Bureau Contractor Work Permit

	Bureau of State Office Buildings
	Bureau Contractor Work Permit
	Room 107, One Ashburton Place
	Boston, Ma. 02108
	Phone: (617) 727-1100 x24110		Fax: (617) 727-2576

Required fields in red

Bureau Contractor Work Permit

Agencies must have a permit from the Bureau to make any changes to their space. Contractors are not allowed into Bureau buildings without a signed copy of this permit. Contractors and agencies must follow all contractor work permit stipulations. Original and copies (as well as related drawings, floor plans, and charts) must be received by the Bureau two weeks prior to begining the project; two copies will be returned to the agency filing the request.

Contact Person:

Email:

Agency:

Phone Number:

Current Location:

Anticipated Work Date:

Total Agency Area sq ft:

Area Under Construction Sq ft:

Select One:

Relocation Building/Room:

Trade:

Name:

Foreman:

Telephone Number:

Description of the Work::

Agency Building Liaison:

Telephone:

Double click to read Contractor Stipulations :

Have you read and understand the stipulations:

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