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APPLIGATION FOR PERMIT
City or Town:
Date:
Permit Number: 100747
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 27 Aunt Edith Rd /South Yarmouth, MA 02664
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02/to/2ota
For permission to: lnstall F/A-C/O System 527CMR 10:03(1S)&CMR 31:00
Name of Competent Operator: lntercity Alarms LLC
Date lssued-ReJecled 02 /LO / 20Ll By
Date of Expiration: O4llO|2OLL Fee: sso ' 00 S Paid
Cert. No
(Signature of appl-rcantf
Due
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Yarmouth
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APPLICATION FOR PERMIT
ln aclordance wilh the provisions ol M.G.L. chapter 148, as Provid€d in S€ction....-__-.app]pal9[.i9--t*lehy,,[]4.e.--.,-.
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For permission to (state clearly purpose lor which permit is requesled)
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Name ol competent operator (ll Appllcable)
Date lssue$reiected 1:;4Aaqre ol
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PERMIT
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City or Town
Permit Number (it aPPlicable)
ln accordance wilh the Provislon s ol M.G.L. Chapler '148' as provided in ts.pernut is g!'ented '
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Signature ol Otlicial Granting Permil--
Title
Q ttris Permit must be consPicuouslY Posted upon the Premises (!
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