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HomeMy WebLinkAboutTR-20-1079 TOWN OF YARMOUTH R7-72 a)-107 O�•Yq� t.�e 4 BUILDING DEPARTMENT Permit Number pR - 40 ii H 1146 Route 28,South Yarmouth, MA 02664 I 508-398-2231 ext. 1261 Fax 508-398-0836 Date Issued • Expiration Date $50.00 TRENCH PERMIT Pursuant to C.L.c. 82A *1 and 520 CMR 7.00 et seq.(as amended) TNL4 PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION Nacre of Applkant 1 t (, rL;IcCO - ion phone so$• qr. O451Ce° Street Address 14 Tt otibt.r ry City/fown I MA I ZIP Feces}-d.,t�. ozwgy Naaat of Excavator(if different from applicant) Phone Cell Street Address Cityffewn MA ZIP Name of Ownerta)of Property pion. BoC94A1S Phone Cea Street Address SS Po.r4-ri dgt, vote F►d City/Town MA ZIP W. 14rrnov4 02,613 Other Contact I Pernik Fee Received N. ) Yea 0eseripdoe location and purpose of proposed trench: Please describe the exact headier of the proposed trench sad its purpose(lad de•du.rip..of shot is(or is intended)to be laid in proposed trench ley pipedeabit lines ate..)Please use revere side if addition,space is needed. 4ti D. box and SKISRECEIVEDi F.roni C7uV11 of DLitllin AUG 2 7 2019 BUIL(/�y�1W insurance Certificate M: S PPO 00000s l I Name and Contact Infermstlon of Worer. _ L3 yrnc. Inso rgrt c t. porky Expiration Data. nigs.10: 2.0iq ;41200S Yams of Competent Perris as defend by Sm(:MS 7.92►: gtall l of 2 ZJOZ T ( N32I333I0 AI)3fLLVN9IS S.1 14MO RLV0 311I0 40t 31(UVN9IS SQLVAV3 j I-2 $ aLva 2111fLL 1 Tully 'omit SILL'9NIlft0- 10 H0SUd ANY 01 SOVIAIW0 II0•'SSU7 'ILLYIO 'Almon AMY AO 140 MISSY NO WOILI 9NLL7(ISl1 SIISAVIASS QNV`SJ9o3'NOU3Y to ussav3`LIflhlVI'I Tilt(INV ANY PIONS SA(1m 1 UMV HLNIi9Y Sit AO TIY ONY A.L17Yi13WnN 3III$STINSVlt ISUSI O11Y'AQNICIU II 'aNSASO 01t.ATIVUASS W,YA11141 H''lll9Y i*O1YAY)Y8 ttNY*SNMO` MV3TWv OZNOISMlGtNt1 SRL LIXIVAD1Nt)lv 10.L AS 101111M311N OZIVASO SftttISY1W 7VIOSWSS=IUD am simian 31.11I04 9 daf173NU ItUA`INSRL A'YW03 01 as uY4 SYH 1QLVAV3Yl to M M©1AIY3I LIJV/H.L 1111tM 3TISt1J SILL I32w01 01 LLTIVi1~ILNIIW SRL AS NSIVI Slt1t)SY*W ANV'fhIM9l3Hj,33NYT>4$fl3ltit t$Y W.3QYI1t SNOLI3316t[J`1IWW S'IRZ AO SNOLLWQNO3 ONV Aar'RILLS so surimintara VU 9W1310tdtis 01 causal i+ON ins 91dl01113MI e SQNtISVAILt aluaoONO3 31*OM SILL 014V.I !SRL MUM MOtL*NNO3 NI 1ZTR►I1JINf1W SILT:AS 031i1O3NI ISISICIAXII©AN SLSO©77V WV ANY 1104 Junvierisbalus 30.l 1114191101181 . 01 ATIV*CZAIS RSV AZLIllO(issapv SOLYAY3111 aov uNALo 4161V3TIAIV OSNOISIISONf#101 • 111104A 03as 9NIsSAOa sigOLLY11191111 0MY 6MV'I awl0NV a1Iov..LV SNowallo3 3H.L itLtM ALLISIG1NO3 1 *VOA SELL .il3rl8I1II OIlly 10UNol11:01 A.121311tllld SELL__ROA!) SIMS 01 AlrlvlL3INhW SRL Al 0I.1.100JAY A1110 S 011id sanuolalav 3tfi+1003 AO NOILYl.9O SILL V01 'o67V QNV '17.141MO SRL AO ALS&014 SB.L 00 » M *3fis.SI YZ*IUMII 01 I0.LVAV3121 1HZ QNV ABI IM' SILL. It01 A7i4Y 01 .LNYJI'JIV 1111 SSIISOR1IIY 1IMMO 413049111111KINII SILL 11011111 01*01 .1.3S SMOLUQNO.1 SR l• RUM atilt S 33dSMI 11V NI RLIAIZIL3111. A7iM103 TUM 1SOM 03t1S •01031SSI 1.UW1I3J aILL YAUNf13N0011OOM 77Y IYH L 3119Y CRY LNVNSA0 A31LL(INV SNOLLY'L7:)8S wry sMY'l-Al `S83NVNIa0O IYII3INf011 S'I1Y3TL14V ANY au1Y &we le NI WC Zs` `WI 9 -r9 •TOt.I.Y'If19la YHSo 9 0IIT13tu'aa104011 ulOAA QL 3'11V3TfdaV 04011V'EI93*OMY SMV7 TIY'iLIIAA 1V 1DNtVA 1W03l8 711*1'110M SILL AO,iNSN1S3taDeitOa 110 '10`RUM IIYI'IIDVY.d/NY AS0I ANSI AA}ZLU3(NV 19071M0N13Y 77V 101VAY3rs(INV'13[NA1O'zov311d W SII I'Wl0,L SIAI 9N1MOIS Al oZ •L •Z "IRS VZ 0LI?hO -3H ransom