HomeMy WebLinkAboutFire Sprinkler permit - Sprinkler Permit - 123 TURNPIKE STREET 9/18/2013 L/��Z249 4/JL-G112CL� Q��%l/(.CG�1Gl2-G(/IE31
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APPLICATION FOR PERMIT
DIG SAFE NUMBER
City or Town And
Date
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by )_ 4 )
(Pull narai of person Firm or Ca po alien)
Address re x ` " y �,E , fl .," )
(Street or P.O.Box)(City o Town)
r
For permission to (state clearly purpose for which permit is requested)
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Name.of competent operator (If Applicable) Cart. No. S a�16
bate Issued-rejs&&d- By - �
�-' f(Signatur�a of Applicant)
Date of expiration Fee -5-7-e _ Paid - Due
Qom . - .911G ��� a �
(Fev.3/00) ( O % ���� U•GfL (irk ALL/ � � C�l����!/
PERMIT
,ity or Town � f��fj� DIG SAFE NUMBER
)ate °I �f i
—� Start Date:
'ermit Number (if applicable)
i accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted
(rulf name of person,P#m or Corporation)
estrictions:
m _
In,&i 4Q
(Give location by street and°no.,or describe to such manner`s to c ide adequate identification of location) .
ee Paid $_ This Permit will expire on /1-P6�
Title
ignature of,Official Granting Permit
Commonwealth of Massachusetts
Department of Public Safety
Sprinkler Contractor
License: SC-000463
A
Mpg p/ag
40 PORTSMO
AMESBURY MIS 0191
Expiration:
Commissioner 07/09/2015