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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:1"!/27 /2024
permit Number: 103415
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 210 Station Avenue /DY High Scool/South Yarmouth, MA
For permission to: Cutting & Welding Permit 527 CMR 1.12.8.23
Name of Competent Operato r: Mathew Standish Room 019 OY Hiqh Cert. No
Date lssued-Rejected LL/27 /2024
Date of Expiration 12/ 3L / 2024 Fee: $50.00 $paid
(Signature of applicant)
Due
By
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019
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PERMIT
City or Town: Yarmouth
Date:tt/2s/2o24
Permit Number (if applicable) 1 0341s
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Mathew Standish Room 019 DY High
DIG SAFE NUMBER
Start Date:
TI
For permission to: Cutting & Welding Permit 527 CMR 1.12.8.23
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.
At:210 Station Avenue /DY High Scool/South Yarmouth, MA
$s0.00Fee Paid $it will expire on 12J3112024
Signature of Official Granting Permit Title J
This rmit must be cons rcuous ted u on the remtses
ThiS