HomeMy WebLinkAboutinstall propane tank 20121
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APPLICATION FOR PERMIT
City or Town:
Date:
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address
l,lr
Yarmouth
o4/18/2OL2
For permission to: lnstall Propane Tank
Name of Competent Operator: Amerigas
Date lssued-Rejecled O4 / Lg / 20L2 By
Date of Expiration: 06/]-a/2OL2 Fee: S50'00 $Paid
Cert. No.
(Signature of applicant)
Due
137
BASS200004
Permit Number: '101036
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PERMIT
City or Town
Date
Permit Number (if applicable)
ln acmrdance witr the provisions of Ivl-G-L chapter 148, as provided in _ this permit is granted
to
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Fee Paid S This Permit will epire on
of Ofrcial Grantiqg Permit TieSQnature
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