0000 FORT AVENUE - Street FilesTo: HEAD OF FIRE DEPARTMENT
Titij of stein, fliassar4usetto
FIRE DEPARTMENT - FIRE PREVENTION BUREAU
48 Lafayette Street
Salem, Massachusetts 01970Im
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Fee Due $10.00
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Rec'd by:
(Date)
Application is hereby made in accordance withthe provisions of Chapter 148, Mass. General Laws; and 527CMR6.00 made under
authority thereof, by the undersigned, for permit to install Liquified Petroleum Gas storage tank or tanks, for the person or persons
and at the location named herein:
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