HomeMy WebLinkAbout0296 NORTH STREET - Health (2) a�� Nor�h �ceal-, Nuns
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
4�r T ( 11/ K- P ..� .�--` / MAP NO. ';ADDRESSPARCEL NO., 9�
OWNER NAME: / j( i!V I / ! l /11 T VAC: �^l VILLAGE: H VA /l/ /
INSTALLATION DATE: BY:
ADDRESS: CERT. NO.
TANK INFORMATION
LOCATION OF TANK: ACH Y r-37-
ZA 4) 6 +`-✓ /�- '''
CAPACITY I(.�o TYPE AGE FUEL/CHEM I CAL' f()61 OIL,
L,
TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION CX CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES Cam] NO DATE TO BE REMOVED x
FIRE DEPT. PERMIT• ISSUED / , YES C ] NO DATE
UUNSERVATION C ] CHECK IF N/A DATE A-�j
BOARD OF HEALTH TAG NO.dC C ]C ]C ]C J DATE�,.J
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PLEASE PROVIDE• A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
THE COMMONWEALTH OF MASSACHUSETTS
FIRE DISTRICT OF HYANNIS, MASS.
'e FIRE DEPARTMENT
[ FIRE PREVENTION DIVISION
PERMIT FOR STORAGE OF FUEL OIL
In accordance with provisions of Chapter 1.48, General Laws, and amendments thereto and
Regulations made under authority thereof. "
Name Zion Union Ch kr_ch__ ---Name . _w... Decirace Heating
(owner or occupant) (Installer) a
i
North St.
Address
13URNER ... STORAGE
i
Name Carlin ... .....Type of Tank ..ctr&eL__. _.
Manufacturer S1e.._W„ gals.(or) Size
Model No. or Size_FD,12.. . . ..Location ound
Type --E Mass. Approval No.M.1213
Permit issued� .`?�expires.. �_.... Head of F1re Depart t) ?'
Fee.. _. � Paid_. .—+..�`....... By � '. .._. .
This Permit Must .Be Conspicuously Posted on Premises
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