HomeMy WebLinkAboutReciept and Compliance 0 Town of Yarmouth Receol No 30457
1 146 Rc_'- 18
Soule , Ih,MA 02664 Receect Dale 1003Oi2017
SOB 398.220.22 31
RECEIPT
RECORD A PAYER INFORMATION
Record ID 301-0C-17-0571
'r.Mrd type A c fnt,al SYslerrt(E W uCtion Psmtg
P•utrrty Atickess 29 MACKENZIE RD,SOUTH YARMOUTH,MA 02684
Desalt:tun u1 Vtbrs.
gayer JOSE+'a S (II(J ANO.CONTRACTOR
ADpicerll JOSEPH S,DIGLANO
S DG IANO CONTRACTOR
16 ELDRIDGE STREET
BOURNE.MA 02632
PAYMENT DETAIL
Dale Payment Method Reference Crwhrt Comments Aanouta
1013012017 Che_.. 576S MFLORrJ 6110 00
FEE DE TAIL '
FM Description Invoice 0 Quaintly Fero Am e Jr! Currant Pant
Resderv.j1 D:cUsta Works Calmsu[Lun 32990 ' ,Y.: f•1.', Si1000
3' i:, $11000
6OWDC-I"1-6511 10a: f 110
1�_ 7 7 (OMMON'WFAITH OF MASSACIICSIIIS `tr,'\I'° (Mi. 57c, 5
crowd' /9_7 Board of Health. /Az/noun+ A. 0244444 C7 11416
CERTIFICATE 01: CoMP11ANCE 024 logo
. l)r.a nption of Hurls: J lndnidual CumJN►exnt(a) n omlplele ll/sleat
l'ir u1 drryKnrd bete-I-6 certify that the !sewage Disposal System. Cuivat tiorK,Repaired t :,Upgraded( ).AbAbandoned
r,_
herr been mu t tr a Ur< rv` ` 14 I(MR 15.IM)(Tide 5) :ued ie a , 'd dcwgn plannlasbuilt plans rrlatinr u►
appbcatlun Nu. _� dared �� �� Apprurrd LM+iKtt Flow it pd!
Installer M5 'S• ._ .4X11
1)rsugrteL: Sato riciz ivy)5, Inpertr►r /ilk/ Dar: ?—.2-171
The banante of this permit shall nut be construed as u tee that the system sod lam-firm at designed.