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PERMIT
City or Town: Yarmouth )
Date 02 / 21 /2023 (,
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Permit Number (if aPPlicable) 103131
ln accordance with the pfovisions of M.G.L. Chapter 148, as provided in section 1o Athis permit is granted
CHUN / TASHA FUELS AND PROPANE
For permission to Underground Tank Removal chapter 148 sec 38A
Restrictions: Strict and complete compliance with all federal, state and local laws, rules, regulations and codes'
Notify YFD before and after work is complete.
At 24 CARRIAGE LANE /YarmouthPort' MA 02675
DIG SAFE NUMBER
100.00 This permit will expire onFee Paid $
Signature of Official Granting Permit { Z
ermit must be cons rem rseslcuousThisosted u on the
Title (r-
D
Start Date:
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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:02 / 21 /2023
Permit Number: 103131 L}-A
03 )Na7
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Address: 24 CARRIAGE LANE /YarmouthPort, MA 02675
For permission to: lnstall oil tank
Name of Competent Operator:CHUN / TASHA FUELS AND PROPANE
By
Cert. No
Date of Expiration Fee: $50.00 $ paid
(Signature of applicant)
Due
142
24CA500044
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section l0 A application is hereby made
by:
Date lssued-Rejecled 02/27 /2023
A'
APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:02 /27 /2023
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by:
Address: 24 CARRIAGE LANE /YarmouthPort, MA 02675
CHUN / TASHA FUELS AND PROPANE
Date lssued-Rejecled 02/27 /2023 By
Cert. No.
Date of Expiration Fee: 100.00 $ paid
(Sigjrlnafure olt
Due
'142
24CA500044
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permit Number: 103131
For permission to: Underground Tank Removal Chapter'148 sec 38A
Name of Competent Operator:
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FP-056
(Rev. 1 .26.2015)
527 CMR 1.00
Section 1.12.8.2.1
Form 1
Application for Permit, Permit, and Certificate of Completion for the
Installation or Alteration ofFuel Oil Buming Equipment and the Storage ofFuel Oil
Var*^.zt-2f 14 /zs
Permit #'s: FD Elec. _
Owner/Occupant Name:Al+^^ c)^^^^
lnstallationAddress: Z
El Heating Unit fl Domestic Water Heater E Power Vent
Burner: E New EI Existing E Location
(City or Town) 16at'e)
Fee Paid: $
Tel.#341 - z*z -t ls z
Serviced Floor or Unit #:
Other
Mfg:
Type:Nozzle size:
El Fuel Oil E Kerosene
Storage Tank: P ruew D Existing
TyPe
E Waste Oil
Location : borr^-^*
fl Removal
Capacity: 7?{ gallons No. ofTanks
Special requirements (or additional safety devices)
E oSV valve EOit t-in" Protected
Co. Name Tet# 5Vr-qt7-Grfs-
Address: f{z 11t ",...^ 6 Le,..d.4 City: F-?,^a'ot Zip: oz'tr--?|.
Completion Date
Combustion Test: Gross Stack Temp.
CO'? Test:
Net Stack Temp
Breech Draft:
Smoke:Overfire Draft Efficiency Rating %
I, the undersigned certily that the installation of fuel buming equipment has been made in accordance with M.G.
currently in etfect. Furthermore, this installation has be€n tested in accordance with such requirements, is now i
complete instructions as to its use and maintenance have been Iumished to the person or whom the installation
.1. Chapter'148 and 527 CMR 1.00
n proper operating condition and
or alteration
Signature (nolnstaller:
Address
Ced of Cfl
'ri 2 -TZ*"n /< / ^-zl Clty:
Oar:: OApproved by
Keep original as application. lssue duplicate as permit. This form may be photocopied
t'
FDIO#:
Model # or Size:
l,x* A"I
Once signed by the llre department, this is a PERMIT for the storage of fuel oil and use of the oil buming equipment.
made.