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APPLICATION FOR PERMIT
Date:o4/28/2025
Permit Number: '103495
ln accordance with the provrsions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Addressr 225 Route 28 /Bayside Resort Hotel/West Yarmouth, MA
For permission to: Temporary Shut Down of a Fire Protection/Co System
Name of Competent Operator: Replace electrical service to building
By
Cert. No
Fee: S25.0C $ paid
GEnature of applicailf
Due
142
BAYS000001
City or Town: Yarmouth
Date lssued-Re.iected O4 / 2a / 2025
Date of Expiration: 05/02/2025