HomeMy WebLinkAboutLP Permit - Combustible Storage Tank - 15 SUMMIT STREET 2/16/2016 A
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Wpr-/&oum al NO ANDOVER
Application for Standard Permit
FP-006 ♦Return completed application to:
(Rev.04/12)
Permit Number: DIG SAFE NUMBER
City or Town: NO ANDOVER
Start Date:
Date: 11/17/15
In accordance with the provisions of M.G.L.Chapter 148,as provided in Section 1 OA application is hereby made
by Holden Oil Inc. (978) 531-2984
(Full Name of Person,Firm or Corporation) (Phone Number)
of 91 Lynnfield Street Peabody MA 01960
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) DELIVER 2-100 GAL LP TANKS FOR
HEAT& HOTWATER AT 15 SUMMIT STREET/DANCIK RESIDENCE
Name of Competent Operator(if applicable) : � ,6�> T'ry '/tam , Cert.No. 147C
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Date Issued-rejected By n'/2n I to +� oo
(Signature of Applicant)
Date of expiration Fee Amount Paid$
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FP-006
(Rev.04/12) '' PERMIT
City or Town: a' �� � y//� DIG SAFE NUMBER
Date: Z2 �J
' /7 Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L.Chapter 148,as provided in 10A this permit is granted
to Holden Oil Inc.
(Full Name of Person,Firm or Corporation)
for //��
Restrictions: ��W,i �-7 .�yz�
at zu. S7 r Sri
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ This permit will expire on
Signature of Official Granting Permit: Title
This permit must be conspicuously posted upon the premises
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