HomeMy WebLinkAboutFP-006 - Permits - 7/17/2020 i
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k Application for Standard Permit
-c Return completed appficallon to1
(Rev. , 18)
Permit Number:
rF&G SAFE NUMBER
Northcity or Town- Andover
start Date,*
aW 3/1
7120
I n accordance will)the provisions of M.C3,L Chapter 145,as provided In Section.--- 4 1 OA apptication is hereby made
by__ 6K Inc 978-258-1645
{rvlj Name of retsom.Firm or o orajion} Phone Number)
f 25 Commerce l forth Andover Masi
Add re 'Street or P.0.Ba,City of Town,Zip Code)
fob 0 e rm iss lon( state clean y pu rp rise for which pe rw it is req ue s I 111;'-nra pmwdw-(II -Wi�s4jd)not to eKQe;W 80 W.,Mt X.aqg�
apo(nnn-Aamira# �,tp-jw)-nblk to pceed 456 gain.fwm agg, "n rrycgen� not to exw.ad 240gals-max,Fagg,*dwgaf-i(Iwi ,1-2avA Rom a#le wmwssed qos);
ml t6 ax6etA 26M d max agqmgaIa
7�7
Name of Competent Operator(if appFcable) 4 CerL ND
Date Issued d 3117/20 By � �
.J.I
Cats of expiration 611120 Amount Paid
4 4 m 6 a c.4 t&e M,
-0
(R . .: PERMIT
City or r DIG -NUMBER
AFE
Date.- /t2
[D Sla Date:
Permit Nur0ar(if applicable.
In aword ance with the proAslons.of MX)L Chapter 14 81 os provided in. f..t t- i er �t Is granted
to 6K Inc
( U4 X-am&off'p6morif Firm ar rporalian)
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ilwepe 01(OW.-IJ du ftbS t )as 9 99,2190n 455 jP13 mair,399>,HQVW exfiei7 24G tq Wx, and hVdf 9f)(1 OVA, y:3 toy 251W r,{ ;ax,Ag4j,
t 25 Coni meTce Way, North Andow Mass, 01846
(6 tse W.and.4 at Dow�be Lo oatun for Ade.q uate ldantf ripn
Fee Paid$ TAMrr .. eX
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Signature of Offidaf Granfing P .r ilf: Title. FPO ;
This permit must be conspicuouslY posted aeon the remises . . .