HomeMy WebLinkAboutFire Dept permit - Permits - 550 TURNPIKE STREET 10/31/2011 _ :z ���re tGa��v»zan•cr�ecz��-c-c a�C%/i�cz:�:sczc�u�e�,� �
FP6 (rev.3/00)
APPLICATION FOR PERMIT
City or Town i/✓�� '' DIG SAFE NUMBER
Datev
FStart :
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by �..� - �- >I � U,.,,
(Full name of person,Firm or Corporation)
Address �I Lam ' ,� ( �', )( y ) `�i " /1J ��`'`{ �-�
t
Street or P.O.Box Ci or Town
For ermission to (state clearly purpose for which permit is requested) y` �' 'C - ' '
Name.of com etent operator It A licable .
p P ( Pp )
Date Issued-rejected By
(Signature at Applicant)
Date of expiration Fee $ Paid Due
'-
0 �
s(rev.3/00)
PERMIT
City or Town 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 A
i (Full name at person,Firm or Corporation)
for
Restrictions:
at 0 5S /('o /� a/s
(Give location by street and no.,or describe in such manner as to provide adequate dentification ollocahon) .
Fee Paid $ - This mit will expire on7 6Q
Signature of,Official Gran ing Per Title f �f _
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