HomeMy WebLinkAboutFire Dept permit - Permits - 820A TURNPIKE STREET 1.0 1/20/2011 22 4�p1�7�24)_Z,a CxL�iJZ Q�CJ(/C CcylClCfZ.LI/1�' 1
e Cll e i e C a,4e C� �e ",.71:1f a� 7=;
FPS(rev.3/00) ✓CJQ!Z % 020, U C�GG� C l U LOL11, Q& 0- / ZJ
APPLICATION FOR PERMIT
City or Town AL r`t"�D CA
DIG SAFE NUMBER
Date [ s f I
Start Date:
In accordance with theprovisions of M.G.L. Chapter 148, as provided in Section application is hereby made
(Full name of person,Firm or Corporation)
Address— �� d �' � � a r>a ati het arm x`r AA G I -70
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) C
9
Name.of competent operator(If Applicable) e-70 1 4 �' )< ( �� �� Cert. No. C_.
Date Issued-re*-teed_ By
(Signature of Applicant)
Date of expiration ? _ z-llj 77-'41 ) Fee Due
I'Ju. 97
3(rev.3/00) OoZ' 10,25, 614ei Road, V GU-G/y, a�_D Q:/ 7/5
PERMIT
City or Town A .c%/tom' DIG SAFE NUMBER
Date
Start Date:
Permit Number (if applicable)
In accordance with the provisions of M.G.L. Chapter 148, as provided in J/ this permit is granted
i
i (cull name 1 person,Firm or CorpLlion) ~�
restrictions:
at f"c1 �r���� �4✓'
(Give location by street and no.,or describe in such manner as to provide adequate identification ollocalion) .
f
=ee Paid $ '- This Permit will expire on
signature of Official Granting Per Titlefc
_ _1 _ . t ---•__x t .., ,. nl,� r�nr ir,r1 a vmr-rn }hn
AMN
l _