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HomeMy WebLinkAbout2015 Dec 23 - Sign Off Transmittal Sheet, Plans - Swimming Pool ,. ��,..�__.�.. _.�,..� -: �,_-,,_ � _ ___ _ _.,�. � : i , _ i �o�'.--�„Y-aR,,� TOWN OF YARMOUTH � -- �-��� HEALTH DEPARTMENT o.�. �, �, � �''��E`'� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET i To be completed by Applicant: ' Building Site Location: l � G7?�1 ` _ � � i Proposed Improvement: � �c v�� . ; C ` j� ; Applicant: '� Tel.No.:S�C��— �S'D---��� � I I � Address: � Date Filed: /� ' I �, **Ifyou would like e-mail notiftcation ofsign off,please provide e-mail address: � i � �wner Name: Q --���. I � Owner Address: Owner Tel.No.: �P��'���y�(0� ' ..................................:..........................._�- ..._1..... ........�.1...'-''��..•...•.•..............................................................: RESIDENTIAL AND/OR COMII�RCIAL BUILDING HEALTH DEPARTMENT: Deterrnines Compliance to State and Town Regulatians; i.e.,Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (l.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building {all ezisting and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 applieation signed by licensed installer with fee. ........................:................................................................... .. ......... .............. .....................................................................:.......................................................:.........:................................................................................................ REVIEWED BY: - DATE: ��'` o'� � �.�� PLEASE NOTE COMMENTS/CONDI�'IONS: � -�, ,y i�j� 6 �7✓a y�.�t C,. C. ,�-��t. a ol`-!' 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