HomeMy WebLinkAboutSprinkler Permit - 150 Waverly RD - - 148 WAVERLY ROAD 4/18/2012 FP6(rev.3/00) �• 934x -l0,95, R&aw, c%�, Q/GlD- o,177J5
APIATI N FOR PERMIT
City or Town =Date:
E NUMBER
Date 7 r Z
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 CorporationL }�l
Address Wc(-'/ `l
(Street or P B x)(City or Town)
For permission to (state clearly purpose for which permit is requested)
ff
Name of competent operator (If Applicable) Cert. No. C' [ I
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $ Paid Due
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FP6(rev.3/00) ✓- • ✓ 0� mz;, V t&RQal V&&,, Q&Q210-1/s 5
PERMIT
City or Town DIG SAFE NUMBER
Date
Permit Number(if applicable) Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in f this permit is granted
to fit �(,'�- 671 l� L
/J- (Full name o person,Firm or Corporation) �( �^y�
for lNP '�`"�- l v f d"
Restrictions: q�
(Give locMen,by street and n,or describg in-such-manneras-t-o provide adequate i'dentificatio of location)
Fee Paid$, - -. ,� � This Permi x_pir n
Signature of Official Granting Permit Title. /—
This permitmust be conspicuously posted upon the premises