HomeMy WebLinkAboutFire Sprinkler Permit - Permits - 110 SUTTON STREET 7/10/2012 FP6(rev.3/00)
APPLICATION FOR PERMIT
City or Town ¢' "w t f� DIG SAFE NUMBER
Date �'� s l�
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 Corporation)
Address es e l al;l /n
(Street or P.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) 4-�
g
Name of competent operator (If Applicable) �31Z_'17 Cert. No. 11.E Z __�
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee 5tl $ Paid 50 Due
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V�t
FP6(rev.3/00)
PERMIT
City or Town DIG SA=NUMBER
Date
Permit Number(if applicable)
LStartDate,
In accordance with the provisions of M.G.L. Chapter 148, as provided in this permit is granted
(Full name of person,Firm or Corporation) J
for
Restrictions:
(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. G
Signature of Official Grantin6ftuttZte
,> Title
This r7co�nspndicuously postedupon the premises