HomeMy WebLinkAbout2014 Jun 12 - Sign Off Transmittal Sheet, Plans - New 4 BR Home,�.._�. ._ �� .-..�- �___'� � -�� :: ,.�-,..e � -.�-. �
oF.—'_'r--�r TOWN OF YARMOUTH
y�� �• �� HEALTH DEPARTMENT '
o.� -�
� '�• ••� r PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
' To be completed by Applicant: ..
Building Site Location: r � � —� � � ��
Proposed Impmvement: CT�,r,,,'�`��fT/'+ �F J�—�I�D.r�
Applicant: Tel.No.:?� � � � g` ��g 1
Address: Z ! � _'S�7— S • �/�� �Date Filed: Z�
'•lfyou would like e-mai/notifrcation ofsign off,please provide e-mail address:
Owner Name: �p �
Owner Address: � U I QW Owner Tel. No.:
..__ _ _ . .�.. _. . .� �.. ��,< � . ._. . _
_ ... .. . . _
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
" For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings,water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms wit6in building
(all eaisting and proposed)—
Note:Floor plans not required for decks,sheds, windows, roof�g;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
:.........._....._........__......_.._........__............._....._................_............................................................................................................................:..................................................................................._........_.....__....._................._...
REVIEWED BY: ��(XO/ Gr,Y�/ DATE: �o '/L�
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