HomeMy WebLinkAbout2018 Oct 04 - Sign Off Transmittal, Plan - Renovation 2nd Floor Bath cs Yak TOWN OF YARMOUTH
ti -Xi� c HEALTH DEPARTMENT
• .-- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 13 ekc k e jz.t G '.0(11 j o(AL Yax(MQ u-t h.)
Proposed Improvement: 1Z eel o vat 6 J C cO ftIL Lorry 10,,. N o It Y u !'t cora L
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Applicant: 6 e09 G ZaV( f, Itte,. Tel.No.: 50P-J?g4-0al
Address: 3, N o r t. k_ t ,f-L. LA t LYar IQ(,et k) Date Filed: 10/4 1 le
**Ifyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: ,0rGG 00LULL, el/ N cukct aryl Qti
Owner Address: TO_ i f; Owner Tel. No.: ',Imp- Br-60J
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:
�/c) ' ide,
DATE: 1 71
PLEASE NOTE
COMMENTS/CONDITIONS:
TW 2446
81 1 /2" -- A
Existing
Existing
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81 1/2" AL
2nd Floor Bath
replace existing tub in same location f ,
update existing sink and toilet in same location
replace tile floor
Proposed
Yarmouth Health Department
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