HomeMy WebLinkAboutFlammable Storage Permit - Flammable Storage Permit - 9/23/2019 (3) -- Vtk/ ��� z North AndoverµWX
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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:9/23/19
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section 10A application is hereby made
by Sutton Hill Nursing Center/Genesis HCC 978.794-6211
(Full Name of Person,Firm or Corporation) (Phone Number)
of 1801 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 LP gas in [4] 1000 aboveground tanks for heating. Amount not to exceed 4000 gallons
aggregate
Name of Competent Operator(if applicable) N/A Cart. No. N/A
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $50 Amount Paid $ $50
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North Andover ',%
FP-006
(Rev. 1-2018) PERMIT
City or Town: North Andover DIG SAFE NUMBER
Date: 9/23/19
Start Date:
Permit Number(if applicable): N/A
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Sutton Hill Nursing Center/Genesis HCC
(Full Name of Person,Firm or Corporation)
for Storage and use of LP Gas in [4] 1000 gallons aboveground tanks for heating
Restrictions: Amount not to exceed 4000 gals aggregate.
at Sutton Hill Nursing Center, 1801 Turnpike St., North Andover Mass 01845
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ 50 This permit will expire on
Signature of Official Granting Permit: Title FPO
NO This permit must be conspicuously posted upon the premises