HomeMy WebLinkAboutFlammable Storage Permit - Flammable Storage Permit - 9/23/2019 (5) 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 diesel fuel for standby generator. Amount not to exceed 500 gallons
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 $ $50
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North Andover ',%
FP-006
(Rev. 1-2018) PERMIT
City or Town: North Andover DIG SAFE NUMBER
Date: 9/23/19
Start Date:
Permit Number(if applicable): N/A
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Sutton Hill Nursing Center/Genesis HCC
(Full Name of Person,Firm or Corporation)
for Storage and use of diesel fuel for standby generator
Restrictions: Amount not to exceed 500 gals. Storage must be in generator tank
at Sutton Hill Nursing Center, 1801 Turnpike St., North Andover Mass 01845
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ 50 This permit will expire on
Signature of Official Granting Permit: Title FPO
NO This permit must be conspicuously posted upon the premises