HomeMy WebLinkAboutLP Storage tank permit - LP Gas Tank - 93 BONNY LANE 11/1/2015 The Commonwealth of Massachusetts
Executive Office of Fu6fic Safety
Department of Fire Services-Office of the State Fire Marshall
T..O. Box 1025, State mad,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 ANODVER
City/Town
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)
Address: 321A Merrimack st Methuen MA 01844
(Street or P.O.Box) (City/To—) (State) (Zip Code)
For Permission to: Install and store 2-120 gallons of propane
State clearly the purpose for which the permit is requested:
GENERATOR
f
Location: ALAN&CAROL LEBOVIDGE 93 BONNY LANE
Name of competent operator if applicable:, Certificate of Competency#: 453263311
Date Issued ( ) Date Rejected f }: By:
Date of Expiration: Fee Paid f } Fee Due f } Amount:
Applicant Signature-7 Fire Department Number:
(If Applicable)
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2-fie Commonwealth of Massachusetts
Executive Office of 2'udlic Safety
Department of Fire Services- Office of the State Fire Marshall
P.O. Box 1025, State Wgad,Stow, MA 01775
Date: 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 l0A application is hereby made by:
Narne: 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:
GENERATOR
Restrictions:
Location: ALAN&CAROL LEBOVIDGE 93 BONNY LANE
Fee Paid: This Permit Will e On: '�jJ E
Signature and Title of Official Granting Permit: b
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.)