HomeMy WebLinkAboutpropane storage 2022City or Town: Yarmouth
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APPLICATION FOR PERMIT
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by MIKE ROOSA
Address: 7 BENTBLUFF LANE /YarmouthPort, MA 02675
For permission to: lnstall Propane Tank
ROOSA/EASTERN PROPANE CO.
Date lssued-Bejecled o7 / 06 / 2022 By
Cert. No.
Date of Expiration:Fee: Sso.00 $ paid
(Signature of applicant)
Due
142
BENTOl
Date:
permit Number: 103014
Name of Competenl Operator:
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Application for Standard Permit
FP.O06
(Rev. 1.2018)a Return completed apPlication to:i
Permit Number:
City or Town
Dat€:
VnreMAJl-H
b apl>.r
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section toA application is hereby made
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DIG SAFE NUMBER
Start Date
EA5I-ERIU PR'PAUS {Phone Numbeo(Full N.me ol Person. Fim or Corporation)
of PO EOF IAOY 9DU rH 0 l-rv\oz bo
O Box. City or Town. ZiP CodG)
for permission to (state clearly purpose for which permit is requested)luerALL t- 12-(,rD-ALLDIJ
?R,ooA.Mt.7 L AT 1 SEUT $[.IVPF LfiDI, Y V
Name ol Competent Operator (if applicable)Rl9
Date lssued-rejected By
Date of expiration ee
Itert. tlo )17\
(Signature ol APPlica^!)
Amount Paid $
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FP-006
(Rev. 1.2018)PERMIT
Date
Permit Number (if applicable)
ln accordance with the provisions of [4.G.1. Chapt€r'148, as provided in this permrt is granted
to
DIG SAFE NUMBER
(Full Namr ot Person, Firm or Coeo6tion)
for
Restrictions
(St oeiand { or Decdbe Locetion lorAdequate ldentificelion)
Fee Paid $This permit will expire on
Signature of Otficial Granting Permit Title
t This permit must be conspicuously posted upon the premises ts
by
City or Town:
Start Date