HomeMy WebLinkAboutTank Permit - Permits - 3 MASSACHUSETTS AVENUE 1/8/1987 1
Make application to focal Fire Department.
DO NOT make application to Department of Fire Services or Stale Fire Marshal. j
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APPLICATION FOR PERMIT
To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00
To: Head of Fire Department City, town or district: /flk , V Date:
Application is hereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00:
Location of property: S
��, Street address
Owner of property: 7r
Full name of person.firm or corporation
Number of storage tanks: aboveground _,_... underground I
Signature of owner or authorized representative:.
Fee paid: $ (M.G.L. Chapter 148, section 10A)
(Fire Department's copy--To be filed with FP-299)
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PERMIT
To Maintain an Existing/New Storage Tank Facility-
for Storage Tanks Regulated under 527 CMR 9.00
In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility
is granted to:
Location of property:
Street address
Owner of property: e«
Futl name of person,firm or corporation
Number of storage tanks: Q aboveground J�,____ underground
Facility to be maintained in accordance with the restrictions described below:
_MUST MAINTAIN COMPLIANCE WITH M.G.L. CHAPTER 148 SECTIONS 9 10A
_and.527 CMR 5 , 8, 9 _
Fee paid: $ fd -, (M.G.L. Chapter 148, section 10A)
This permit will expire �G-/sue ��r Ze Y
palu Sr re of✓lead Fire partment-or appoirVed_da1_1911 e
(Owner's copy- ro be posted at the storage facil