HomeMy WebLinkAboutunvented gas 2013L:o4?u?a4,/r.,?n//t o/ ilhuolual//e
W,lr*,,l ol. Ju* b,**^ W "l ll* $1"1" Jr* Tfi"*]^l
P.A. Eo* 1025, bl"l" 1lr"t, bl*u, mA U115
APPLIGATION FOR PERMIT
Yarmouth
04 /r7 / 2OL3
permit Number: 101278
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
For permission to: Unvented Gas Heate. lnstallation 527CMR30:04
Name of Competent Ope1s16p New England Plum Services, Glen Sherman Cert. No.
Date lssued-Rejected O4/t7 /2OL3 By
Fee: S50.00 $ paid
(Signature of applicant)
DueDate of Expiration. 06/L7 /20L3
388A01
City or Town:
Date:
Address: 38 Bernard St /South Yarmouth, MA 02664