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City or Town
Date:
Yarmouth
10 / 3]./ 20L2
permit Number: 101'180
ln accordance with the provasions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address 40 Almira Rd /South Yarmouth, MA 02664
For permrss on to Above Ground Tank Removal 527CMR 9.02
Name of Competent Operator tank away p: 617-561-1117
Date lssued-Rejected LO / 3t / 2OL2
Date of Exprration . tt / 30 / 2OL2
Cert. No
Fee: $50.00 $ paid
lSlnalure of applicanif
Due
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PERMIT
fin
City or Town: Yarmouth
1o /3L / 20L2
Permit Number (if applicable) I li i30
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0 A this permit is granted
to tank away p: 517-561-1'117
For permissron to: Above Ground Tank Removal 527CMR 9.02
At 40 Almira Rd /South Yarmouth, MA 02664
DIG SAFE NUIVIBER
Start Date:
Fee Paid S This permit will expire on 1113012012
Signature of Official Granting Permit TitIE
This ermit must be cons icuousl ted u on the remrses
APPLICATION FOR PERMTT
By
Date:
Restrictions Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.