HomeMy WebLinkAboutFire Sprinkler permit - Sprinkler Permit - 49 ORCHARD HILL ROAD 3/28/2013 . —�—_f. ���'C� �4��'7/?92O�I2•G1J2Cl'C� O���l�(.CLy:J�Cf2•G(/.�G'r�,1• �
FPS(rev.3/00) az
APPLICATION] FOR PERMIT
City or Town
DIG SAFE NUMBER
G�' �I,,-��
Date n2 -
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by
(Full name of person,-Firm or Corporaticn)
Address
(Street or P.O.Box)(City or Town) /� l
For permission to (state clearly purpose for which permit is requested) _711z-1'0V4
CV A/ ! lz2h ��ca�n r --/ ® ty/ r
Name.of competent operator (If Applicable) f2 l Cert. No.
Date Issued-rejected g
(Signature of Applicant)
Date of expiration Fee $ Paid Due
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PERMIT
City or Town DIG SAFE NUMBER
Date '5
Start Date:
Permit Number (if applicable)
In accordance with theepprrovisions of M.G.L. Chapter 148, as provided in this permit is granted
to
(Full name ct person,Firm or Corporation)
for
Restrictions:
(Give tccation by street and no.,or describe in such manner as to provide adequate ides 'cation of location) .
Fee Paid $ This Permit will expire on
Signature of,Official Granting Permit Title
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_ DEPARTMENT OF PUBLIC SAFETY
_ Journeyman Sprinkler License
Number: SJ 003699
Expires:it es: 08/11/2013 Tr.no: 202.0
Restricted: 00
MICHAEL E PARKER
1658 CHERRY FARM RD
HARRISVILLE, RI 02830
Commissioner
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e i�oa�2,�zoaecuea/I✓r o�_; lav�n ccc eC�s
DEPARTMENT OF PUBLIC SAFETY
Sprinkler Contractor License
Number: SC 003053 'nf
Expires: 08/13/2013 Tr.no: 211.0
i; Restricted: SUN FIRE PROTECTION tC
?y ,
EVERETT VENTICINQUE
a
1122 CHAPMIST HILL RD h
kf+ N-SCITUATE, RI 02857
Commissioner