HomeMy WebLinkAboutFire Dept Permit - Permits - 1740 TURNPIKE STREET 10/18/2012 - fj. ���e �a��v»zaa-c•ulecz��c• a�C��/�:�:uzc�u�e�.�
�i�icr��=�irrz� a� c��e. ems-u�ce�= � e a�liec�G`e �c��e C�� a�Jl czl
FF6(rev.3/00) ✓ V. ✓VO!Z % �G�� UCCu� C GUG� U�OLG� C�O���J
APP-LICATION FOR PERMIT
=Date:
UMBER
City or Town
Date
7
In accordance with the-provisions ooff�M.G.L. Chapter 148, as provided in Section application is hereby made
by
(Full name
/ofpperson,Firm or corporadc
Address /�� f•LL �/C 6�1Cv ��
(Street or P.O.Box)(Oily or Town)
For permission to (state clearly purpose for which permit is request'ed)_ x2D%
Name.of competent operator(If Applicable) Cert. No.
]ate Issued-rejected By
(Signature of Applicant)
)ate of expiration Fee Paid Due
--------------------------------------------
rev.3/00) V . CQGG '��Jr� U• �E �i� 4 � ��dLl�, C/�/�? Q�7�5
EIS'
ity or Town rr r : ���°�rlf<� =Date:
UMBER
ate
�rmit Number (if applicable)
accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted
(Fult name/ol person,Firm cr corpor`allon)
strictions:
(Give location by street and no.,or describe in such manner as to provide adequate idenlilication of location) .
Paid $ �'J —� This Permit will expire on
nature of,Official Granting ermit Title
�1 ._.. .__.._1 L. ..�r �,-.i.+i .rn tti� r����r r+.�•{ IlT'�n fly�'1(] r�rnmicoC