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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:
permit Number: '103455
ln accordance with the provisions ol M.G.L. Chapte||48, as provided in Section 10 A application is hereby made
bY: GERARDo RTvERA
Address: 615 Route 28 /West Yarmouth, MA 02673
For permission to: lnstallataon of oil burner
Name ol Competent Operator: RIVERA/ARS HEATING AND A,/C SERVICES Cert. No
Date lssued-Rejecled 02 /2O /2O25 By
Date ol Expiration Fee: $50.00 $ paid
(St!nature of applicZnif
Due
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City or Town: Yarmouth
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DIG SAFE NUMBER
Start Date:Date:02/20 /202s
Permit Number (if applicable) 1034s5
ln accordance with the provisions ol M.G.L. Chapter'148, as provided in Section 10 A this permit is granted
to: R|VERA/ARS HEATTNG AND A,/C SERVTCES
For permission to: lnstallation of oil burner
Restrictions: Strict and complele compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD belore and after work is complete.
615 Route 28 /West Yarmouth, MA 02673At:
Fee Paid $ss0.0o
Signature of Off icial Granting Permit
This permit will expire on
Title
This rmit must be cons icuousl osted u n the emtses
02 /2O /2O2s