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APPLICATION FOR PERMIT
Date:o7 /t2/20L6
Permit Number: '101942
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address. 44 Alden Rd /South Yarmouth, MA 02664
Name of Competent Operator: Point Oil
Date lssued-Rejected 07 /L2/20L6 By
Date of Expiration
Cert. No.
Fee: Sso.00 $ paid
(Signature of applicant)
Due
115
44ALD
City or Town: Yarmouth
For permission to: lnstallation of oil burner