HomeMy WebLinkAboutPermit to Repair or Modify Sprinkler System 2024APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:oL/o4/2024
Permit Number: 103269
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
bY: ieff mello
Address: 131 ANSEL HALLETT ROAD /YarmouthPort, MA 02675
Name of Competent Opspslsp lmpact Fire Cert. No
Date lssued-Rejecled 0L / O4 / 2024
Date of Expiration
142
UNITO2
Fee: 9G€0 S paid
(Signature of applicant)
Due
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PERMIT
Date:
Permit Number (if applicable) 7t326e
ln accordance with the provisions of M.G.L. Chapter '148, as provided in Section 10 A this permit is granted
to: lmpact Fire
For permission to: Repair/Modify Sprinkler System 527CMR10:03(15)
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFO before and after work is complete.
At 131 ANSEL HALLETT ROAD lYarmouthPort, MA 02675
OIG SAFE NUMBER
Start Date:
s50.00Fee Paid $
ISignature of Official Granting Permit
This permit will expire on
Tifle
This rmit must be cons icuousl osted u on the remtses
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P.0. 8"" 1025, Lt"l" no"l, N*+ YnA 01115
For perm,ssion to: Repair/Modify Sprinkler System 527CMR10:03(15)
City or Town: Yarmouth
ol/ oa/2024
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APPLICATTON FOR PERMIT
City or Town: Yarmouth
ot/o4/2o2a
permit Number: 103259
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
bY: Mike Bueaell
Address: 131 ANSEL HALLETT ROAO /YarmouthPort, MA 02575
Name of Competent Operato r: lmpact Fire
Date lssued-Rejected 0L/ 04 /2O24 By
Date of Expiration
Cert. No.
Fee: Sso.00 $ paid
(Signature of applic€nt)
Due
142
U N ITO2
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PERMIT
Date:07/o4/2024
Permit Number (if applicable) ") 1/ i')
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: lmpact Fire
For permission to: Repair/Modify Sprinkler System 527CMR10:03(15)
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes.
Notify YFD before and after work is complete.
At:131 ANSEL HALLETT ROAD /YarmouthPort, MA 02575
DIG SAFE NUMBER
Start Date:
ss0.00Fee Paid $
Signature of Official Granting Permit
This permit will expire on
Tifle
This ermit must be cons tcuous osted u on the rem tses
Date:
For permission to: Repair/Modify Sprinkler System 527CMR10:03('15)
City or Town: Yarmouth
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FP.006
(Rev. 1.2018)
Yarmouth
Application for Standard Permit
a Retum completed application to t
Permit Number
City or Town Yarmouth
As1g.1l2l24
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by lmpacl Fire Services 603-293-7531
DIG SAFE NUMBER
Stad Date
(FullName of Pelson, Finn or CoDomtion)
ot 26 Hampshire Dr., Hudson NH 03051
(Phone Number)
(Address: Str€et or P.O. Box. Cily or Town, Zp Code)
for permission to (state clearly purpose for which permit is requested)AT UPS 131 Ansel Hallet Rd
Replace 1st check assembly on 8'Febco 805YP backflow device
Name of Competent Operator (if applicable)ChrisThompson 6s(. I.ts. SC-210059
Date lssued{ejected By Suzanne McLain
(Sagnalure of Applicanl)
Oate of expiration pss $25.00 Amount Paid $25.00
Vr*-*-*-ltlr/a//[*rrt-r"h
W,ryt{,,,*
City or Town
Date
ln accordance with the provisions of M.G.L. Chapter 148, as provided in
to
this permit is granted
DIG SAFE NUMBER
Start Date
(Full Name of Porson, Firm or Corporatim)
for
Restriclions
at
(Streei and # or Describo Location for Ad€quale ldsntification)
Fee Paid $This permit will expire on
Signature of Official Granting Permit:Title
t This permit must be conspicuously posted upon the premises ts
FP.{106
(Rev. 1..2018)PERMIT
Permit Number (il applicable):