HomeMy WebLinkAboutStorage of Propane Cylinders for resale and exchange - Permits - 800 WAVERLY ROAD 11/25/2019 ..
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Applicat"lon for Standard Permit.,-
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ReturnItapplication
(Rev. , ..2 `� :.
Permit erg
7DDIG SAFE NUMBER
North Andover
City or Town.,
11/2512019 Start Date.-
In accordance with the provisions of M.G.L. Chapter 148,as providedin Section1 OA applicationis hereby made
by Blue Rhino of New England ( 13)'781-3694 Ex.
(Full Narneof Person,firm rCorporation) (Phone Number)
Of 117109,Page Blvd. Springfield"MA 011 1
(Address-Street or P..Box,City Town,Zip Code)
for permission to(state clearly purpose for which permit is To store 21 propane lind r for resale or c n i ,'.
in a locked,vented, impact protected cage, C linder ,will be filled oft,site at a-1,ocation operated by Blue Rhino,and will comply with
F 1 /5,271CIVIR.1 /527 Chapter 69
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applicable)Name of Competent Operator(if .
Y
---------------
Date I i�rc
l' ristiurn L.r ail y+
ted By
Dstle of expiration 1/0 /1Fee Amount Paid $5
161402 AL Prime Gas Station#108-1725,Turn pike Rd
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North Andover
(Rev. I 2:016) PERMIT
North Andover
City or,'Town: DIG SAFE NUMBER
11/25/2 1
Start Date'
Permit Number(,if applicable):
1 n accordance with the provisions of,M xG,L. Chapter 148 as provided in this permit is granted
WaIg reen s#1
Fell Name of Person,Firr.n or Corporation)
for S,tor f 1, 20 lb,Propane C li I nders for retail or exchange
t 800 Waverly
(Street and#or Describe Location for Adequate Identification)
$ / /221
Fee Paid I ill li re on
Signature of Official Granting:Permit: Title
Ises
This permit Must be cons picuously PoSted upon the prem,