HomeMy Public PortalAboutFP-6_ WATERTOWN FIRE DEPARTMENT
I630
Fire Prevention Bureau
APPLICATION FOR PERMIT
City or Town Watertown DIG SAFE NUMBER
Date: Start Date:
In accordance with the provisions of Chapter 148, G.L. as provided in Sec. Application is hereby made by
Name:
(Full name of person or corporation)
Address:
(Street or P.O. Box) (City or Town)
For permission to (state clearly purpose for which permit is requested
Name of competent operator (If Applicable) Cert. No.
Date issued ---- rejected By:
(Signature of Applicant)
Date of Expiration: Fee - $ Paid Due
City or Town:
WATERTOWN FIRE DEPARTMENT
Fire Prevention Bureau
99 MAIN STREET, WATERTOWN, MA 02472
WATERTOWN
PERMIT
Date:
In accordance with the provisions of Chapter 148, G.L. as provided in 10-A this permit is granted to
Name:
to:
Restrictions:
at
Fee Paid $
(Full name of person, firm or corporation granted permit)
(Give location by street and no., or describe in such manner to provide adequate identification of location)
This Permit will expire on
Signature of Official Granting Permit
Title Fire Inspector
=* THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES 40M