HomeMy WebLinkAboutDumpster Application & Permit - Permits - 2163 TURNPIKE STREET 8/29/2016 The Commonwealth of Massachusafts
Department of Fire Services
Office of the State Fire Marshal
P.0.Box 1025 State Road,Stou,,MA 01775
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APPLICATION FOR PERMIT
Date:
Permit No
City or Town) ___7 If App livable—able Dig Safe Nu=mber
In accordance with the provisions of M.G.L. Chapter_ 1_0 as
provided in section 527 C M R 34 Date
by --- application is hereby made FStartDate
TC /7 f2i '� C
name ofperson,Firm or Corporation)
Address State clearly 7- W) Z__
purpose for (Street or P.O.Box City or Town)
WhiChpe03it Forpermissionto Lo.cate" dumpster for construction/renovation/demolition
is requested Of structure
Comments: dumpster must be from structure or covered when not in use
at
(Give location by street and no.,or describe in such manner as to p-r-oTed—adequate—identification—of—Icication)—
Name of competent operator Cert.NO,
(If Applicable)
Date Issued-rejected By 41Z
ant
Date of expiration Fee Paid Due
The Commonwealth of Massachusetts
Department of Fire Services
OfflcG of the State Fire Marshal
P.0.Box 1025 State Road,Stow,MA 01775
f"__ Permit No PERMIT Date: 01- -C,/-
�(Ci City of FIf Applicable—) IDig Safe IVugnber
In accordance,with the provisions of M.G.L. Chapter 1.0as provided in section 5 2 7 CMR 34
17 Start Date
This Permit is granted to: 2:37
Full name of person,Firm or Corporation
Permission to locate dumpster for construction/renovation/demolition of structure
Comments: dumpster be 25 ' from structure or covered with tarp or plywood
Restrictions: at end of -workday
at
(Give location by street and no.,or describe in such mane gr as to provied adequate identification of location)
Fee Paid S
This Permit will expire _ig_n�i uZrelof-4of-�f-ica-l�granting�pamit�) Offical granting permit mae)
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