HomeMy WebLinkAboutFire Dept Permit - Permits - 1780 OSGOOD STREET 2/28/2012 � f �C��'
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APPLICATION FOR PERN11T
DIG SAFE NUMBER
City or Town f���� ,��Jl�+r>°��i�-.
Date �-'� �'_ -?�� �
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by
(Full ame of person,-Firm or Corporation)
Address -1 '� 6 rLr1 r-:,v ✓� c, �e
(Street or P.O.Box)(City arTawn)
For permission to (state clearly purpose for which permit is requested) JL;Zr-7—� v-1-1 r
Name.of competent operator(If Applicable) � s`�`,'�+ r'C Cert. No. V
Date Issued cte_d 2 By
(Signature of Applicant)
Date of expiration 61�,0011 el/;i/OZF- Fee �S $ Paid e Due - ----
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PERMIT
City or Town 4&', DIG SAFE NUMBER
Date
Start Date:
Permit Number (if applicable)
In accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted
to r,aT/�
(Full name a(person,Firm orCorparation)
for
Restrictions:
(Give location by street and no.,or describe in such manner as to provide adequate identification allocation)
Fee Paid$ �� 'r This Permit will expire on t ,/(Jam (/C,
Signature of,Official Granting Per Title04
..._..-L ._... � ., ._____ t-.'.. ,...,-,,..-..1,, ,.-,,,�-I 1, r,i,n-F.,r-1 i ,n r�n �b•�n r-�r n m i c o C `c'
r COMMONWEALTH OF MASSACHUSETTS —
ELECTRICIANS
A REGISTERED SYSTEM TECHNICIAN
ISSUES THE ABOVE LICENSE TO.
THOMAS C MADDEN
11 COPPER BEECH LN
M`ETHUEN MA 01844-1700
1369 D 07/31/13 880220
�. tea• •,. ®,
COMMONWEALTH OF MASSACHUSETTS' _
ELECTRICIANS
A REGISTERED SYSTEM CONTRACTOR
ISSUES THE ABOVE LICENSE TO:
THOMAS C MADDEN
s
11 'COOPER BEECH
METHU'EN MA 01844`-1700
675 C 07/31/13 880221
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