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01115
APPLICATION FOR PERMTT
City or Town:
Date:
Yarmouth
70 /22/2OO7
Permit Number: 001619
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 1O A application is hereby made
by:
Address:
ackn ic
For permission to: Tank Removal Chapter 148 sec 38A
Jd Scott Plumbi
Date lssued-Rejecled LO /22/ 2OO7 By
Date of Expiration LO / 23 / 2OO7
& Heatin 77 36-861 Cert.
20 .0
FAOFRASIER
CARROl
Fee $ Paid
n ure app tcan
Due
Name of Competent Operator: