Office of the Newbury BUILDING INSPECTOR
780 CMR 112.0 DEMOLITION OF STRUCTURES
112.1 Service connections: Before a building or structure is demolished or removed, the owner or agent shall notify all utilities having service connections within the structure such as water, electric, gas, sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meters and regulators, have been removed or sealed and plugged in a safe manner.
UTILITY: DATE NOTIFIED:
Sewer: _______________
Water: _______________
Gas: _______________
Electric: _______________
Cable: _______________
Conservation _______________
I certify that the utilities have been notified of the demolition of the building or structure at ___________________________________________________
And service connections have been removed, sealed or plugged.
______________________________ ____________________
Signature Date
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