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HomeMy WebLinkAbout2003 Oct 08 - Sign Off Transmittal Sheet, Plans - Three Season Porch _. .. �n..,....._.� � � � r ��� }o�•Y.�,�� �.�� ' TOWN OF YARMOUTH � o � ,/ �' BUILDING DEPARTMENT , � � � N MATTACM F�Sr y� ���+�waceF. BUII.,DING PERMIT APPLICATION DEPARTMENTAL SIGN OFF . TRANSNIITTAL SI�EET Building Site Location: c%V' Map No: t�,,,�+ Lot No:� Proposed Improvement: '' {� ' I G ,r' 4 �a ,f� � �r Applic,ant: r� +�` � ` � ' f � �i-' ' 3�.5 �5��` � ,��� � �..� ,�' Te1No.: DateFiled: �//f /U � Al�ss: ��.�'Lu�21 ....)�, �-�KS-.�.�3�— f�,� v✓'�fnt%� The Building Department will be respansible fhf"' is uig e a p icarn by dispatching your plans and or application to the fallowing aPPlieable departments. ��SIbE1�TTIAL AND/OR COMMERCLakL BUILDING WATER DEPARTMENT: Determines Complia�e of Water Availability and or existing location. • ErTGiIt�ERING DEPARTMENT: Dctenqannes Co�liance for Parking�and Dramage. � ' CONSERVAT'ION COMIVIISSION: Determinas Compliance to Wetlands Acts;i.e.,If Lot(s)Border any Type of " Wetlands,Streams,Ponds,Riveis,Oceans,Bogs,Bays,Marshland,Etc HEALT�DEPARTMENT: Detercnines Complianc�to State and Town Regulations;i.e.,Requiremerrts For Septage Disposal and other Public Health Activities: ' FIRE DEPARTMENT: , Determines Compliance to State and Town Requirements for P�rs�al ' : ��Y,�P�Y Protection;i.e.,Smoke Detectors,Sprinkler Syst�ns,Etc. REVIEWED BY: L WATER DEPARTMENT: . DATE: N/A: r "'` 2. ENGINEERING DEP�►RTIvIENT: DATE: - N/A: 3. C�?NSERVATI4N: ' DA'i'E, N/t1; 4. HEALTii DEl'i�RTMENT: � 'DATEc ` ' -- li INDUSTRiAL ANI?/OR�OMMERCIAL PERMITS 5. WIRING INSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: DATE: . N/A �. F1R,DEPA1tTNIENT: DA'FE: N/A: Pi.FA�.SE NOTE � COMMENTS: { i i � .., � ' RECBIl'T OF COPY: SIGNATURE OF APPLICANT: DATE: ; � Craldenrod-Fne nepr/eon�erv�ion Whi6e aopy-Bu�dinB�. - Piuk cvopy -Wabez Dapt. - Yellow Copy-Heahh 1�%. - Pmk Copy-Engineaia8 Dept- - se � . 1 i l f 9 t � - . ���*ay; ,�. 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