HomeMy WebLinkAboutFire Sprinkler permit - Sprinkler Permit - 15 CHARLES STREET 10/2/2013 FP6(rev.3/00)
APPLICATION FOR PERMIT
City or Town N. ANDOVER DIG SAFE NUMBER
Date
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10A application is hereby made
by HAMPSHIRE FIRE PROTECTION CO., INC.
(Full name of person,Firm or Corporation)
Address 8 N.WENTWORTH AVE, LONDONDERRY, NH 03053
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) ADD SPRINKLER HEADS IN CLEAN ROOM
_@ CHARM SCIENCE, 15 CHARLES STREET
Name of competent operator(If Applicable) GLENN WELLS Cert. No. 006635
Date Issued-rejected By
(Signature ofApplicant)
Date of expiration ———_Fee Due
—————— $ Paid ——————
FP6(rev.`3/00) ✓ . �• C io,95, c%& V f w, g&9&1775
PERMIT
City or Town N.ANDOVER DIG SAFE NUMBER
Date A'�
FStart :
Permit Number(if applicable)
In accordance with the provisions of M.G.L. Chapter 148, as provided in 10A this permit is granted
to HAMPSHIRE FIRE PROTECTION CO., INC.
/ (Full name of person,Firm or Corporation)
for /��%Y <S'G�/I%/I /��S f'� 6-71 ia� /�.o .-2
Restrictions:
at CHARM SCIENCE, 15 CHARLES STREET
(Give location by street and no.,or describe in such manner as to provide adequate identification of location)
Fee Paid $ 'TZ This Permit will expire on ry1'z�ze
Signature of Official Granting Permit Title /7-, f/�
This permit must be conspicuously posted upon the premises ON
C'Om""'Onwealth G Massachusetts
Department of P&%k safety
L«ems e gg635
G££>K WELLS a® \
«WMwARDiN
Manchester NH�144
» AN \ \ \
COMMSSioner mrmom
1/$2g4 \
Commonwealth of Massachusetts
Department of Public Safety
Sprinkler Contractor
License:SC-003841
IL AWRENCE t3IDNAtfi"f;
8 N.WENc
LCommission'er, Expiration:
OND()NbRR
02118f2014