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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:02/04/202s
Permit Number: 103443
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by: BARBARA RosEN
Address: 62 KEEL CAPE DRIVE /South Yarmouth, MA 02664
For permission to: Unvented Gas Heater lnstallation 527CMR 1.12.8.6
Name of Competent Operator: ROSEN/SCIOLETTI PLUMBING
Date lssued-Rejected 02 / 04 / 2025 By
Cert. No
Date ol Expiration Fee: Sso.00 $ paid
(Signaiure of applicant)
Due
184
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PERM!T
City or Town:
Oate:
Yarmouth
02/04/2025
Permit Number (it applicable) 103443
For permission to: Unvented Gas Heater lnstallation 527CMR 1.12.8.6
Restrictions: Strict and complete compliance with all tederal, state and local laws, rules, regulations and codes.
Notily YFD before and after work is complete.
At
couy DIG SAFE NUMBER
Start Date:
t\40
..a!
$50.00Fee Paid $
Signature of Official Granting Permit
This permit will expire on
Title
This permit must be conspicuously posted upon the premises
ln accordance with the provisions of I\il.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: ROSEN/SC|OLETT| PLUMBTNG
62 KEEL CAPE DBIVE /South Yarmouth, MA 02664