Building Permit Approval APPOINTMENT FOR FINAL Satem Fit t.e Depar tment
-1NSPEGTION MUST BE Ft t.e Pr t evenion Bureau ! APPOINTMENT FOR FIN L
MADE AT LEAST ONE WEEK 48 La.4ayette Street INSPECTION MUST BE
Satem, Ma 01 970 MADE AT LEAST ONE 1l
AHEAD----- ----- (5 0 8) 7 4 5-7 7 7 7 AHEAD.-_-
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accordance with the pn.ov-i,6ton-6 06 the Ma�6,5a.ch"ett-6 State Suttdtng Coda
and the Satem Ftte Code, a.pPttcati,on 4,6 hereby made 4or a.pprovat o4 p.i?a.n�s
and the Z-6-6uance ob a ce4 t:i 4tcate o4 approvee 4or a bu l ed i ng perm-i,t by the
Sateem FZ t.e De pan tmerz t. (Re4. Section 1 13. 3, Ma-6-6. State Bldg. C ode)
Job Location: V�
Owners/Occupant:
irQ/Pe-,-Z Af _.OG-Z
Etectttcat Co tLactor:
FiAe Supp-t"4ton Contractor:
S-c.gnature o4
App.2-icant: � Phone
Add-te-6,6 o6 C cty yr
Ap pZt cart t: Town:
4-�1,1') s r �,e :
Approvat date: 3 J
A '7
Ce,tt-i.6-4.eate ob approvat .vs hereby granted, on approved p.ea.na or 4ubm-&tt.Z -
06 p,toject de-t�,, by the Sa em Ft e Department. Att ptan�s a Le approved
,6o.eeey for i,d.entt4tcat-ion 06 type and Zoca t i.vn 'o4 ¢vice protection devtce-:�
and equtpment. Att p.earL4 a�t.e -6ubject to approvat o4 any other authon.i.-ty
having ju-i i d-i.cti.on. Upon comptet-i.on, the a.ppt_,ica.nt or to statter(.5) ahaZZ
reque-6t an -i,"pec t i.on and/or test 04 the 4-ite protection devtc" and
equ,i.pment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
f l
New eorv6truction.
Propeltty toeat-ton hays no compZta.n.ce w-i th, the prov-ir6ton4 o�
Chapter 148, Section 26 C/E, M. G. L. , reeat-i.ve to the
-i"tc- on o4 approved 4Zt.e ata,%m devtce6. The owner o6
th-i.6 property i,6 requ-viced to vbtatn comPt-Zz.nce a 6 a
condi Lion o4 obtatntng a 13uttd ing Perm-it.
Pnope_tty .eocatton. is to comp.Q ia.nce wi th the prov-i_6ton-6 v�
Chapter 148, Sec_t,,on 26 C/E, M.G. L
Exp-vt.at-i,on date: g
-c.g u1t.e v� F-i.te
F=e dua: and .-L , . :,00 Sq. Ft. -