Recycling Toter Application 65 95 - Burlington - City of Burlington ...

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DEPARTMENT OF PUBLIC WORKS. 645 Pine Street, Suite A. Post Office Box 849. Burlington, VT 05402-0849. 802.863.9094 VOX.
CITY OF BURLINGTON DEPARTMENT OF PUBLIC WORKS 645 Pine Street, Suite A Post Office Box 849 Burlington, VT 05402-0849 802.863.9094 VOX 802.863.0466 FAX 802.863.0450 TTY www.burlingtonvt.gov/dpw

Recycling Toter Application Applications may be completed by landlords, property managers, or property owners. 65 Gallon toter: $20.00 each / 95 Gallon toters: $25.00 each Mail or deliver applications with cash, check, or credit (with processing fee) payment to: Department of Public Works | 645 Pine Street, Suite A | Burlington, VT 05401 APPLICANTS: SUPPLY REQUESTED INFORMATION BELOW STREET ADDRESS FOR TOTER(S)

# OF RESIDENTIAL UNITS

CONTACT NAME

CONTACT MAILING ADDRESS (if different)

CITY

STATE & ZIP CODE

CONTACT PHONE #

CONTACT EMAIL (optional)

# OF TOTERS DESIRED

MARK DESIRED TOTER SIZE

65

95

Applicant agrees: 1. Payment is due before application can be processed and toter delivered. 2. Toter must be curbside by 7:00am (filled with only accepted recyclables) on your recycling day or will not be picked up. 3. Store toter in area not accessible to public (preventing anyone from using it as a trash receptacle. 4. If your recycling pickup falls on one of these 5 holidays: Memorial Day, July 4th, Labor Day, Thanksgiving, or Christmas **DO NOT PLACE TOTER CURBISED UNTIL THE FOLLOWING WEEK’S PICKUP DAY**

Signature: ________________________________________

Date ___________________

OFFICE USE ONLY RECYCLING DAY & ROUTE #

Version 1.8 (1-2018)

TOTER SERIAL #(S)

DATE APPLICATION RECEIVED

PAYMENT TYPE