HomeMy WebLinkAboutPermit - Propane Fill Station 2018 - LP Gas Tank - 1725 TURNPIKE STREET 9/17/2018 - .
way, /&ourw o�e North Andover
Application fot it n
(Rev.1.1.2015) Return completed application to:
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 (,��� ,I 1_aA:J"
(Signature of Applica
Date of expiration 6/06/2019 Fee $ 50.00 Amount Paid$ $ 50.00
Q (161402 -Al Prime Gas Station# 108 - 1725 Turnpike Rd.)
_5 ------------------------------------------------------------ _--
North Andover
FP-006
(Rev,1.12015) PERMIT
City or Town: North Andover =SAFEDate: 9/17/2018
Permit Number(if applicable):
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Al Prime Gas Station# 108 Customer# 161402
(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 1725 Turnpike Rd.; North Andover, Ma. 01845
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ $ 50.00 This ermit will expire on 6/06/2019
Signature of Official Granting Permit: Title
NO This permit must be conspicuouslypremises