HomeMy WebLinkAboutLP storage tank permit - LP Gas Tank - 1478 GREAT POND ROAD 5/26/2015 A..'r'
_ Department of Fire Services �. .
Office of the State Fire .Marshal
P.O. Box 1025,State Road, Stow, MA 01775
orr,!'P'6 Rev.12197 APPLICATION FOR PERMIT
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(City or Town} — Permit NO DIG SAFE NUMBER �
(If Applicable) M.G.L.C.62,s.40
In accordance with the provisions of M.G.L. Chapter 148,as —————————
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provided in Section application is hereby made Start Date
by Townsend Oil Company, Inc.
(Full name of person,Firm or corporation)
Address 27 Cherry Street, PO Box 90, Danvers MA 01923 TELEPHONE # 978-777,-0701
(Street or P.O.Box) (City or ) p g
For permission to m % r �.� f`v �J ' �'�'I •"
late clearly
utpose for
'I-uch permit [/
requested /, ^ G l
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Name of competent operator Joseph Gurry AkNfA Cert.No. T PA95
(If Applicable)
Date Issued- c e Z5 —„7 /�S By o —
gnature o Appli
Date of expiration
Fee Paid Due _
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c� W Department of Fire Services
gym( Office of the State Fire Marshal
P.O.Box 1025,State Road,Stow, MA 01775 `<
Form FP 6 Rev.12/97
�Y,�/f oQ Permit No Date:
(City or Town) (if Applicable)
DIG SAFE NUMBER
In Accordance with the provisions of M.G.L. Chap/ter 14488 2S provided in M.G.L.C.82,S.40 S
This Permit is granted to: pGv4 �/!
(Full name of person,Firm or Corporation)
Start Dale
for p-c �L� - �f� mil!r �� 2�A:
Restrictions: ��G 7 � U�/ /G ��/T j✓ / /-//1 _----
(Give location by street and no.,or describ 16huch manner as to provide adequate identification of location)
Fee Paid SF"
This Permit will exoire�///C�C �✓ / (Signature of offical granting permit) � (Title)
THIS PERMIT MUST DE CONSPICUOUSLY POSTED UPON THE PREMISES