HomeMy WebLinkAboutSprinkler permit - Sprinkler Permit - 1171 TURNPIKE STREET 1/31/2011 lie Vo�� n«zcr�er� � a �/ �.aolur �t%GJ
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APPLICATION FOR PERMIT
City or Town A MOVe V DIG SAFE NUMBER
Date �( �� � ( l
Start Date:
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section 18 A application is hereby made
by r I V11 I6-L�,f Ct tM joa&I r I o
(Full nalne of person,Firm or Corporation)
Address (bkt/1 W L•\-I 'Gd Q pie. C1,j(A i'C L r 6Z
J. (Street or P.O.Box)(City or Town)
For.permission to (state clearly purpose for which,permit is tequested) Ct C-e:- C Ur ro d-e j 061 CL
,qG IV• p1'r1C
Namq'of co.inpetent operator(If Applicable). LC.0 _� . �L��: i f. Cent. N.o, 7 41
Date.issued-rt d By
(Signature of Applicant)
Date.of:expiration P/qg �i/2��T-� Fee.-' .. $Paid SL:>—_ Due
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L` f 14n �& e�'
. Coz 70,25 :��cGe Cat ��`acv, C>G��07775
(rev,3/OQ) ----- --- — ' - - '` — --- --
City or Town �(}�= /�dt/��/ DIG SAFE NUMBER
Permit NumberStart Date:
(if applicable)- -
In accordance with the provisions of M.G.L. Chapter 148, as provided in SQC,nO✓1 16 67 this permit is granted
to 866 S06ok e,�-- CMtOc� , [nQ. i nc
(Full nathe of person,Finn or Corporation)
for r.e f� ot�f� bl -Z. W v1 i t v t .
1. - —�
Restrictions:
at 1I I TS;V1aw� ,�►— � i rig �r��i� � �� �
(Give location by street and no.,or describe in such manner as to proved.,ad-aquate identification of location)
Fee Paid$ -5 it is Permit will expire on 61t�oa ��
i
Signature of Official Granting Permit e
T 1� �Qr ri�i� r r t'b 'c0H'i � � uauslypasted upon .the premises