HomeMy WebLinkAboutFlammable Storage Permit - Flammable Storage Permit - 2/2/2016 ��
e-
w omwwwawald olgAuaa�ae�
Application for Standard Permit
�u,"Ve
FP-a06 Return completed application to: a
(Rev. 1.1.2015)
Permit Number: EDIGSAFEUMBER
City or Town: G T`1Date: %C�/�r`' 6
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section S 22Ci!'t� (application is hereby made
by
(Full Name of Person,Firm or Corporation) (Phone Number)
of
(Addre s:Street or P.O.Box,City or Town,Zip Code)/1
for permission to(state clearly purpose for which permit is requested) ��13/7-P-P 7_!J
c�yyt. �0 eecl 7D ,C�f
Name of Competent Operator(if applicable) Cert. No.
Da �ueejected BY (lSignature of Applicant)
Date of expiration eA /0117 Fee Amount Paid$
--------------------------------------------•------------------_..-.-----
o".
'7W401 1Vt1&J
wt�yy� m 0/
FP-006
(Rev. 1.1.2015) // PERMIT
City or Town: d��� ���/d�i��- [D:IGSAFE NUMBERhate: /fJ/����/ fDate:
Permit Number(if applicable):
In accordance with the provisions of M.G.L. Chapter 148, as provided in /� —this permit is granted
to
(Foil Name o Person,Firm or corporation)
for
Restrictions:
at S Cd
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ This permit wi€I expi on
Signature of Official Granting Permit: Title
This permit must be conspicu usly posted upon the premises