HomeMy WebLinkAboutFire Sprinkler permit - Sprinkler Permit - 1250 OSGOOD STREET 1/29/2013 L/C—j �4�p'IUJ�Z4�YL•G/�EClL�il'`• Q���l��y:J•CZCf2•Gl��t�J•
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APPLICATION FOR PERMIT
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�q DIG SAFE NUMBER
City or Town ! �.IY�� i�9J��,'.
Date �' � � — /
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by PE,14
(Full name of person,Firm or corporation)
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Address C's 3Q ',5� J CU' s
(Street olrP. ox)(cityorTown)
For permission to (state clearly purpose for which permit is requested)
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Name.of competent operator(If Applicable) �`� ��(.. Cert. No. Ll
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $ Paid Due
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PERMIT
City or Town � /I C/�Uf/�= DIG SAF=�NUMBEIR .
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
(Full name of person,�irrn or corporation)
for E
Restrictions: /Ill�l ��✓��� /2 f�a/s
at x�,S—Z:) OS Godc./ IS
(Give location by street and no.,or describe'in such manner as to provide adequate identification
nof location)
Fee Paid $ G This Permit will expire on /�po, ( C),W
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Signature of,Official Granting Perm' Title
9
Commonwealth of Nlassacnus2"-�s
4 Department of Public Sat ty �
Sprinl:Jer Contractor
_ License: SG144549
JEFFREY A HAIR LLC
ASAP SPRLNYCL, ,
6 PROGRESS AVE. /
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cngsbur0 A _
Commissioner 02/16/2014