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APPLIGATION FOR PERMIT
City or Town Yarmouth
Date o2/LO/202s
permit Number: 103450
ln accordance with the provisions ol M.G.L. Chapter 148, as provided in Section l0 A application is hereby made
by: RoBtN LAvERTy
Address: 85 PHEASANT COVE CIRCLE rYarmouthPorr, MA 02675
For permission to: Unvented Gas Heater lnstallation 527CMR 1,12.8.6
Name ol Competent Operator: LAVERTY/SCIOLETTI PLUMBING AND HEATING Cert. No
Date lssued-Relected 02 / L0 / 2025 By
Fee: Ss0. oo
re a rcan
$ Paid
-
Due
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PERMIT
City or Town: Yarmouth
Date:02/LO /2025
Permit Number (il applicable) 103450
For permission to: Unvented Gas Heater lnstallation 527CMR 1.12.8.6
Restrictions: Strict and complete compliance with all federal, stale and local laws, rules, regulations and codes.
Notify YFD before and atter work is complete.
At 85 PHEASANT COVE CIRCLE /YarmouthPort, MA 02675
COFY
OIG SAFE NUMBER
Start Date:
s50.00Fee Paid $
Signature of Official Granting Permit
This permil will expire on
This rmit must be cons icuousl du on the remrses
Date of Expiration:
184
85PH01
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0 A this permit is granted
to: LAVERTY/SC|OLETT| PLUMB|NG AND HEATTNG
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