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APPLIGATION FOR PERMIT
City or Town:
Oate:
Yarmouth
o6/29/20:-1
Permit Number: 100841
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 20 Bass River Pkwy /South Yarmouth, MA 02664
For permission to: lnstall Fire Alarm System 527CMRI0:03('15)
Name of Competent Operator:lntercity Alarms
Date lssued-Rejecled O6 / 29 / 20LL By
Date of Expiration: Oe/29/2OfL Fee: $25 ' 00 $ Paid
Cert. No.
137
BASS20OOl2
(Signature oF appllcaalf
Due
d/ /*-'iVo rn r a r,.o* rr/-' e/' 8'{'{n ata g/, oar'{f,r'
@4ootoo,;4&*.t"o"ioo-Otp.,"/il,-o7r.ao%*,ad{"*il*/' g. @.'%,* / 025, aYkb-?wa/, a?aro, a///et 0/ 775
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FP6 (r.v. 300)
City or Town ov1t+
APPLICATION FOR PERMIT
c o
ln accorcjanca with the provisions of M'G.L. Chapler 148, as provided in Section applicalion is heraby made
Intercity A.larms 22 Srhites Path South Yarniout\ MA 02664
DtG SAFE NUMBER
by
tFd n ne aI Frscn, Fi:m ot CarPcalan)
(stcel ar P.a. gax) (OlY ot Tahh)
permission io (state clearlY purpose ior which permil is requested)
k s./h o \^TLi 2 1,,,1 t ?€ l,LS )
7l{'r,1+t- kr: 20 6$s Pt,,&
Srhot4. (b4eoac'J
c*t/tr@,
Name ol compeient operator (lf Applicable)
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.)/Io t u.'T (Pt*t S'tstc*,wtt-<- N6T G
Cert. i.lo
ext
Data lssued-r3iecied
of expiration 7{.N Due
(signenrre .t ap piienl)
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PERMIT
Spo,otftailotrrs
DIG SAFE NUI'4BEBCity or Town
Stad Date:
Permit Number iii applicablei
ln accordance with the provisions oi M,G.L. Chapter 148, as Provided in
-
this permil is grani?C
io f d! tunie ol frtsro, Fffi q caeaatan)
ior
icive irca[an by stl€* andro.. r/ *$cr're ,n s{.i6) ,rarDet es la ptcib atlgqude ientfcalic. d i@ataa)
-iSignaiure oi Oiiicial Gi'antinE Permit
This Permit will expire on
S. f*4rvt
I
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Bestricticns