Office of the TELEPHONE: (508) 841-8502
Dept. of Public Works watersewer@shrewsburyma.gov
Water & Sewer Div.
TOWN OF SHREWSBURY
Richard D. Carney Municipal Office Building
100 Maple Avenue
Shrewsbury, Massachusetts 01545-5338
APPLICATION FOR DRAINLAYER LICENSE & WATER SERVICE INSTALLER
I ____________________________________do hereby make application for a license to engage
in the business of Drain-Laying in Shrewsbury.
Residence: ________________________________Telephone:__________________________
Present Occupation:___________________________Email:___________________________
How many years experience have you had in the Drain-laying business?:________________
In what capacity?: _____________________________________________________________
Where did you learn the drain-laying business? Give names and addresses of former
employers.
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State in detail how you would lay a drain to a sewer main:
______________________________________________________________________
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Date:_____________________ _____________________________
Signature of Applicant
TOWN OF SHREWSBURY
Richard D. Carney Municipal Office Building
100 Maple Avenue
Shrewsbury, Massachusetts 01545-5338
APPLICATION FOR TOWN APPROVED DRAIN LAYER
Name: _____________________________________________________________________
Company Name: _____________________________________________________________
Business Address:____________________________________________________________
Telephone No.:_______________________________________________________________
Telephone No. Emergency:_____________________________________________________
Emergency Address:__________________________________________________________
Email: ______________________________________________________________________
INSURED AND BONDED FOR:
Renewal for Water Service: YES NO
Sewer Service: YES NO
Drainage: YES NO
_____________________________________ ______________________
Signature of Applicant Date
NOTE: TO BE APPROVED THE FOLLOWING MUST BE SUBMITTED
1. Bond stating Water, Sewer or Drainage Work $5,000.00
2. Certificate of Insurance:
a. No less than $1,000,000 Public Liability, and
b. No less than $1,000,000Property Damage
3. License Fee: $50.00 for the calendar year.
4. Three letters of recommendation (required for New Drain Layer’s only).
-----------------------------------FOR TOWN USE BELOW-------------------------------------------
Approved: YES NO
________________________________________ ______________________
Water/Sewer Superintendent Date
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