HomeMy WebLinkAboutG-13-012 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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`:Ji=ar CITY South Yarmouth MA DATE 7/312012 PERMIT#GI 3 - 4/2-
JOBSITE ADDRESS 3 Cape Ir riV t ,hr/lie.— OWNER'S NAME George Heifer
GOWNER ADDRESS Same ITEL 508-760-5109 1FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL❑ RESIDENTIAL
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CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:Q PLANS SUBMITTED: YES❑ NO❑
APPLIANCES 1 FLOORS–. BSM 1 2 3 4 5 6 7 81 9 10 11 12 13 14
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ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
7
4 .