HomeMy WebLinkAbout2017 Jul 28 - HOLD - Sign Off Transmittal, Stamped Plans were NOT picked up by builder - Re: Increase Size of PorchTo be completed by Applicant.
Building Site Location:
TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
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Proposed Improvement: -;�-, �� , y�-�' ,
Applicant:
Address:
, /11 c -z (.s o
Tel. No.: -z � 7 - x z
Date Filed: 7 ) ? -t -�
**Ifyou would like e-mail notification ofsign off, please provide e-mail address: ''l 7 _(� /' / %G 41410V
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Owner Name:
Owner Address. (-, .�. ,�}, t , ,� l ,.� Owner Tel. No.: 4 17 - -9 3 4 -di a w o
........................................................................................1t.:L.`...'................................. : ...P.........................................................................................................................................................................................................
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 within building
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: U34-leZ(401 DATE: 7-31
PLEASE NOTE
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