HomeMy WebLinkAboutBLD-23-004579 RECEIVED
FEB 15 2023
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APPLICATION FOR FIRE PROTECTION PERMIT
Date o2__i S--- PERMIT NUMBER BU)--23--( S
-17
Projected Start Date: 2-/ S- 2 3 Date of issue
In accordance with the provisions of 780 CMR and M.G.L. Chapter 148, as provided in
Section
This ap 1'cation is hereby made J ems,
by .64acion FRe rro7 6/-7�A L4c - -7 - 51 -t — SQL
(Full name of erson,Firm or Corporation) i
Address `55 A ied/',t PI(� S�" Go 420÷ l3nr. ✓,a7Q( /y.1 02 7cj
(Contact#) 7P1 599 So s Email 120//do„ r 9 LQ 00I12,04 - i1/2
Owner of property (AA Z /dL' Dihyr( Lc v-i vac
J
Job Location ,311 Ittial A 54' S,. r/t(MP aill
f'1 A
(Street&City or Town)
For permission to (state clearly purpose for which permit is
requested)
/40-411 NWQ Gqe1'. /14-A , cj5IPAi
Name of competent operator(if applicable) ' irti-t) 4-4:0
Cert. or Lic se No. 0'64 ?• Estimated Cost of Construction: 0")
By /40-/frinZi7r9
(Signature ofApplicaM)
Building Official: T — Date: N' » - 4,3
FEE: $50.00
•
•
Commonwealth of Massachusetts
Division of Occupational Licensure
c t.;
Sprig r octor
SC-006317 pires:04/30/2024
KEVIN J TW(#1IG 5
e,,r$x
24 HARVESTWOOD DRIVE
WEST BRIDDgWATER NIA 02379.
Abviala
Commissioner that.