HomeMy WebLinkAboutPlymouth St. #50 - 2/4/1995TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name
Address
Location P LC (nA o Lf
Installer Lii- �q (ALi �OLS
Address
TYPE OF WELL:
_ Domestic Potable
Domestic Auxiliary
_Agricultural
Intended use: W Arl L /1,) 6 ±7 6-C
Fee: A IJ!; Date:
_Industrial/Commercial Potable
Industrial/Commercial Auxiliary
Local Water Supply
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a 06✓pi�sTI(_. AU -/.I /ICk- well for the purpose
of 'a)/AV/L- f--I'140-f)r. FIE AS at 7�4 51 late-- .
Date: Approved by:
for the oard of Health
NOTE: Electrical permit required; underground cable trench must be inspected.