HomeMy WebLinkAboutpropane 2024APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:o4/o1/2024
Address: 1011 Route 28 lAtoZ Convenience/South Yarmouth, MA
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For perm jsslon to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
Name of Competent Operator Blue Rhino A to Z
Date lssued-Rejecled 04/ 0l/ 2024 By
Date of Expiration: o4/o:-/2o25 Fee: $s0 ' 00 $ Paid
(SEnature ofapplicanO
Due
142
BASSlOOOT
permit Number: 103308
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
cert. No.-
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FP{06
{Rev. 1.2018)
South Yarmouth
Application for Standard Permit
t) Retum completed application to:f
Pe.mit Number:
City or Town: South Yarmouth
Oate
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10A application is hereby made
Ferrellgas dba Blue Rhino
DIG SAFE NUMBER
(Full Name of Person, Firm or Corporalion)
1709 Page Blvd, Springfield MA 0'l 104
(Phon6 Numb60
(Addross: Streol or P.O. 8ox, City or Town, Zp Code)
for permission to (state cleady purpose for which permit is requested)To store ( 30 prooane ovlffinge
in a locked, vented, impact protected cage. Cylinders will be filled off site at a location operated by Blue Rhino
and will comply with NFPA 58 / NFPA 1 / 527 CMR 1 / 527 Chapter 69.
Name of Competent Op€rator (if applicable)Cert. No
Date lssued-rejected By
Date of expiration Fee
(Signaturo of Applicant)
Amount Paid $
FP.{106
(Rev. 1..20'18)
Oate
Permit Number (if applicable)
ln accordance with the provisions of M.G.L. Chapter 148, as provided in
to Ferrellgas dba Blue Rhino / A to Z Convenience
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PERMIT
10A this permit is granted
Cuslomer #
DIG SAFE NU[IBER
Start Date
(Full Name ol P6rson, Firm or Corporaljon)
for Storage of (36) 20 lb. Propane Cylinders for retail or exchange
Restrictions:NFPA 58 / NFPA 1 / 527 CMR / 527 Chapter 69
ar 1011 Route 28 South; South Yarmouth, MA 02664
(Slreet and # or Descdb€ Locatiofl lbr Adequate ldentifca{on)
'/- (- LGFee Paid $This permit will expire on
Signature of Official Granting Permit:(..<-Ti e
t This permit must be conspicuously posted upon the premises ts
by
Start Date:
ol
Blue Rhino- 5650 University Pkwy
City or Town; South Yarmouth