Office of the TELEPHONE: (508) 841-8502
Dept. of Public Works watersewer@shrewsburyma.gov
TOWN OF SHREWSBURY
Richard D. Carney Municipal Office Building
100 Maple Avenue
Shrewsbury, Massachusetts 01545-5338
WATER & SEWER
MARKOUT REQUEST FORM
Date:_________________________________ Date of Request:__________________________________
Contractor’s Name:___________________________________________________________________________
Contact Name:_______________________________________Phone:___________________________________
Contact Email Adress:_________________________________________________________________________
Property Location:____________________________________________________________________________
Start Date:_________________________________
Dig Safe No.:________________________________Dig Safe No. Expiration:____________________________
Type of Work being Completed:_________________________________________________________________
_____________________________________________________________________________________________
Type of Markout:
OTHER_____ WATER_____ SEWER_____
EMERGENCY_____ NON-EMERGENCY_____
Comments:___________________________________________________________________________________
_____________________________________________________________________________________________
Please email completed form to watersewer@shrewsburyma.gov
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
FOR TOWN INTERNAL USE ONLY
Completed By:_________________________________________ Date:_________________________
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome