HomeMy WebLinkAboutFire Dept permit - Permits - 550 TURNPIKE STREET 9/20/2011 L/C/Z Ie4�91i7920�J2LU�CZ� 4��%v[CCJJCGCl2-G(/1G' 1
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APPLICATION FOR PERMIT
DIG SAFE NUMBER
City or Towne
Date _ go, 2 0
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by5 �` �'�
(Full name of person,Firm or Corporation) (�
Address
(Street or P.O.Box)(City or Town)
For permission to (state clearly �
} purpose for which permit is requested) � �•_
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Name.of competent operator (If Applicable) Cert. No.
Date Issued-rejettad �— — // By1=�=
Signuffre o'f Applicant)
Date of expiration P/fv/7 el Fee $ Paid Due
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FPS(rev.3/00)
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PERM
IT
City or Town (/l�r®2 . 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
t0� �5 t�/1 //��J6✓✓C G� �l�y� c �` C /��®�/bf
(Full name of person,Firm or Corporation)
for
j"& n n.9Ae�� r,/`�-v�16'!�-d^7" z,f' m2.�t % sd /nss`�//
Restrictions:at
(Give location by street and no.,or describe In such manner as to provide adequate identification of location) .
Fee Paid $ i This Permit will expire on gi3O(a,-, �d
.�
Signature of,Official Granting Permit Title
T
COMMONWEALTH GE MASSACHUSETTS
B
ELECTRICIANS
REGISTERED MASTER ELECTRICIA
ISSUES THE ABOVE LICENSE TO:
JOSEPH . G ELKHOURY
PO BOX 2231
SALEM NH 03079- 1154
20056 A 07/31/13 89 , 26