HomeMy WebLinkAboutFlammable Storage Permit - Flammable Storage Permit - 1275 TURNPIKE STREET 9/24/2019 North Andover
Application for Standard Permit
FP-006 y Return completed application to:
(Rev. 1.2018)
Permit Number: N/A DIG SAFE NUMBER
City or Town: North Andover
Start Date:
Date: 9/24/19
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section 10A application is hereby made
by Brightview North Andover Senior Living 978-686-2582
(Full Name of Person,Firm or Corporation) (Phone Number)
of 1275 Turnpike St., North Andover Mass. 01845
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested)
Storage and use of diesel fuel for standby generator.Amount not to exceed 2600 gallons
aggregate
Name of Competent Operator(if applicable) N/A Cert. No. N/A
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $50 Amount Paid$ $50
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FP-006
(Rev. 1..2018) PERMIT
City or Town: North Andover DIG SAFE NUMBER
Date: 9/24/19
Start Date:
Permit Number(if applicable): N/A
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Brightview North Andover Senior Living
(Full Name of Person,Firm or Corporation)
for Storage and use of diesel fuel for standby generator.
Restrictions: Amount not to exceed 2600 gals aggregate.
at Brightview North Andover Senior Living, 1275 Turnpike St., North Andover Mass. 01845
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ 50 This permit will expire on
Signature of Official Granting Permit: Title FPO
y This permit must be conspicuously posted upon the premises