HomeMy WebLinkAboutDumpster Application & Permit - Permits - 57 HEWITT AVENUE 10/28/2016 The Commonwealth of Massachusetts
Department of Fire SerrAces
Office of the State, Fire Marshal
P.O.Bo-ti 1025 State Road,Stops;MA 01775
.
APPLICATION FOR PERMIT
Date:
Permit No
-TC—ity or TO-'VM (If Applicable) Dig Safe Number
In accordance with the provisions omaL. Chapter 10 _as
provid ' Section 5A 7 . C MR 3 4 ._application is hereby made Start Date
by 0 e'A K 0"/�
Full ne o erspl,TV oz Corporation state clearly Address
purpose for (Street or P.O.Dox. City or Town)
whichliermit p.,p,,nisslonto "Lo'cate- dumpster for construction/renovation/demolition
is requested of structure
Comments:
dumpster must be 251 from structure or covered when notin use
I
at Mo. k6oxv-, mA
(Give location by street and no.,or describe in such manner as to provied adequate identification of location
Name of competent operator Cert.Xo.
(If Applicable)
Date Issued-rqjeeted 6—, By ant)
(Signat;�, Appli,
Date of expiration Z-
Fee Paid
The Gommonwealth of Massachusefts
Department of Fire Services
Office of the State Fire Marshal
P.O.Box 1025 State Road,Stavv,MA 01775
PERMIT Date: �2S
A1 ao['-iW' Permit No Dig Safe Number
(City of Town) (-If Applicable)
In accordance with the provisions 4MG.L. Rapter 10as provided in section 527 CMR 34 Start Date
This Permit is granted to: V\()W-r�
Full name person,Firm or Corporation
Pennission,to locate dumpster for construction/renovation/demolition of structure
Comments: dumpster be 251 from structure or covered with tarp or plywood
Restrictions: a-t—end-- of workday
at ^ C).(Give location by street and no.,or describe in such manner as to provied adequate identification of location)
Fee Paid
This Permit will expire, r-1 7 7si—inature-o�--o icar!ng1perOmnit) of ff0-arg—rPT!ffg-permit (Title)
THIR PPPMIT U1 MT 91P MKIRPlr-1 Ini fAl V Prl-QTPn 11nN T&41= PP1=U1-qP-Q