HomeMy WebLinkAboutPermit - Propane Fill Station - LP Gas Tank - 525 TURNPIKE STREET 9/17/2018 ��--
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North Andover
Application for Standard Permit
FP-006 x a
(Rev. 1.1.2015) Return completed application to: s
Permit Number: DIG SAFE NUMBER
City or Town: North Andover
Start Date:
Date: 9/17/2018
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section 10 A application is hereby made
by Blue Rhino of New England 413.781.3694 Ex 3
(Full Name of Person,Firm or Corporation) (Phone Number)
Of 1709 Page Blvd. Springfield, Ma. 01104
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) To store ( 21 ) propane cylinders for resale or
exchange, in a locked, vented, impact protected cage. Cylinders will be filled off site at a location operated
by Blue Rhino, and will comply with NFPA 58/ NFPA 1/527 CMR 1/527 Chapter 69
Name of Competent Operator(if applicable) N/A Cert. No. N/A
Date Issued-rejected By Wayne A. LaFleche (, _g4
(Signature ofApplica
Date of expiration 6/06/2019 Fee $ 50.00 Amount Paid$ $ 50.00
Q® (134073 - Rite Aid # 10117 - 525 Turnpike St.)
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FP-006
(Rev,1.1.2015) PERMIT
City or Town: North Andover DIG SAFE NUMBER
Date: 9/17/2018
Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Rite Aid## 10117 Customer 134073
(Full Name of Person,Firm or Corporation)
for Storage of( 21 ) 20 lb. Propane Cylinders for retail or exchange
Restrictions: NFPA 58/ NFPA 1/527 CMR/527 chapter 69
at 525 Turnpike St.; North Andover, Ma. 01845
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ $ 50.00 T is pe it will expire on 6/06/2019
Signature of Official Granting Permit: Title Z
This permitipremises