HomeMy WebLinkAboutFire Sprinkler Permit - Sprinkler Permit - 30 MASSACHUSETTS AVENUE 9/4/2012 FP6(rev.3/00) 919 ox > ,95, 1 C%ow, 0:1 /5
APPLICATION
City or Town 00p ki""r DIG SAFE NUMBER
Date_
f EStartte:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10A application is hereby made
(Full narde of person,Firm or Corporation)
Address Ula's ki s�' body, O` D
(Streel or P.O.Box)(city or Town)
For permission to(state clearly purpose for which permit is requested) to ack � ➢r) n
Name of competent operator(If Applicable); Don Cert. No 11 q
Date Issued=:rejected- �= By
(Signature of Applicant)
Date of 7 r, ' al Due
expiration �,�� �.., � _. Fee „�..
Fc ��
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FP6(rev.3/00) l%. �O J� l�l Road, e&atl (y)�0:1775
PERMIT
City or Townx, =Date:
NUMBER
Date
7
Permit Number(if applicable)
In accordance with the provisions of M.G.L.Chapter 148, as provided in this permit is granted
to l T/2d ��;;�— < , mac � 4'+�-
(Full name of person,Firm or corporation)
for
Restrictions:
at
(Give location by street and no.,or describe in such manner as b.provide adequate identificatfop of location)
Fee Paid$�_� �- This Permif 'I expire on
Signature of Official Granting ermit 1,441t4weTitle C
SO This Perm t must b4 Co' ns.picuously posted upon the premises 411111111
E'I
FI
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`�� ��ie Uanvmaracuaca���2 4BLIC SAFETY
Sprinkler Contractor License
Number: SC 001199
Expires: 06/11/2013 Tr. no: 1348.0
Restricted: METRO SWIFT SPRINKLER
CHARLES D SWIFT
58 PULASKI ST
PEABODY, MA-01961
Commissioner