HomeMy WebLinkAboutFire Sprinkler permit - Sprinkler Permit - 5/2/2013 L/C7�Ze �4�71iJ9Z4�I2-GlJ2Cl�� 4��%!/(.(cy.1�Gf2.GU.�t?r�.l
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APPLICATION FOR PERMIT
DIG S =NUMBER
City or Town � o="�' �o ���3� �
Date 1
:Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section&PPP application is hereby made
by
(Full name of person,Firm or Corporation)
Address �� n ►
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) 'TO '� 0 a �S -,,;;� � ,4 @ 7
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Name.of competent operator(If Applicable) �� ; Cert. No.
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Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee Due
——————
Paid ——————
————
FP6(rev.3/00)
PERMIT
City or Town ( ' � ° 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
to
/ � _ 2 2
(Full name of person,Firm or Corporation)
Tr
12
for E
Restrictions:
at s�f
(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
Signature of-Official Granting Permit Title /(
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FIRE SPRINKLER SYSTEMS
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9911 Brecksville Road,Cleveland,OH 44141.3201
41
"hone: 888 234.2436 1
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r\ DEEPAPA RTMENT OF PUBLIC SAFETY
Journeyman Sprinkler License
4 _ Number: SJ 128675 l
Expires: 07/10/2013 Tr. no: 37.0
Restricted: 00
TIMOTHY J COLLINS
24 KENELMSFORD, A
DR
if CHELMSFORD, MA 01824 j
Commissioner "
�I
i Commonwealth of Massachusetts
U Department of Public Safety
Sprinkler Contractor
License: SC-136119
TIMOTHY J COLLINS
24 KENSINGTON DR
CIIELMSFORD,MA 01824__
Expiration:
Commissioner 07/10/2014