HomeMy WebLinkAbout73 christmas wayTOWN 0F YAR MoIITI I
WATER DEPARTMENT
99 Buck lsland Road
West Yarmouth, MA 02673
Telephone: {5Og) 771-7921. . Far {SOBJ 777-799A
BUILDING PERMIT APPLICATION FOR
WATER, DEPARTMENT SIGN OFF
TRANSMITTAL FORM
73 Christmas Way, So. Yarmouth
PROPOSED WORK:
ADDRESS P.O. Box 1858, N. Eastham, MA 02651
TEI,PHONE 50a-362-9770
RESIDENTIAL A\. D /(x. COMMERCIAL BUILD! \G
\lhtcr Dcpartmcnt:
Engineering Department:
Consen'ation Commission:
Ilealth Deparlment:
Fke Depafiment:
Determines Compliance of Water Availability and or existing location
Detcmines Compliance for Parking and Drainage
Dctermines Compliance to Wetlands Acq i.e. If lo(s) border any t1.pe of
wetlands, streams, ponds, rivers, ocean, bogs, boys, marshland, EIC...
Detennines Compliance to State and Town Regulations, i.e.
requiremcnts for Septage Disposal and other Public Health Activites
Detennines Compliance to State and Town Requirements for Personal
Safety, Property Protections, i.e. Smoke Detectors, Sprinkler Systems,etc
5112121/A4ZEf
APPLICANT SIGNATURE
OFFICE USE: COMMENTS ON PERMIT APPROVAL OR DENIAL
DATE
I
REVIEWED BY WATER D ION (SIGNATUREI
BUILD!\G SITE LOCATION;
Master suite addition
AppLrcANr: -c-'-p-"-4::99,-"i9: ]19'- - - - - - - - - - - - -
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SERVICE NO.
NAME
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