HomeMy WebLinkAbout2019 Jul 17 - Sign Off Transmittal, Plans - Family Room Addition de:y4 A. TOWN OF YARMOUTH
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 47 do/4, /we
Proposed Improvement: 61_Atly /30 ,-,r A T,DiTals," „IT
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Applicant:0,4-tierva --31A WA t•l(-. (9_,.. 1-'k)-atly Tel. No.:„1)8--.36,7—ez,zi
Address:704,,,,,s-i /4(141.t. 0 ..t.-:1Y A-ke,e),471- Date Filed:
"Ifyou would like e-mail notification ofsign off please provide e-mail address:EtAiii430.17L--"b4ile,r4egew-t7A,o/t.S.
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Owner Name: friAly :.el __ _,..4-ti,A I Se/c.f.
Owner Address: 4/ 144e /4,iet--- i: / a'-ra Gi7-4 Owner Tel. No.:
........_................_.................
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: ( (..)‘,1,2,fklfi/ DATE:
PLEASE NOTE
COMMENTS/CONDITIONS:
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NEW FAMILY ROOD On FOOTINGS
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