HomeMy WebLinkAboutremove oil tank 2025C"*,^,*rrtl / flrr*rl,^r/,
&rp-t,*,1 $ Jr* [,*ir* - W rl t]* [t"1" Jr* Tll"u,l*l
F.0. Eo, 1025, bkl" P*"t, N*u, mA UTs
APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:o4/08 /202s
permit Number: 103476
ln accordance with the provisaons of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by KEITH GUSTAFSO N
Address: 47 WINSOME BOAD /South Yarmouth, MA 02664
For permission to: Above Ground Tank Removal 527CMR 1.12.5.2
Name of Competent Operator: GUSTAFSON/CAPE EXCAVATING SERVICE Cert. No.
Date lssued-Rejected 04 / 08 /2025
Fee: $s0.00 $ paid
(Signature of applicant)
Due
184
47Wt01
s-\Crr,-.r*rr/11 "/ f/"rrtrrr/h
&rp-t,*,1
"1,
J^, L,*a," W "ltl* bl"l" Ju* Yil,*J*l
P.A. 8r, 1025, N"l, nod, N"*,mA 01115
PERMIT
City or Town:
Oate:
Yarmouth cop DIG SAFE NUMBER
Start Date:
Permit Number (if applicable) 1034'7 6
ln accordance with the provisions ol M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: GUSTAFSON/CAPE EXCAVATTNG SERVTCE
For permission to: Above Ground Tank Removal 527CMR 1 .12.8.2
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and afler work is complete.
At 47 WINSOME ROAD /South Yarmouth, MA 02664
Fee Paid $
Signature of Ollicial Granting Permit
This permit will expire on
Tifle
Inis permit must Ue c icuouqly posted upon the premises
By
Date ol Expiration:
04/08/2025
ss0.00