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Home My WebLink About2007 Aug 31 - Sign Off Transmittal Sheet, Floor Plans - Bathroom Renovation , . ._ _ ,. � F, ,�°� Y��o TOWN OF YARMOUTH o _ � ,��, HEALTH DEPARTMENT N�nw��Po rtoRr�s�� . PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Appdicant: Building Site Location: �<�,,,� /��.�.,��,r/ ,�'�/ Map No.: Lot No.: Proposed Improvement: /�'.��rY•r�o�> �,��[�p� Applicant: ��l��Y'.J ��''� �//�' Tel. No.: s""� -3�l -�s'y�-- Address: e /�� h Date Filed: � **If you would like e-mail notification of sign off,please provide e-mail address. � Owner Name: �,,/�ii��s t��=-;�✓/_S Owner Address: ,��,�'� ,�i�/�i .�,^,�l!! �f'e� ; ()wn�r Tel. Na: S'p�' -..'J�--$S'ycj- RESIDENTIAL AND/OR COMMERCTAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requ�remen�s ._ f For Septage Disposal and other�ub�ic He�lt�Ac�✓��iea: ��,�;��,t,/� `'/.�f1 � Please submit four (4) copies of plans, to in��,��1,�,, (1.) Site Plan showing existing buildings, water liae location, and septic system location; .�� , �. �r. �a,�,��,,' �,,, : (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 application signed by licensed installer with fee. .... ....... . ....._.. . ....... ... ---- -....... ....... ........ ..... .......... ....... .....- - -.......... ...... ..._ ,� .� � . � � � �,F� . ..... .............._... .. . ---:.... ........: .�a '�.. .::.,�.. �.. REVIEWED BY: DATE: �� '7 PLEASE NOTE COMIV�NTS/CONDITIONS: ��` . "� .. •a':. . . �` �;s . . ,.. � ... . . .�� . � . � � .. 1 __— �\ I — � =— ` . , _�.:� —__— __.�....�,�_.m _ __ _ �., .�,. .,�.,._. . .__ . _,._ ._ .: _.�.d.=.�. �.�,��._... . ., __. .�— _-•� � --—� � € _. , .._,---�.�.q:�_� _ . ;,.�,. � f � — ,� � , _. ___ _ ____ __�e_ .._. ,_ .. _ ._.. _ _ .,_,. ; `� . ; � { � � — a 3 �;,, t.; ,. _ , ._ ,�a = � -: , 4 � ,� = —.: _..__ . , _., »�, � �i � a 4 ..---� . . ��_'`..,� ��. /`�� ..� } . 'c ` }ci s q 1 [� ` � Ii f �`.,.�<^�.e.� � i i S \� � � � �� . s � � , 3 "�. �{ S s�g � } ��`` � � �`�� y � _ _,��.�_.�� ___e___��.�_�_�__ � �� ,: � � - � � � s e'+ - � ..., � � �'.. �� _..-..ea....�. ..,...,...._ _,_v,,., e�......A. .- ..�.n..-�-� _-.��._,.... - . E 4 _H..._ �.. ..... ._.-.-�� . q _ �_ _. �,.� u �-p _ __ A , ��>r�� ,.�� .� .. . � ._._.� ..._. �__ _ _._._ .__, �; : � ' f M iL! ' •,` 5 � ._.. ._._ ...._. ,...._ _.. ,.__"' . ...._ . �._.__._.. °+. = � • ; � � � � � a� � � i �-._ _ t � ��:� ��,.�� r \. �„� S` � r�fs t� I� ! � � � ` ! i jjj � I�y � � � j { }� � � �.; � / �; '��....,_. f ,. . y --,..,� ...._.._ . ��g . . i �� , i � � � � i � d.�.._______.�,..e.�.. �`�...+�,t.�i �� i �� ___�___�. 1 ��° � � �� :�. � � � � ; ; ,� � � __`____�-- � � _ , � �- � � �� , � . �. � , � .� > � , I ; � �r�` �� t �.-_, ._—. _. ..♦.R.._�. �t_n-.x, �. __..._____T_��_-- ---- =�t� . _ _. . ._,.4� . :�; - _ _._. __. _�. ..�._....._._.__ = >�- ` - '—. _ _ ,� .-'"--` . >.�� .._ f..�..' � • �_ - i � � s w R � ! I � ?t Q t v ` � �� ,' w.�, . : i � t � i �'`'' �..._._ `�. y —______� f . s �z : v • � � _ _, ,:�__ �� _ �.�.<:____�.�.-�_ . � • �� { , . ._, _ �_ , � � , . ; _ ` 1 � i �<,. _ —�; + �_ _ ,j �✓�s�`°`� j � '� ! � � � � � � , '�{ X; � , ��,e ; i , �Pi��` � f j � : , t ? � ' � ` t ..__.... _ ._..1 � ' ` � � � a ` � � � r � � e 7 E � � . � l a i � i . .�__ ___. �-----.. . ____ ____ _ � _ '" � �` i �``� # _ __.,�.. � `S 1 �� i j � 1 i ; : _ � � ; F � � ,: � 3 't � t. r s: • q � � � � � � ' `� S c oi b ��' �°i a�� t I �',''� . � �. .� . � ' � � ��-J ` � ��Y_� �4 , ;e..�__�__.___e._______..�_ __�-__ _--- � -� ' , � - . �__ �` ._ .,_ ; ; ._._ � . _ , ; ` � ; i I = � . t.. _� � � ; ..�'��k�c�' � � ` �`�J � Fi j � ' .,�♦r'f.t6`s'F','._, � . � ' ' � �' ' � � �'J :� � � � a �_ ! �� ' � � _ � __ _ �.� � � __ e�_.�e_�____►__ � � F ,. ,: �.� I f � � � �.., L_�_��.e�_H_. _ �,.. _. ,,,j `� L` � � . __, __... ��,/, -., � rj fr�pf,�f'�lJ'� t iG f�,/Fl t�t--.5 � �• � _ : ', � � ,._.___ __ .__ � ; ___.._ ___�I .__-,_ ..._.�� ._.,.. _� � � ��' + 4 i + � � �.,>f-i��¢'l'' � � �� ,:�;) °>t�, � . `� �, � ' :. ' � � __ , � E� ' .� a � c,) __� w._ I =-- � i�v � �. � � v.... n,_..m.v_ ,�...� � � �� 4 2 � b � F�� - ...� --�� ,�� ' j � ; �r` � � � € 1 i q �i t� � _.. ,. ... . � �.._,} :. .. ._ � � , � ' � 6�s �` `��'�.`� �—_..�g� � �., � . � j • � � �