HomeMy WebLinkAboutpropane 2024002C"r,,r**,,rr//t / fhwrlrt/b
$,p/t,-,1 ,l Yru b*i., W "l il* Ll"l" Jr* Tll"nt l
F.0. Bo" 1025, N"l, P^ol, Lln*,ynA 01115
APPLICATION FOR PERMIT
City or Town: Yarmouth
oa/03/2024
Permit Number: 103317
ln accordance with the provisions of M.G.L. Chapter '148, as provided in Section '10 A application is hereby made
bv: SHUKLA vrsHAL
Address: 330 Route 5A /Yarmouthport Village Store/YarmouthPort, MA
Wx}ll0
!,,\
Name of Competent Operator: SHUKLA/FERRELUBLUE RHINO
Date lssued-Rejecled O4 / 03 / 2024
Cert. No.
Date of Expiration Fee: Sso.00 $ paid
(Signature ol applicant)
Due
142
YPTVILOOOl
Date:
For permission tor Storage of LPG 527 CMR 1.12.8.50 NFPA 58
By
C"r,rr *,,t"/l / fTtut lra/,
W* t "l Jr* &,"i,* - W "1il* Ml" Jin Tll"^1,"1
P.0. 8", 1025, Nol, nool, N*r,YnA 01115
APPLICATION FOR PERMIT
City or Town: Yarmouth
o4/03/2024
permit Number: 103317
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0 A application is hereby made
bv: SHUKLA vtsHAL
Address: 330 Route 6A /Yarmouthport Village Store/YarmouthPort, MA
WxNl0
--rI
For permission to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
Name of Competent Operator: SHUKLA/FERRELL/BLUE RHINO
Date lssued-Rejecled 04 /03/2O24
Cert. No
Date of Exprration Fee: S50.00 $ Paid
(Signrlure of aptlEantf
Due
142
YPTVILOOOl
s-\C"r,,r*r*t ffi / flarurlrrur/,
$,p,t,,^l ,l Jr* b,^irL - W ,ltl* W J* Ylt"^],"l
F.0. Eo* 1025, 81"1" nool, N*t mA 01115
PERM!T
Go BvCity or Town: Yarmouth
Date:o4/03/2O24 Start Date:
Permit Number (if applicable) '
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: SHUKLA/FERRELUBLUE RHINO
For permission to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.
330 Route 6A /Yarmouthport village Store/YarmouthPort, MA
Srgnature of Official Granting Permit //.
This permit will expire on 4.3 aL
A{.Title
This oermit must be consoicuouslv Dosted uoon the oremises
Dale:
By
DIG SAFE NUMBER
E
At:
Fee Paid $
41o Vo -rrr*.r*r"o/tl r/ : /k"*./r r*n
G'iy. t&,*",7 Yarmouth Port
Application for Standard Permit
t Return completed application to t
Permrt Number
City or Town Yarmouth Port
Date
n accordance with the provisions of lvl.G.L. Chapter 148, as provrded in Section applicaion is hereby made
Ferrellgas dba Blue Rhino
DIG SAFE NUMBER
Start Date
(FullName of Percon, Firm or Corporalion)
1 709 Page Blvd, Springlield MA 01 104
(Phon6 Numb€r)
of
(Addr€ss: Slreel or P.O. Box, Cily or To,M, Zp Code)
for permrssion to (state clearly purpose for which permit is requested)To store ( 21) Orooane cv nge
in a locked, vented, impact protecied cage. Cylinders will be filled off site al a location ope Rhino
Name of Competent Operator {if appLrcable)Cert. No
Date lssued-rejected By
Date of expiration 50.00
(Signalure ol Applicant)
Amount Paid $ 50.00
r:f,, o Vr.,., r, r r, *n l./,
W,tyt&,,-
FP{06
(Rev 1..2018)PERMIT
City or Town Yarmouth Port
Date
Permit Number (if applicable)
n accordance with the provisions of M G.L. Chapter 148, as provided in
A
eIclarefr,4ot/L**
104 this permit is granted
to Ferrellgas dba Blue Rhino /Yarmouthoort Villaoe Slore Customer #
DIG SAFE NUMBER
Start Oate
(Full Name Corporalbn)
for Storage of (21) 20 lb. Propane Cylinders for retail or exchange
(5116€l and t or Describ€ Localbn for Ad€qual€ ld€ntifEatioo)
Fee Pard $50.00 This perm will expire on
Srgnature of Otficial Granting Permit:Title
- This permit must be conspicuously posted upon the premises ts
&
ry
FP{N6
(Rev. 1.2018)
by
and will comply with NFPA 58 / NFPA 1 / 527 CMR 1 / 527 Chapter 69.
p""11"11on, NFPA 58 / NFPA 1 / 527 CMR / 527 Chapter69
at 330 Route 6A; Yarmouth Port, MA 02675