HomeMy WebLinkAboutLP storage tank permit - LP Gas Tank - 50 SAW MILL ROAD 6/10/2015 Application for Standard Permit
FP-006 y Return completed application to: 49
(Rev.04112)
Permit Number: ,o y� DIG SAFE NUMBER
City or Town: /V o� c� A n J a'
z / Start Date:
Date: �p
In accordance with the pro/visions of M.G.L.Chapter 148,as provided in Section application is hereby made
by A-'1ct5 / 6'(ty rnoI - 00
(Full Name of Person,Firm or Corporation) (Phone Number)
l 04150
(Address:Street or P.O.Box,City or-rown,Zip^^Code)
for permission to(st to clearly purpose for which permit is requested) J e"� k_ Zoo L d 6® &,
4,c. •�.ros 7 4?�— 6' � '�-- Cf
( J
Name of Competent Operator(if applicable) ert.No. y i
Date Issued-rejected By
(Signature of Applican)
Date of expiration Fee Amount Paid$
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FP-006
(Rev.04/12) PERMIT
City or Town: /1/0 e, DIG SAFE NUMBER
Date:
T ' Start Date:
Permit Number(if applicable):
In accordanc with the provisions of M.G.L.Chapter 148,as provided in this permit is granted
tofi��5 CPl/1 rnQr
(Full Name of Person,Firm or Corporation)
for 2,6U L
Restrictions:
at (�U 554,1111( h f�s2DcS /� �Ec�i`(Jfis/�F
(Street and#or Describe Location for Adequate Identification) /
Fee Paid$ This permit will expire on
Signature of Official Granting Permit: Title czo, ''f
This permit must be conspicuously posted upon the premises
x �`
-' Application for Standard Permit
FP-006 y Return completed application to: 41
(Rev.04112)
Permit Number: ,/ EDIGSAFEUMBER
City or Town: /VC, A�'`J
Date: 0 .6 ��d z f
In accordance with the provisions of M.G.L.Chapter 148,as provided in Section application is hereby made
by 1)�-1C15 / 6-4klmCl�- cy '�-- �?-?--?3()0
C� /^ (Full Name of Person,Firm or Corporation) (Phone Number)
Of
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(st to clearly purpose for which permit is requested) Se k- Zoo L U 6 Q l7ti
Name of Competent Operator(if applicable) �ert.
Date Issued-rejected By
(Signature of Applican)
Date of expiration Fee Amount Paid$
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FP-006
(Rev.04/12) PERMIT
City or Town: LO e, DIG SAFE NUMBER
Date: G u &o
,f Start Date:
Permit Number(if applicable):
In accordant with the provisions of M.G.L.Chapter 148,as provided in this permit is granted
to F-ktk5�6 U d rnQ(-
(Full Name of Person,Finn or Corporation)
forfor 2 6U L 13 ((� G w ( �• 1 p�,
Restrictions: �D ve o �SiT� !in%i'L �r,C/,,7si�i v �• !
at SU S4�.m1 �f L, ��COc�/9 led-1 7iis/�F'
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ oT�hiis permit will expire on /
Signature of Official Granting Permit:
This permit must be conspicuously posted upon the premises