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APPLICATION FOR PERM!T
City or Town: Yarmouth
Date 0a/0a/2024
Permit Number: 103216
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Addressr 511 Station Avenue /South Yarmouth, MA 02664
Name of Competent Operator: All Town Mobil
Date lssued-Rejecled O4 / OL / 2024 By
Date of Expiration: 04/ Of /2025 Fee: S 50 ' 00 $ Paid
Cert. No
(Signature of applicant)
Due
142
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PERMIT
City or Town: Yarmouth
Start Date:Date:04/02/2024
Permit Number (if applicable) 1 0 3 2 1 6
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.
511 Station Avenue /South Yarmouth, MA 02564
!h
At:
Fee Paid $$s0.00 permit will expire on 0410112026
oa4 Title //Signature of Official Granting Permit ll.
Th is /n
This ermit must be cons icuousl osted u n the rem ises
For permission to: Storage of LPG 527 CMR 1.12.8.50 NFPA 58
dlOPB"
DIG SAFE NUMBER
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: All Town Mobil
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Apptication folttandard Permit
FP406
(Rev 1.2018)rl Retum complcted application to a
Permrt Numberl
City or Town
Date:
S'€li Date
ln accordance .\,:_ l-€:_:, sa_::'" 3 - :-3:::' --1: 33:':. :": _ Sa::l:10A application is hereby made
by Fenellgas dba Blue Rhino
of q n n
ic. oerss --. :: :2:: tre3- , 3,D,1- 'ai ,.,nrcrr p€riri ,S requesleC )To store (3b orooane for resale or excha
n a lcckecj. vented. impact protecled cage. Cylinders will be f lled otf site at a location operated by Blue Rhino
nge
and v/ili comp.y with NFPA 58 / NFPA I I 527 CMR 1 / 527 Chapter 69
rfar'€ €, Cc.I!€f:rn Operdor (if apdi]ablo)
C* issred.(E}*d
Cert. No
By
.* $ 5099 $ soee{S(rnalure of Apt$cenl)
Amount Paid S
Cfl o Virr rr, rot, u,e* t/,f'^ /(,urr,"lrr"l/,&[,t!
V;ty',-i,,,,,a(
PERMIT
t\n-fn.oru*\".U
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Cay r To.'l
E
te,'r4rt Nurt€r (if applicable):
accc.. danc€ wilh ths provisbns of M.G.L. Chapter '148, as provided in 10A this permil is granted
DIG SAFE NUMBER
ln,
b
fo(
Fenel s dba Blue Rhino /Customer I
Storage of 6b 20 lb. Propane Cylinders for retail or exchange
Restnchons NFPA 58 / NFPA 1 t 527 CMR I 527 Chapter 69
at n
Fee Pard S $b>
Signature ol Officral Granting Permit
Locetion br drquale
This permit wll expire on
Title
t This permit must be conspicuously posted upon the prcmises F
A$
DIG SAFE NUIIBER
Start Date: