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TOWN OF ,BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
' ADDRESS: MAP NO. PARCEL 'NO. 0 S I?
OWNER *NAME: ! r, tVl VILLAGE:' C017
INSTALLATION DATE: 14-1 -'go BY: o `T�j��
ADDRESS: 6 CERT. NO.
TANK INFORMATION
LOCAT ION OF TANK: dN? ! / 5 / / 99/%W46�
CAPACITY ;2000 TYPE AGE FUEL/CHEMICAL "
� TESTING CERTIFICATIION C ] PASS C ] FAIL DATE
LEAK DETECTION•- .C11'7 "CHECK IF N/A TYPE/BRAND
ZONE -OF CONTRIBUTION iE ] .YES : C�] .NO. DATE TO BE REMOVED
FIRE DEPT.'-PERMIT ISSUED 6 YES C ] NO DATE y7` /•1' d J r
G/
CONSERVATION , Cti J""CHEGK IF N/A DATE
BOARD OF HEALTH TAG NO. C ; It ]C . ]C ] DATE V
# PLEASE{ PROVIDE,-A.1SKETCH," SHOW I NGjTHE TANK LOCATION ON THE BACK ,OF THIS CARD
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TOWN OF BARNSTABLE Permit No. 21716
Building InspectorCash
X
OCCUPANCY PERMIT Bond _
"No building nor structure shall be erected, and no land, building or structure shall be 1
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occup..ney has been issued by the Building Inspector."
Issued to Jean S. & Herbert Anderton, Address
lot #74 295 Cotuit Bay Drive, Cotuit
Wiring Inspector
Inspection date L
Plumbing r Inspection date
1
Gras Inspector Inspection date
k6gmeering Dep t
Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN i
REQUIREMENTS.
DEL
uilding Ins ect