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PERMIT
City or Town: Yarmouth
DIG SAFE NUMBER
Start Date:Date:01 /t5/2024
Permit Number (if applicable) 103164
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A this permit is granted
to: Ben Levoie
For permission to: Cutting & Welding Permit 527 CMR 1.12.8.23
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes'
Notify YFD before and after work is complete.
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At:125 Route 6A /Urology associates of Cape
Fee Paid S This permit will expire on 1111512024$50.00
Signature of Official Granting Permit TitIE PJ
This rmit must be cons icuousl osted u on the remises
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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:o7 /L5/2024
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
bY; Rooer Brooks
Address: 125 Route 6A /Urology associates of Cape
Name of Competent Operator: Ben LeVoie
Date lssued-Rejected 07 /:.5/2024 By
Date of Expirataon.. Ll/L5/2O24
IsrEnairre of appf'acanif
Due
142
BOAMOO2
permit Number: 103364
For permission to: Cutting & Welding Permit 527 CMR 1 .12.8.23
cert. No.-
Fee: S50.00 $ paid
B W,tyt€,*,
Application for Standard Permit
FP{O6
(Rev.6/23)
of M.G.L. Chapter 148, as provided in Section application is hereby made
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(Phon6 Number)
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Permit Number:
by
City or Town:
Date
ln accordance with provrs
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OIG SAFE NU BER
Start Date
of
for permrsson to (state cleariy
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(Address:or P.O. 8ox. City o. Town. Zp
purpose for which permit
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Name ot Competent Operator (if applicable)Vo,'e,0l0c $98ac t^tJL
Dat6 lssued-rejected By
(Signatu16 ot Applicenl)
Amount Paid $
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FP.006
(Rev.6/23)PERMIT
City or Town
Oate:
ln accordance with the provisions of M.G.L. Chapter .14g, as pmvided in
to
this permit is qranted
DIG SAFE }IUMBER
Start Date:
(Fui t{arne ot Porsdl Firm o. Coeo6lion)
for
at /zs fl. 6l
(Street and # o. D€scnbe Location br Ad€quate ldernificstion)
Signature ot Offcial Granting psrmit: TiUe
W|LL AE ACCEPTED. PHOTOCOPTEA OF APPI.JCAIIOIIS WILI- XOT BE PROCESSED.
ously posted upon the premises !
PLEASE IIOTE IHAT OI'LY APPTjcAI()llA WrH ORIGIIIA! WET goIIATURES
i This permit must be conspicu
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a Return complotod application to: _ (l
B^nt',1-
is
Cert. No.8r^
Date of expiration_Fee
Permit Number (if applicable): _
Yun.r,lL
Restrictions:
Fee Paid 0 This permit wil expire on
7. ..1,,,/---
Amanda Carroll
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