HomeMy WebLinkAboutLP storage tank permit - LP Gas Tank - 550 BOXFORD STREET 2/4/2016 The Commonwealth of Massachusetts f
E,Cecutive Office of Fu6lic Safety
Department of Fire Services-Office of the State Fire Warshaff
P.O. BmC 1025, State Wpad, Stow, MA 01775
Date: APPLICATION FOR PERMIT DIG SAFE NUMBER
C.82 S.40 M.G.L. START DATE:
To:Head of Fire Department: NORTH ANDOVER
City/Town
In accordance with the provisions of Chapter 148,M.G.L.as provided in Section I OA application is hereby made by:
Name: OSTERMAN PROPANE LLC
(Full name of person,firm or corporation)
Address: 321A Merrimack st Methuen MA 01844
(Street or P.O.Box) (Citylrow) (State) (Zip Code)
For Permission to: Install and store 2-120 gallons of propane
State clearly the purpose for which the permit is requested:
HEAT/HOTWATER/RANGE/DRYER/FIREPLACE
Location: S&L HOMES Certifi 550 BOXFORD STREET
Name of competent operator if applicable:� t�� c� jf�ji`--0 cate of Competency#: 453263311
Date Issued { } Date Rejected { }: By:
Date of Expiration: Fee Paid { } Fee Due { } Amount:
Applicant Signatures,,� Fire Department Number:
(If Applicable)
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7Fie Commonwealth of Massachusetts
Executive Office of ft 6lic Safety
(Department of Fire Services-Office of the State Fire Marshaff
T.O. 1Bo.X 1025, State Wpad,Stow, MA 01775
Date: 2 _ L PERMIT DIG SAFE NUMBER
C.82 S.40 M.G.L. START DATE:
In accordance with the provisions of Chapter 148,M.G.L.as provided in"Section 10A application is hereby made by:
Name: OSTERMAN PROPANE LLC
(Full name of person,firm or corporation)
For Permission to: 2-120
State clearly the purpose for which the permit is requested:
HEAT/HOTWATER/RANGE/DRYER/FI REPLACE
Restrictions:
Location: S&L HOMES 550 BOXFORD STREET
Fee Paid: ,w This erpit Wil xpire On: F �i
Signature and Title of Official Granting Permit: e
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.) a Y'