HomeMy WebLinkAboutPermit - Propane Fill Station 2009 - LP Gas Tank - 757 TURNPIKE STREET 1/23/2009 P6(rev.3/00) 0 . ?_Joz �0,20-' -Road, 6C,,,,, QA�09275
APPLICATION FOR PERMIT
City or Town IURN _Arv4aVer DIG SAFE NUMBER
Date i G )'I/ '_.Qc)0R
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section IM L8' �4-7- application is hereby made
by 190-China- GC NeW em�la nd
(Full name of person,Firm or Corporation)
Address QjWiMl EAr� a-' Q20 H I MA D)9 U 9
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested), ''_ (LJ�) Q-)ib C c.Tllrxl�_rs
cr eXChCXr'r_,2 CA i n lars -6-D LQ. q_ oved t r) a loc Lerl cnc-�p , C 94 11 inA y-Ar.
64 9100' ehono .
Name of competent operator (If Applicable)
Cert. No.
Date Issued-rejecterd By
(Signature of Applicant)
Date of expiration Fee $ Paid Due
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:16(rev.3/00) 93axlO,05, Q5 c Road, C5�., 9A2Q10-1775
PERMIT
City or Town 'n DIG SAFE NUMBER
Date
Start Date:
Permit Number (if applicable)
In accordance with the provisions of M.G.LChapter 148, as provided in JOA Q'9 SSI-7 -this permit is granted
to BlnRbino -,C- No u_� � nn,]Qn3 — D ear�-ra� S4. S�e: DQq HA A(cion MA 01 q(49
(Full name of person,Firm or Corporation)
f o r � p 2j I &C Lp—a"'L cy— '-_Y rke-4 s
cc,
-edolv) L
Restrictions: 5,rj Cj�e cc2 m acrA. K) -E .R 59
(Give location by street and no.,I or describe in such manner as to provide adequate identification of location)
Fee Paid $ This Permit will expire on
A,Signature of Official Granting Permit 5 Tjkle
W* This permit Must be conspicuously posted upon the premises *111111