HomeMy WebLinkAboutG-12-019 Rikj ,art OK �` 22-(( PC-- .
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
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E —-�rt1-) City/Town: Ael,20Z)77"_, MA. Date: 7h/h/ Permit#a)2-0 f
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Building Location: /SOW, .ems Owners Name:
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Type of Occupancy: Commercial ❑ Educational 0 Industrial ❑ Institutional 0 Residential:
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No❑
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