HomeMy WebLinkAboutpropane tanks June 2025;-\c%" V"-r-r**rrrno/r/r r/ e.//*t-.t" art
FP-006
(Rev.6/23)
'6)ty /&,,,,Yarmouth
Application for Standard Permit
a Retum completed application to: Troy Williams I
P.O. Box 139044 Dallas, TX 75313 Attn: Licensing Dept
Permil Number:
City or Town Yarmouth
Date: 6110120?5
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section
Speedway LLC Store # 32567(2438')
application is hereby made
508-77 5-1263by
DIG SAFE NUMBER
Start Date
(Full Name of PeBon, Fim or Corporation)
441 Main St. West Yarmouth, MA 02673
{Phone Numbeo
of
Blue Rhino- Flammable Storge Cylinders Tanks
441 I\,4AIN ST
Name of Competent Operator (if applicable)
Oate lssued-rejected By
(Signature of Applicanl)
Date of expiration Fee Amount Paid $
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G,tyr&,,^Yarmouth
FP.006
(Rev 6/23)PERMIT
City or Town Yarmouth
Date: 611012025
Permit Number (if applicable):
ln accordance with the provisions of M.G.L. Chapter'148, as provided in this permit is granted
Speedway LLC Store # 32567(2438)
DIG SAFE NUMBER
to
for
(FullNam6 ol Percon, Firm or Corpoation)
Blu e Rhino- Flammabie S Cvtinders Tanks
Restrictions
at 441 Main Street West Yarmouth, MA 02673
{Stse€t and, or Describe Locetjon lor adequate ldentif calion)
Fee Paid $s50.00 This permit will expire on
PLEASE NOTE THATONLY APPUCANONSwlIH ORIGINAL WET SIGNATURES WILL BE ACCEPTEO, PHOTOCOPIES Of APPLICANONS lYlLL NOT BE PROCESSEO'
t This permit must be conspicuously posted upon the premises ts
(Addr€ss: Sfe€t or P.O. Box, City or Tow!. Zp Codo)
for permission to (state clearly purpose for which permit is requosted) _
Cert. No.
Start Date:
Signature of Official Granting Permit:Title
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