAIN STREET BREWSTER MA 02631 Phone: 508-896-3701 ext 1125 Email: Building@brewster-ma.gov BUILDING DEPARTMENT TRENCH PERMIT # Post in plain view on the site of the trench Trench Permit violations shall be subject to fines as outlined in Brewster Building Department Fee Schedule