HomeMy WebLinkAboutLP Permit - Combustible Storage Tank - 17 SUMMIT STREET 2/16/2016 r
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WWy/(sum,)e 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: 11/17115
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10A 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 17 SUMMIT STREET/LUTHER RESIDENCE
Name of Competent Operator(if applicable) kCerLNo. 147C
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee Amount Paid$
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FP-006
(Rev.04/12) PERMIT
City or Town: DIG SAFE NUMBER
Date: '//7'/
I/ 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 r 2 �"L
Restrictions:�f�
at / �U Z;;'
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ This ermit will expire�n
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Signature of Official Granting Permit: ; ''t Title
No/ This permit must be conspicuously posted upon the premises On