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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:04/L7 /2024
Permit Number: 103322
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by: F
Address: 225 Whites Path /Zsouth Yarmouth, MA 02664
For permission to: Cutting & Welding Permit 527 CMR 1.12.8.23
Name of Competent Operator: Conken Systems/Fed ex Cert. No
By
Fee: Sso.00 $ paid
(Signature of applicant)
Due
Date lssued-Rejecled 06 / OL / 2024
Date of Expiration:
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Aoolication for Standard Pemit
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Permit Number:
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ln ac.ordance with lhe provisions of as in S€ction ?applicatbn is het€by made
DIG SAFE NUiIBER
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(Rev. 623)
City or Iown
Date:
Permii Numbr (if apdbable)i
ln accordane with th€ p,ovisbns of M.c.L. Ch6pter 148, es pro\rijed in
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this pormit is gEnted
DIG SAFE NU BER
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Sign8ture
PTEAIEt This permit must be conspicuously posted upon the premises ts
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Amount Paid 3
Fee Paid S _ This pemit will expke on
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This is to certify that
OMAR RUIZ
HAS SUCCESSFULLY COMPLETED
HOI WORK SAFETY ONLINE TRAINING
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Complaloli D.ta: M.rch 1a. 2024
Ccrrificrt. ilo. 7628092 Prlsd.rr. 'l.rroi.i tn Pt!l..Io A.roo.lrd!
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IIFPA
fhrs rs to certrfy that
RAUL GUERRERO
HAS SUCCESSFULLY COMPLETED
HOT WORK SAFETY ONLINE TRAINING
Cddelro.t ha Maratr I a, 202a
C.diltcrt. a,b : ta62ot6 P!.llinl. taaarr.l Fr. Prrt.ch Arasrra.
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c.dlcd. lo : 789.15a
This is to certrfy that
BASILIO TREJO
HAS SUCCESSFULLY COMPLETED
HOT WORK SAFETY ONLINE TRAINING
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