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HomeMy WebLinkAboutpropane tanks 2012L,y,m,mrwr.,nn^tl, o/ //bto/ut/e/h b,1,,vl-r,J, $ J,tw $w*nn 011"" rl, lj* ilr,l" Ju*, Tk rluJ 0'.0. B*, iA25, b1,1" fk"rl, bk*, TnA l,i-/'r:t APPLICATION FOR PERMIT V City or Town: Date: Yarmouth oa/09/2ot2 permit Number: 101026 ln accordance with the provisions of M.G.L. Chapter 148, as provided jn Section 10 A application is hereby made by: Address: 501 Route 28 RT /West Yarmouth, MA 02673 For permission to: Sto.age of LPG 527CMR 6:08 (28) Name of Competent Ope rator: Blue Rhino Date lssued-Rejected 04/ 09/20L2 By Date of Expiration: o4/og/2ol4 Fee: $50 ' 00 $ Paid Cert. No (Signature of applicant) Due 115 WEST16 I \-- The Commonwealth of lt/assachusetts , -.Department of Fire Services - Office of the State Fire tvlarshalGI,IP.O. Box 1025, State Road, Stow, tVA 01775 v APPLICATIOI FOR PERMIT ( it\ or Torvn Yarmouth 03t26t2012 Stan Dalc ln accordancc r!ith thc provisions of M.C.L. Chapter 148. as providcd in Section -JoA- application is hereby made hr Ulue Rhino of Ncw Ensland - South (Full Mn.6fp6$( Fim o. Corpo..rion) 1709 Page Blvd., Springfield, MA 01104isllfu FO II^I aanw T..s li)r permissiolr to (state clearly purpose lor which permit is requested)Store l42l ProDanc Cvlindcrs for resale or e\change in a locked cage. Cylinders will be filled offsite at a location operated by Blue Rhino and will compll rvith NlrPA58 and 527 CMR 6.00 Name of competmt operator (lfApplicable) Date Issued-rejected NiA ('No N/A By Walne A. l.al;leche Dutc ol-e\piration Paid I)uc The Commonwealth of Massachusetts Department of Fire Services - Office of the State Fire Vtarsnat fr P.O. Box 1025, State Road, Stow, MA 01775 \' PERMIT Ihtc -1i26/20t2 l'crnit Nunrhcr (il-applicablc) ln accordance with the provisions of M.G.L. Chapter 148, as provided in to West Yamouti Mobil t)R Start [)atc: p€.sn. Fnm o. Colporanon) li)r Ilc\lriction\\t p A sri and S?7 4[,{P i( no {Girc l@rion by srer ..d @ , d d*.ibc in sh mnnE s lo povid€ .d.qu{. idanifidis of l@rion) 501 MA 28.:West Yarmouth,Ma.02673 I-cc I'aid $ 50.00 (.k# r,l6D)?r.{ Signature of O0lcial Cranting Permit This Pcrmit willexpire on Titlc This permit must be conspicuously posted upon the premises r)lG s,\r,u Nt \ |ltR I)lle tr l:ee $-{!Q0 Cit\ or To$n Yarmouth l0A this permir is granred Customer # 101633