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Get Special Permission Gas Request Application Form - Mass . Gov - Mass

F Plumbers and Gasfitters 1000 Washington Street, Suite 710 Boston, Massachusetts 02118-6100 SPECIAL PERMISSION GAS REQUEST APPLICATION FORM 1) TYPE OF REQUEST See General Note 3. CHECK APPROPRIATE BOX / BOXES Booster Cogeneration Elevated Kiln Equipment over 12,500,000 BTU Water Tube Boiler over 10,000 lbs. steam/hr 2) INSTALLATION LOCATION INFORMATION COMPANY NAME: FAX TEL ADDRESS: CITY/TOWN 3) SERVING GAS SUPPLIER INFORMATION (Attach Serving Gas Supplier letter to the applicat.

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