HomeMy WebLinkAboutWelding Permit 1998!.P.5 lav
:b-\A,l)e t ommonheattb of filassacbutetti
DEPARTMENT oF PUBLIC SAFETY_DIvISIoN oF FTRE PREVENTION
IOTO CoxMoNwEALTH AYENUE. BogroN
APPLICATION FOR PERMIT l9 98
TO: HEAD OF FIRE DEPARTMENT
Yarmouth
City q rM
In accordarce rrith the provisions of Chapter fL8, c.I,. as proYided in
39 applicatioa is hereby mad.e By
Nafle Sunshine Heatino & Air conditi ntno
Add-r e s s
lFull ..tu ol !.e^. lnh o, cdrE..li6234 Meadowbrook Court Duaneburg, NY L2056
(alr..t .r ,.0, t.t)
for permj-ssion to weld
State cl-earIy
p urpose for
vhich pe:mit
is requested
at Kentuckev Fried Chicken 447 Rou Le28 l{outh - Mr- 0267?
NaEe of coEpetent operator(If applicaule )
Scott N 1i Cert. No.
Date issued--jtXftXlkl6 1/7 tg 98 By=-
Date of expiration- I 19 t9 98F"e g 20 p";6-I$$x
@be Commonbeattf 0f Jfflsgdacbusetts
DEPARTMENT oF PUBLIC SAFETY-DIVISIoN oF FIRE PREVENTIoN
IOTO CorlUoNWTALTH AYENUE. BogToN
Yerrqorr th .Ianuary 7. 1998
A,
PE RM IT
ln accordance with the provisions of Chapter 148, 6. L. as provided in _ 39 _
this ftrmit is granted to
Name Sunshine Hea t ing & Air Conditioning
cqpo..rid tr-t.d o..hirl
State clearlypurpce forwhich permit
is granted
weld
Restrictions: --ltrlc t cafederal & state in this regard
mgliance with all 1aws. rules and Ieg,ulat_Lon
2(civ.lo<.ti6 by .rr-t 6d rc. o, d.<,,1r. .^ tu<h .ri{E. s ro
267
lSign.lur. ol oli,c,.r S,.nr nE tu ,
Chief f Deot.
t
Fee Paid .00
This pemit will expir r/9 98
l-c
llf (THts PERMIT MUsr BE coNsptcuousLy posTED UpoN THE pREMrsEs. )
(Sirh.tu.. ot .ooti6rr
c
A __ Make application to local Fire Department.
Fire Departme-' retains original application and issues rlicate as permit-
@"V.^arr"*r/&;*e%"r*;*-'%."*1"7&;*?r"r,-r*:r*
APPLICATION and PERMTT Fee: 2,o 9'
for storage tank removal and transportation to approved tank disposal yard in accordance with the provisionsof M.G.L. Chapter 148, Section 3BA, 527 CMR g.00, application is nereOy made by:
o1-StL))
ine
G ?et X
a
cry zip
At) S
Tank Owner Name (please print)
Address
ac,eAf
/L*'lz
Company Name /:A/
pr
S4a/1 na3
rmit)
r€O-.sAFE
d lFcl certiried
Address x 301
D lFCl Certified ! LSP # _ Other _
Co. or Individual
Signature (if applying for permit)
Address
na?2 r'rlC., t'G),44
;/
Tank Location
Tank Capacity (gallons)
' CttY
Substance Last Stored
$adrdra,A7t ae(
47 rn4t)
Tank Dimensions (diameter x length)
Remarks:
,t/-3
Approved tank disposalya'd -lU4 L€Z .aaLt.4r)l€ Tankyard#
O/A E.P.A. #
Tank yard address LI'D 1/Y)
EDV t/Zo - s'4 t:- E cj
r
Cor'nO1 VZctnC-
state Lic. # ,3 '?
n1)
\'/
Hazardous waste manifest#
Firm transporting waste
Type of inert gas
?- oaS-
/t
I
cto./c/tz
/]
Date ol expiration
FDID#Permit#
1?
au'r
e
ranting permit
City or Town
Date ol issue
Dig saf€ approval number:
Signature / Title of Olticer g
Removal Conlractor
Dlsposal lnformation
After removal(s)send Form FP-2908 signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton place,
Room '13'10, Boston, MA 0210&1618.
Tank Owner
Contamination Assessment
Other
Signature
Tank lnformation
Approvals
Dig Safe Toll Free Tel. Number - 800-322-4844
FP-ZE2 (revised 9/96)
I.P.6 BY
Sec .
(6.
711 1998APPLICATION FOR PERMIT
To: HEAD OF FIRE DEPARTMENT
yarmoul.h
CltY o. Towr
fn accordance yith the provisions of Cbs,pter 1\8, G.L. as provided. in
39 applica.tion is hereby nade By
NaDe Sunshine H atins & Air Condltionino
Addre ss
Itull n.m. ol D.r.on. lnm d ccpor.aiqr234 Meadowbrook Court Duaneburg,IIY 12056
(llr..l or ".0. l.t)
for pernoission to
(ct t, or t.r.)
Stete clearl-y
purpose for
lrhich permitj.s requested
at Kentuckey Fried Chicken 447 Route 28 [.1. Yarmorrth-l"la - 02 671
N&ne of conpetent op(If applicable )
erator tt Nelli Cert. No.
Date lssued-JtqtfH 1/7 tg 98 B
Date of expiration- l/9 19 98Feeg 20 p";a-I6ilIx
(Sitxlrrr ol .@ll..tl
@,be Gommonbesltb of filassucbuietti
DEPARTMENT oF PUBLtc SAFETY_DIVTSIoN oF FIRE PREvENTtoN
IOIO CoMMoNWE LT}. AVENUE. Bo'Tox