Entrance Permit Application
The undersigned hereby requests a permit to connect a building sewer to facilities of the Brunswick Sewer District.
Street Address of Property *
Town of Brunswick Map # *
Your permit application will be denied if a valid map and lot number are not provided. An answer of "not sure" or "I don't know" will result in rejection of the application. The town of Brunswick GIS and Brunswick Sewer District online GIS systems can help you find the map and lot number. http://brunswicksewer.maps.arcgis.com
Town of Brunswick Lot # *
Property Owner *
Owner's Address
Name of Contractor *
Address of Contractor *
Direct Phone Number for Contractor *
Applicant Name *
Applicant Address *
Application Phone *
Applicant Email *
Type of service requested *
Required
Type(s) of work to be performed *
Required
Please describe the work being done. Be as detailed as possible, it makes the approval process faster. *
If you have a drawing or sketch of the project, please email it directly to rpontau@bsewer.org with the subject "Entrance Permit Sketch."
IN CONSIDERATION OF THIS APPLICATION, THE APPLICANT AGREES TO THE FOLLOWING TERMS AND CONDITIONS: *
Required
By clicking submit, you agree to the terms and conditions of the permit and that all information provided is accurate.
If you agree, please click submit.
Submit
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