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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:o4/22/2021
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0 A application is hereby made
by:
Address: South Yarmouth, MA 02664
For permission to: Unvented Gas Heater lnstallation 527CMR 1.12.8.5
Name of Competent Operator Paul Sullivan / 120 Bakers Path
Date lssued-Rejecled 04 / 22 / 202L
Fee: $s0.00 $ paid
Cert. No
(Signature of applicant)
Due
171
120B01
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PERM!T
City or Town: Yarmouth
Date:04/22/202r
Permit Number (if applicable) ro2'7 ea
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Paul Sullivan / 120 BakeB Path
Start Date:
UD/
For permission to: Unvented Gas Heater lnstallation 527CMR 1.12.8.6
Notify YFD before and after work is complete.
South Yarmouth, MA 02664At:
Fee Paid $$50.00
Signature of Official Granting Permit
This permit will expire on
Tifle
This ermit must be cons tcuous du on the remrses
permit Number: 102790
By
Date of Expiration:
DIG SAFE NUMBER
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.