HomeMy WebLinkAboutPROPANE 2024001APPLICATION FOR PERMIT
Date:\t/o7/2024
Permit Number: 103395
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by: coRBy scHlLLtNG
Address: 55 LONG POND DR|VE rstop & Shop/South Yarmouth, MA
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For permission to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
Name of Competent Operator Stop and Shop store #22
Date lssued-Rejected ll/ 0!/2O24 By
Date of Expiration: LL/OL/2025 Fee: $s0'00 $Paid
(Signature of applicant)
Due
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059
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PERM!T
City or Town: Yarmouth
Date:
Permit Number (if applicable) 103196
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is gra
to: Stop and Shop store f22
DIG SAFE NUMBER
Start Oate:
GOPV
For permission to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFO before and after work is complete.
At 55 LONG POND DRIVE /Stop & Shop/South Yarmouth, MA
ss0.00Fee Paid $
Signature of Official Granting Permit
This it will expire on 1110112026
Tifle
This ermit must be cons icuousl ted u n the remtses
City or Town: Yarmouth
cert. No.-
),1/ o't / 2024
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e7* V)-r.*.r*rm "/ A'/"-*"L*n A(g)
FP-006
(Rev. 1.1.2015)
V;r,
I Retum com
/cl7*,0,Yarmouth
pleted application to:a
Permit Number
City or Town Yarmouth
a61s. 10124124
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by THE STOP & SHOP SUPERMARKET CO LLC. DBA STOP & SHOP #22 617.770.8708
{Full Nam€ ol Pe.son, Firm o. Corporation)
DIG SAFE NUMBER
Start Date
o1 1385 Hancock St., Quin , MA 02169
(Address: Street or P.O. 8ox, City or Town, Zp Code)
for permission to (state clearly purpose for which permit is requested)
Storage of LPG - 527 CMR 1.12.8.50 NFPA 58
Date lssued-rejected By S.<an o K.ra-
Date of expiration Fee
o (Signature of Applicant)
Amount Paid $ 50
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V,tyt&,,,.Yarmouth
City or Tow)Yarmouth
Date
Permit Number (af applicable)
ln accordance with the provisions of M.G.L. Chapter '148, as provided in
to Stop & Shop #22
10A this permit is granted
DIG SAFE NUMBER
Start Date
(Full Name of Person, Fim or Corporation)
1o, Storage of LPG - 527 CMR 1.12.8.50 NFPA 58
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and cod(
"1
55 Long Pond Drive, S. Yarmouth MA 02664
(Sleet and # or Descnbe Location tor Adequate ldentification)
Fee Paid $This permit wll expire on
Signature of Offlcjal Granting Permit:Title
Application for Standard Permit
10A
Name of Compelent Operator (if applicable) _ Cert. No. _
FP-006
(Rev 1.1.2015)PERMIT
t This permit must be conspicuously posted upon the premises ts
Eliil3il)u,o
IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING THIS PAYMENT PLEASE
CONTACT:
Suzanne Kester - Coordinator l, Licensing
(6L71770-8708
suzanne.kester@adusa.com
TO THE FOLLOWING ADDRESS FOR PROPER AND TIMELY PROCESSING:
STOP & SHOP SUPERMARKETS
TICENSING DEPARTMENT
1385 Hancock Street
Quincy, MA 02169
PLEASE FORWARD ALL LICENSES/PERMITS AND RENEWALS
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