Form Center

2. Request to REMOVE a streetlight
   To be completed by the city
4. Your request to remove a streetlight on:
5. located on National Grid Co. Pole No:
7. has been evaluated according to the City of Northampton's established criteria. A copy of the field evaluation form for this location is attached.
9. Field Evaluation
11. Request is:*

    1. Approved
    2. Denied
13. - If the request is approved, Central Services will send the request to the Police Department for concurrence and, upon approval and assuming that funding is available in the current fiscal year, Central Services will place a service request for the approved task
15. - If the request is denied, such denial may be appealed to the Mayor.
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

* indicates a required field