HomeMy WebLinkAboutFrancis Ave. #5 - 8/8/1991TOWN OF MANSFIELD) MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name
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Address
Location
Installer
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Address (fide Le/7f+/fin Ar
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TYPE OF WELL:
Domestic Potable —industrial/Commercial Potable
:;�omestic Auxiliary —Industrial/Commercial Auxiliary
_Agricultural _Local Water Supply
Intended use:fNcu.�—
Fee: Date:
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install /4V'YY(S (r].
of C�AA/JJnS� at
Date:
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Approved by:
well for the purpose
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NOTE: Electrical permit required; underground cable trench must be inspected.
TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
Name
Address
Location
Installer _::�T_e, S 16 /I[ it /�i/ c � ✓F / c n4 � l
Address i3 ///No 4M
TYPE OF WELL:
Domestic Potable _Industrial/Commercial Potable
Domestic Auxiliary _Industrial/Commercial Auxiliary
_Agricultural _Local Water Supply
Intended use: R �U.li /LA-Z tip
Fee: Dater
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a "i- a�'5ilC Al 'y' u Pc� well for the purpose
of Lk'AN\ l�fli—r-� r-l� at
Date:
Z
Approved by:
fogtheoard of Health
NOTE: Electrical permit required; underground cable trench must be inspected.
APPLICATION FOR PERM17 TO DRILL WELL
Name 1% 4= -ty o ✓ oir 5
Address /�--—'�--`� — --
Address 1,V /—e_ %0- T,„�
Well Location
Well Installer
Installer's Address
Type of well:
Y Domestic _Local Water Supply Potable Industrial/Commercial
Industrial Commercial Agricultural
Fee
Date? /
Permit to Install Well
The above application has been approved and permission is granted to
install a well at 5 Francis Avenue for the purpose
an Agricultural-Tomesfc well.
Date: October 7, 1987 - -
{
Scott Leite, Health Agent
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BOARD OF HEALTH
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,11 34 ri t Irrs Tro x frritt,P
In Accordance with the Provisions of
Massachusetts G.L. Chapter 21 Section 16
John A. McCue
Braintree, MA
is Authorized to Dig or Drill Wells in the
Commonwealth of Massachusetts During the Period
JULY 1, 1987, to JUNE 30, 1988
Certificate No. 392
SERIAL N2
5028 Director & Chief Engineer