HomeMy WebLinkAboutinstall backflow on fire main 2001S'\_\
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APPLICATION FOR PERMIT
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Olflcc oI thc State lrirc Marshal
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Department of Fire Services
Oftlce oIthc State liirc Mal'shal
P.O. Box 1025. Slalo Road. Slow. MA 01775 .APPLICATION FOR PERMIT
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6 L-N/n'Perrrrit No((;ily or Towrt)(rl nttplicablc)
ln acco(lance willt lltc provision:i ol M.G.l . Cltapler l4B. as
l)rovido(l in Scclion __27L_ apl',lbatirrr is hereby rnade
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Fae $ 20.00 pr;,1 &Q0( r),.
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Deparlrrrerrt of Fire Services
Officc of lhc Statc l;irc Marshal
P.O. Box 1025, Sla(e Roa(1, Slow. MA 017/5
PERMIT
Date: Jul 2001 1e7YarmouthPerrnit No N,/A(Cily or Town)(lt Applicrble)
ln nccordance wilh Urc provisions ol M G L_ ChnptAr 140 as provirlad in 27 A
A&B Canco
OIG SAFE NUMAERMGt C a7 S ,ro
(Furl nrn'r ol tnr.on. ridn or Co,Ir,ition)
ro. Installl aba old on _t-1. E! _Ea-.ln- u+gradi D_C_to- storz co actlon
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OIG S FE NUMOERMGICs)S4.
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Roslricli.rns Strlct comP11gnc? Ilth. a1 - I,awa, .ru!cq- qrld rqglrlallo. nslrl_rh1s lCCerd
CMR 527 SGcr 27A norlfy YFD befora and a.ftcr dlsconncct 398-22t2.)f\J\6r<JL c l'\Cfia cuaZ(
((;ive lo.rlion by lo idenlifica ol localliorl)
Ir,is Pe,,n,l wirrrxpi,a 7l lOl!llg _ _
Captaln
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!!T} TIIIS PEttMIT MUST BE CONSPICIJOUSLY Po TED UPON THE PREMISES <E
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Ihis Permit is qranled to
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JAI'ES EATON
PO BOx 3ggl-AXE DR #5'l
CENTERVILLE, MA 02632
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DEPARTXENT OF PUBLIC SAFETY
Llcdr..: JOURNEYMAN SPRINKLER
umbac SJ 006/t25
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960
Tr. no: 2
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