HomeMy WebLinkAboutSprinkler Permit - Permits - 80 MAPLE AVENUE 7/9/2012 o�C�l'zQaczc�uae�Zd
Department of Fire Services
Office of the State Fire Marshal
P.O. Box 1025, State Road,Stow MA 01775 5-
Form FP6 Rev.;v97 APPLICATION FOR PERMIT
j Date: 19
Permit No
(City or Town) (If Applicable) DIG SAFE NUMBER
M.G.L C.82.S.40
In accordance with the provisions of M.G.L.Chapter 148,as e———®—®—
provided in Section application is hereby made Stan Date
bYV11i
(Full name of person,Firm or Corporation) / �g
Address %C �n G�ut.5- l` l�M ,��/( C7,5 C)
(Street or P.O.Box) (City or Town)
For permission to r, mJ / 5 �^
State clearly f �`
purpose fort�Gc_ C I
which permit � J C° _ SS ree.Irk v J
is requested ! e`er/Js��loc3✓rg 0�rC�S d�ep f
d s'%fri �n c���J f i-e -- if PVl e n _
Name of competent operator C r 1` C���� s'C G7 03 R,j
(If Applicable) Cer',No.
Date Issued-rejected 19 ` By
Date of expiration 19
(Signature of Applicant)
_____________ Fees Paid Due
Cut
Department of Fire Services
Office of the State Fire Marshal
P.O. Box 1025,State Road, Stow, MA 01775
Form FP 6 Rev.12,197
_e, /�4. /wf.2 Permit No bate:--2—iI'
(City or Town) (if Applicable) E
In Accordance with the provisions of M.G.L. Chapter 148 as provided in SAFE NUMBER
.G.L.C.82,S.40
This Permit is granted to: �z(Full�game of person,Firm or Corporation)
foe p/� G /
15" o
Restrictions:
at (
(Give location by street and no.,or describe in such manner as to provide adequate identification of location)
Fee Paid S "t .
I
This Permit will expireU/�7/i (Sig wre o(o tcal
t uue)
THIS PERMIT MUST E ,�NSPIC'i Ini icl v ®nc,=�r�Jr T. ._ ______ -
J/I ��y�ealcl o�✓� oaol�iaPtta
DEPARTMENT OF PUBLIC SAFETY-
Journeyman Sprinkler License
;:. Number;,SJ 149195
Expires: 06/13/2013 Tr.no: 1683.0
i._ Restricted:
RANDY A MICHAUD
48 NEW CASTLE ROAD
PEABODY, MA 01960
Commissioner
✓lie Toara�nc���rea`l� o�����cuwuu-�ueel�a � r
DEPARTMENT OF PUBLIC ZAFFTY
Sprinkler Contractor License
Number: SC 003858
i
Expires: 04/05/2013 Tr.no: 1123.0 '
Restricted:'-XCEL FIRE PROTECTION INC
a,
CHRISTOPHER T MCGADDEN ,
3 GRANITE HILL RD
WINDHAM, NH 03087
Commissioner