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HomeMy WebLinkAboutFP-006 - Permit to store diesel fule for standby generator - Permits - 1275 TURNPIKE STREET 12/19/2019 ...... .... ..... '130 THE a forth Andover .7 ✓ Application for Standard Permit FP-006 Return completed application to: (Rev.1.2018) Permit Number: NIA DIG SAFE NUMBER City or Tolnm: North Andover Start plate: Date: / 4/19 In accordance with the provisions of M.G.L.Chapter 148,as provided in Section 1 OA application is hereby made by B ri htvi w North Andover LLC 978-686-2582 (Fuii Name of Verson,Firm or Corporation) (Phone €mbe�) of 1275 Turnpike t., North Andover Mass. 01845 (Address.Street or P.Q.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 2600 gallons ag regate. Nar-r-ke of Competent Operator if ap lieable) N/A(­,, ert. o, NIA ' + BIB Brightvie north Andover,LL J Date Issued-rejected { .. ; fm :Doug Doilenber .,fir.Authorized Signato (Signature of Appkant) Date of expiration Fee Amount Paid $50 &_Xe �,weand 0/f` L .. �s ort Andover ' },. �' FP-0Q6 (Rev.1..2018) PERMIT North Andover City or Town, DISAFE NUMBER Date: DJ 4/1 - Start Date: Permit Number(if applicable): NIA In a ordance with the provisions of M.G.L.Chapter 148,as'provided in I DA this permit is granted to' BH Brightview North Andover LL (Full Name of'Persori}Firm or Corporation) for Storage and use of diesel fuel for standby generator. Restrictions: Amount not to exceed 2600 gals aggregate. at Bri htview North Andover Senior Luring, 1275 Turnpike St., forth Andover Mass. 01845 (Street and#or Describe Location for Adequate ldent1fication) Fee P aid 0 q i rr rit will expire on V I I Signature of official Granting Permit: W / V Title FPS M0, This permit must be conspiruously posted upon the premises