City of Pittsfield
Office: 100 North Street
Mezzanine Level
Mail: City Hall, 70 Allen Street
Phone: (413) 499-9327, Fax: (413) 448-9798
www.cityofpittsfield.org
Applicant Registration Form
Applicant Details
  ** Applicant Name
  ** Phone Number        ** Alt. Phone Number     
  ** Address
  ** City   ** State   ** Zip
  ** Email Address
Contractor Details
  Contractor Name
  Phone Number     
  Address
  City   State   Zip
  Email
Excavation Contractor Details
  Excavator Name
  Phone Number     
  Address
  City   State   Zip
  Email
Insurer Details
  Company Name   Insurance Certificate #     Policy Expiration Date Open Calendar    
  Phone Number     
  Address
  City   State   Zip
Choose your User Name and Password
  ** Choose your User Name   Check your User Name
** Use only alpha characters and numbers. Do not use spaces, underscores, punctuations or special characters like /, \ , * in the User Name or the password. The name should not exceed 20 characters. 
  ** Enter your password
  ** Re-enter your password
  Please Note : ** Indicates Mandatory Fields. 


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