HomeMy WebLinkAbout0141 WIANNO AVENUE UNIT #B - Health l4l Ula„r�ne - �-c�
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TOWN OF BARNSTABLE rA G,.
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS `
ASSESSORS MAP NO. PARCEL N0.
ADDRESS: J�/ ?iIf'�� ��-� VILLAGE d.2-L,
NAME
CONTACT PERSON PHONE NUMBER
LOCATION OF TANKS; CAPACITY: .TYPE OF' FUEL AGE: T P LEAK
OR CHEMICAL: �_ 444 "DETECTION
SYSTEMt
DATE OF PURCHASE OF EACH: 1. 2. 3. 4. S.
DATE OF FIRE DEPARTMENT PERMIT: ��n,
TESTING CERTIFICATION SUBMITTED: / PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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;CENTERVILLE -:®STERiiItLE PiRE ")EPARTMENT
PERMIT FOR STOR GE O ,.FUEL OIL
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„f In accordance with provisions f Chapter•148 •.G.L.' and Regulations
• - 1 made under authority thereof.
Name �:y...Qr..Q,5�1y.... Name 1.+�5�.].�...�'�....
(owner or occupant) (Installer)
OS�dd ress 2.�`
' Address 141 ...�y i nr o..: v�.�..,........ _
... . ....
a . Storage.. 5
Burner ;
= � Steel •fwaiF
Make ..Carlin.........:.... Type of Tank ..
p city ..275 gals.`(or) Size....:......
Manufacturer .Carl"i-a o.................... ca aci q
Model No. or Size :.....1• (�1V .... : Location UndergrOlTlld.................
:'Type. ...Gun Mass. A proval No.
. ....
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Permit issued "'� " ' ......
�,1 .... k ............ .�.�Y `
- (Ilea ' f Fire Department
B .........................
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'� (THIS PERMIT MUST BE.CONSPICUOUSLY POSTED UPON THE PREMISES)