Tobacco & Nicotine Delivery Products Sales
Apr 02, 2019
submission
#7
Read Ordinance
Applicant
| Type of Application | Renewal |
| Name of Establishment | Premier Petrol |
| Telephone Number | +16178848710 |
| Address of Establishment | 979 Broadway, Chelsea MA 02150-2246 |
| Fax # | +16178848385 |
| Days and Hours of Operation | 24 hours 7 days |
| Email Address ( required ) | [email protected] |
Owners Information
| Owner's Name | Michael Leve |
| Telephone Number | +16173128000 |
| Owner's Address | 350 North St, Boston MA 02113-2114 |
| Emeregency Response Person | michael leve |
| Telephone Number | +16173128000 |
| MA Dept. of Revenue Retailer's License for Sale of Cigarettes# | 542447616 |
| Issuance Date | 2018-10-01 |
| Type of Products | Cigarettes, Cigars, Chewing Tobacco, Nicotine Delivery Devices |
| List Other Tobacco Products | cigars |
Upload Documents
| Copy of Cigaretts Retailers License, issued by Massachusetts DOR | Cig.pdf |
| Certificate of Good Standing from Massachusetts DOR | GOOD.pdf |
| A certificate of Insurance showing workers compensation insurance or Certificate of Compliance | WC.pdf |
| Wage Theft Certificate Form | WAGE.pdf |
| Proof that any/all tobacco sales citations have been paid | GOOD.pdf |
| Proof that City personal property tax has been paid ( obtain at City Treasury ) | cityhallsystems.pdf |
| Certificate of Occupancy | OCC.pdf |
Payment
| $75.00 | $75.00 |