HomeMy WebLinkAboutLP storage tank permit - LP Gas Tank - 550 BOXFORD STREET 10/22/2015 The Commonwealth of.Wassachusetts
EXecutive Office of 1Tu6lic Safety
Department of Fire Services-Office of the State Fire Warshalr
cP O. Box 1025, State mad, Stow, 9W X 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 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/Town) (State) (Zip Code)
For Permission to: Install and store 2-120 gallons of propane 1J
State clearly the purpose for which the permit is requested: {Ai
HEAT/HOTWATER/RANGE/DRYER/FI REPLACE
Location: S&L HOMES /J �' 550 BOXFORD STREET
Name of competent operator if applicable: t f7 .,'.`- -Woj Certificate of Competency#: 453263311
Date Issued { } Date Rejected { }: By:
Date of Expiration: 7 Fee Paid { } Fee Due { } Amount:
Applicant Signature" Fire Department Number:
g (If Applicable)
2hie Commonwealth of Wassachusetts
E�Cecutive Office of Tu6lic Safety
Department of Fire Services-Office of the State Fire Warshall
it
T.O. Box.1025, State Wpad, Stow, 914A 01775
Date: d�� �J 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:
H EAT/HOTWATER/RANG E/DRYER/FIREPLACE
Restrictions:
Location: S&L HOMES 550 BOXFORD STREET
Fee Paid: �� �— T ' rmit Will Expire On: —/J j
Signature and Title of Official Granting Permit:
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.)