HomeMy WebLinkAbout0251 SEA STREET - Health 251 SEA STREET, HYANNIS
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0:+;0'6;2000 23:4C FAX 508 7w� 1)093 ENVIRu SAFE
Make application to local Fire Depa►tment.
,per Fire Department retains original application and issues duplicate as Permit
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APPLICATION and PERMIT
for storage tarok mmoval and transportation to approved tank disposal yard in accordance with the provisions
of M.Q.L Chapter 148, Section 38A,527 CMII 9.0o,applicalion is hereby matte by:
Tank ownerNaaael0lea�ePdnU nr• ly l�tr6. Henr1 Benoual'd
Wint
Address ; cv �"" Z*
Company Name EnVito-safe Co.orindMdual
t'rr+
Address P•0:BOX 110, E•Sandy i ch s KA Address
Signature Q� oargriad
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Signature(N applying for pe"nit)
Other ❑IFCI CeNfied 0 LSP a ,,._____.__ Other
is IFCI -
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TanktoaatlonwaoM+
•- substance Lest"Stotod'—t•-_L n;T��-t
lank G¢padty ivm 1 Y �.
Tank Dimensions,Kdlameter x(eWh) _
329
Firm tranaprxtinywaste ' Enviro sofa StaleLle #
rdous waste manifesto E.P.&8 KAD9 8 5 2 19 3 2 3
H �o
aze . `, .
Turner Salvage _Tankyard0 002
Approved tank disposal yard
Type of inert gas
Tnsmercial Street�L
ankyardaddr3ss 235 co
00 b0
GIIy or Town
,N(5 •� Fo10:_ tit.- _Permit#
Date d agAmoon z/10
Date of issue h -
by �o
Dig Sale Totl r'ree Tel Namber-800
Dig wire apprdV;kl nurnde� `- 200100
2 A
Signature hole d patter granting parmlt
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Alter reniova(s)send form FP-290R'elgned by Local Fire Dep MPQanCe Unit,
Care Ashburton Pla e,
Room 1310,Boston,MA 02108-1619. '��!p'Q4�F,l,��e��, —�� Y
191 '� .,