1175 Elm Street * PO Box 1029 * Concord, MA 01742-1029
Phone-978-318-3101 * Fax-978-318-3105
www.concordma.gov/cmlp
Contract Lighting Application Form

Please contact CMLP Engineering at (978) 318-3116 to review the proposed lighting plan, discuss CMLP’s terms and conditions, and for approval prior to filling out this application.
If a lighting impact study is required, the applicant is responsible for any additional costs incurred by CMLP and will be discussed with the applicant prior to installation.
Contract lighting is considered private lighting and may require additional approval by the Concord Public Works Engineering Division, Planning, and Building & Inspections.

Applicant’s Information:
Name:				
Address:				
City/Postal Code:				
Home Phone:				
Cell Phone:				
Email:				
Electric Account #:				

Quantity:                 	400-Watt LED Flood Light(s) @ $35 per month each

Signature*:		Date: 	

*Your signature indicates you accept the terms described within the CMLP’s Contract Lighting Rate Schedule, and you agree to a minimum contract term of two (2) years.