HomeMy WebLinkAbout2018 Aug 29 - Sign Off Transmittal, Plan, Photo - Replace Deck ovTOWN OF YARMOUTH
/7:-) HEALTH DEPARTMENT
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'���»�%� ' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: /�
Building Site Location: 5S `j�,,.�. 1 ( .vk--\-V ®,,,
Proposed Impr vement: c� 11 .P
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Applicant: AAA e (\A\JNo.: 4G -c( 15't53c
Address: \ (0 2 t �- ec V'L ) C � A Date Filed: '2'
**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: ke-el (00
Owner Address: LA. .'A` Owner Tel.No.:5b
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Iquirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings,water;lite 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/>) DATE: v -
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