HomeMy WebLinkAboutFire Dept permit - Permits - 220 SUTTON STREET 9/13/2011 ����ea��v»zo�nu�ecz� c 61C��zysce
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APPLICATION FOR PERMIT
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City or Town /�' � �����-
Date / ®�°�,/ :Start
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by Joe
(Full name of p on,Firm or Corporatio
Address ) ® j� Ord � o
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(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) J� �6o L,0 C-
Name.of competent operator (If Applicable) Cert. No. o -
Date Issued-rej-eeted `�' O�S' � By
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Date of expiration Fee Paid Due
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City or Town DIG SAFE NUMBER
Date
EStar-t
Permit Number (if applicable)
In accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted
to
� . (roll name ofperson,Firm or Corporation)
for
at
(Give Location by street and no.,or describe in such manner as to provide adequate identification of location) .
Fee Paid $ This Permit will expire on I,/
Signature of,Official Granting Permit
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