HomeMy WebLinkAbout2009 Jul 01 - Bldg. License Inspection Approval Log and Certificate of Inspection0} H
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TOWN OF YARMOUTH
BUILDING DEPART:
1146 Route 28, South Yarmouth, IA Rl.:
508-398-2231 ext. 261 Fax
NAME Riverway Lobster House J1 j C.,
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ADDRESS
1338 Rt. 28, S. Y.
This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your
building/premises. When all signatures are obtained, this log shall be presented to the License & Permits
office and/or the Health Department in order to obtain your license. Licenses will be withheld until all
inspectors have signed.
Building Commissioner Rep.. Date .t-f"orents Approved for
License Issuance
❑ Yes ❑ No
Fire Department Rep.
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Date
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Comments Approved for
Licens Issuance
es ❑ No
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Board of Health Rep. Date Comments Approved for
� +. License Issuance
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[Yes ❑ No
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Plumbing/Gas Inspector Date Comments ° Approved for
License Issuance
❑ Yes ❑ No
Electrical Inspector Date Comments Approved for
License Issuance
❑ Yes ❑ No
Taxes Paid ❑ Yes ❑ No
Rev. Sept. 2003
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