HomeMy WebLinkAboutunvented gas 20138,f*'llnruil,
P.0.
['omnarutat/tL
J* brun
Bo. 102,5, Lkl, Aild,
o/ //ltuornua4lh
W 'l ll* blil" Jr* Tll*,il*l
Lh*, ma u115
APPLICATION FOR PERMIT
Yarmouth
L2/O6/20L3
permit Number: 101400
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application as hereby made
3
Address: South Yarmouth, MA 02664
ke z&
For permission to: Unvented Gas Heater lnstallation 527CMR30:04
Name of Competent Operator:EF Winslow--Ken Cert. No
Date lssued-Rejecled L2 / 05 / 2OL3 By
Date of Expiration. 02/06/20t4 Fee: sso'00 $Paid
142
BRAYO3
(Signature of applicant)
Due
rl lr rlllllr rJ'rli
City or Town:
Date:
by: