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APPLICAT!ON FOR PERMIT
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permit Number: '101384 5
ln accordance \Mith the provisions of M.G.L. Chapter '148, as provided in Section 10 A application is hereby made
by:
Address: South Yarmouth, n A 02664
For permission to: lnstall F/A-C/O System (RESIDENTIAL)s27CMR 10:03(1
Name of Competent Operator Alarm New England William allison
Date lssued-Rejected Ot / 28 / 20L4 By
Cert. No.
Date of Expiration . 03 / 28 / 20L4 Fee Sl s. 00 $paid
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APP LICATION FOR P ERI''1IT
City or Town lkQno*ru DIG SAFE NUIYlts EA
ln accoroance with the provisicns ol iv1.G.L. Chapier 148, as provided in Section
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aPplication is hereby made
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22 White's Path South Yarmouth MA 02
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te clear'ly purpose ior which permit is requested)'e t57il- /fi /o) 6eeEz /ot,rTFor permission io (sta
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Nafire of compeienl opei'alor (ll Appljcabie)
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PERMIT
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City or Town DIG SAFE NUMB=F
Stan Date
F€rmil Number (ii applicable)
ln acoordance wiih the provisions oi M.G.L. Chapter 148, as provtded in
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This,license is subject to Massachusetts cener_al Laws and
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