HomeMy WebLinkAboutRadio Box installation permit - Permits - 48 BEECHWOOD DRIVE 5/22/2014 ' 9m,
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APPLICATION'FOR PERMIT
City or Town &zvr-i-h 4)-`vA6uQ(- DIG SAFE NUMBERDate ,?� ��-`�--�t �
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by
(Full name of person,Firm or Corporaticn)
c Address ') Gar' a�}�r(� ��y �� �. t�,
(Street or F.O.Box)(City or Town)
For permission to (state clearly purpose for which permit is requested) 14 P e W
Name.of competent operator(If Applicable) V)'W StrYI f Cert. No. 6—t G ._
)ate Issued-rejected By
(Signature of Applicant)
Date of expiration Fee $ Paid Due
ev.3/00}
PERMIT
ty or Town DIG SAFE NUMBER
i
iteaStarte:
�rmit Number (if applicable)
accordance with the.prr6visions of M.G.L. Chapter 148, as provided in this permit is granted
(Full name of person,Firm or Corporation)
strictions:
(Give location by street and no.,or describe in such manner as to provide adequate identlicadon of location) .
Paid $ Thiz Permit will expire on VPO� 6011irl��Ti
nature of,Official Granting Permit
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