HomeMy WebLinkAbout0153 BAYBERRY WAY - Health /-6'5 13a
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
,.� OWNER AND INSTALLER INFORMATION
ADDRESS: I t 1 WAY MAP NO'. 0 I � PARCEL NO. 0 1Q
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OWNER NAME: 1 / - I. (�-r fz� I 1 i`�. Jam/ VILLAGE S 7 1 �1I/ 7
INSTALLATION DATE�-j 0 / a4- _ 3 4 BY: t! uA /
ADDRESS: J- . 1 AV 1�'PRO'140A V .� ~E T. NO. q
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7 , !G (J(✓_� TANK I NPORI:I�1T ICI
LOCATION OF TANK: rT-r .49t)N t)r—. 145 E
CAPACITY C� TYPE Q r, AGE FUEL/CHEMICAL
TESTING CERTIFICATION E ] PASS C ] FAIL DATE '
LEAK DETECTION C ].:.CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES C ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED C br YES C J NO DATE I
CUNSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. ,7,4e" �#i i�J C J C : ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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CENTERVILLE - OSTERVILLE Flr E DEPARTMEN'T
PERMIT FOR STORAGE OF FUEL OIL
In accordance with provisions of Chapter 148, G. L., and Regulations
made under authority thereof.
Name .... . :c,.?. ........ .I'ul1................... Name .....!.,u,a �-.t`T `'.......................
(owner or occupant) (Installer)
Address ...!.�3.. > , ,:.:L.r-...l:2�T.1..��-AC�resS ....1: �j�e1. .I. ... p�.J.Ti �•
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Burner Storage
Make l e....i"...t................................ Type of Tank �
rec-e tt ..
Manufacturer .......................................... Capacity-..::.`:.::... gals. (or) Size............
Model No. or Size Location �I'i` F c__n??T�d
.... -.:.....................
Type...........: ?. Mass. Approval No.:Permit issued ..'' .�.1� �011...........
.... ............. .. .
(Head of Fire Department
........................ B ` '.............................................` ........
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES)
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CENITEi VILEE - OSTERVI LE FURE DEPAETIJENT
PERMIT FOR STORAGE OF FUEL OIL
In accordance with provisions of Chapter 148, G. L., and Regulations
made under authority thereof.
Name ... .- ':'.......................................... Name .....ru rZc.t� .......................
(owner or occupant) (Installer)
Address .. 1. �..Bayber ry..1ti, :':1�.,ns. dclress ....':�.'.je.`l.i. ..Ln�.9.T}1:1.."..
Burner Storage
r � -
Make
Er'� t Type of Tank ='i;;
Manufacturer jr- �'" � �J'�C �1 ............... Ca acit gals. or Size............
Model No. or Size 1.7....................... location ...... <::d'. F ? :' " ...............
Type....... :t '--.-" Mass. Approval No. ..
Permit issued .,
.......................................... ............... ..... ... ...........
. .. ............. .... . . ....
(Head of Fire Department
............................................................... By .. .:... :":. �-:�'.�'.!........
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES)