HomeMy WebLinkAboutRadio Box installation permit - Permits - 267 CHICKERING ROAD 11/29/2012 C_��f r< o»r»>ca�ncuea�l� av����C u4e
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APPLICATION FOR PERMIT
DIG SAFE NUMBER
City or Town /�` � �" �"' i���'°-�
Date l 4
Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
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by � i �� � zZrL � �. yi.5'Phoae:
(Fu0 name of person.Firm or corporation)
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Address
(Street or P,0, z)(City or own)
For permission to (state clearly purpose for which permit is requested) Install Alter Fire Alarm System as
required by 527CNM sec. 24.0, MGL 148 sec.27A and 780 CMR
Location: s `7 �✓ -
Name of competent operator(If Applicable) Cert. No._ . AIR C
Date Issued-rejected By
(signature of APP6=4r)
Date of expiration Fee $ Paid Due--
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PERMIT
City or Town A)",. DIG SAFE NUMBER
Date r /- ✓ C7S[arl Date:
Permit Number(if applicable)
In accordance with the provisions of M.G.L. Chapter 148. as provided in IAA this permit is granted
to
(FuYl name at person.Firm or Corporation)
for Install/Alter Fire Alarm system r�S f�� f� r_ r - f,J�f Z�� ' iG - � �7� c r cl 13°
As required by 527 CMR 24.0, MGL 148 sec, Z7A and 780 CMR
Restrictions.
at %t� �� ( ✓ mot✓`✓ l`r r Gt/ �C �L-�.%ViTc` ` ,- c-
jGrve location b} s/veer and no r descnt vn svcn mar,ner as(o pm,,uc 1rdeQvare JennL/c�aron n:locdf.onn))
fee Paid S _� ✓ This mit will expjre�on ���� d �zILf i 0�7 ___--
�Q -`„ [ ire Prevention
cnalure of nflu�,al (;ran ling Perb -- -- _ T,IIe
This permit must be c6�spicuously posted upon the premises